Transcript IANPHI/GATES

Considerations in
Developing NPHIs
Sue Binder
www.ianphi.org
What Are NPHIs?
U.S. CDC
Mexico INSP
Netherlands RIVM
Finland THL
Who is next?
Ethiopia EHNRI
China CDC
What Are NPHIs: The Framework
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Developed in response
to the need to have a
consistent language
for ourselves, donors,
and partners about
what NPHIs are and
what they do
IANPHI members
worked together to
create a consensus
document, published
2007
The Framework Includes
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Background information about NPHIs
Definition of an NPHI
Core NPHI Attributes and Functions
Approaches to creating or enhancing
an NPHI
Examples of
NPHI Core Attributes
• National scope of influence
• Focus on major public
health problems
• Scientific basis
• Linkages – sub-national/
national/international;
government/nongovernment
Examples of
NPHI Core Functions
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Population health assessment
Surveillance, problem investigation, &
control of threats
Research
Prevention programs & health promotion
Human resources development &
management
Emergency preparedness & response
Which Core Functions Does a
“Typical” NPHI Do?
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Many NPHIs become more comprehensive
over time, e.g., CDC
Often, a crisis is an impetus to increase
comprehensiveness
• Example: Public Health Agency of Canada created
following 2003 SARS outbreaks
 Lack of communication between national and subnational
 Large numbers of people quarantined unnecessarily
 Health care system overwhelmed by worried well
 Business and tourist travel stopped
 Subsequently, the Parliament legislated the Public
Health Agency of Canada
IANPHI Long-term Projects
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Mostly in low-resource countries
Project can last several years
Goal is sustainable increases in NPHI
capacity to conduct Core Functions
related to pressing problems in the
country
IANPHI Long-term Projects
(cont’d)
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We aim to be transformative
IANPHI funds are limited, but can
serve as a catalyst – have a multiplier
effect
• Guinea Bissau: Linkage of formerly disparate groups
a robust NPHI
• Tanzania: Investment in non-communicable disease
surveillance and policy work
as the Ministry
expands its NCD efforts, NIMR is playing an important
role in providing a science base
Keys to Success of
Long-Term Projects
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A high-level champion in the
government
NPHI Leadership: Critical for
• Aligning staff and programs with the NPHI’s
vision and mission
• Staff buy-in to organizational change
• Deal with barriers
• Garnering additional resources
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Vision for how the IANPHI investments will lead to transformation
Other IANPHI Support for
NPHI Development
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Technical assistance
• Strategic planning
• Meeting with key people (e.g., Ghana)
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Funding of meetings, e.g., for
strategic planning
Training
• General leadership and management
development, e.g., as part of annual meetings
• Targeted: Address specific needs
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Mentorship program
Substantive improvements to public health
systems require a national organizational focus
– an NPHI. IANPHI looks forward to helping you
to develop yours.