Transcript The Pacific Island Health Officers Association

The Pacific Island Health
Officers Association
51st PIHOA Meeting Status Report
November 14, 2011
Mission
Improve the health and wellbeing of USAPI communities by
providing, through consensus, a
unified credible voice on health
issues of regional significance.
Governance -
Directors & Associates
Associate Members
NON-VOTING
Board of Directors
VOTING
Advisory, provides continuity, active
Chief Health Ministers, Secretaries, Directors
► ROP
► FSM
► RMI
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► CNMI
► FSM
► Guam
President
VP
Sec
Treasurer
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Four state Health
Departments in FSM
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Heads of hospitals in
Guam and AS
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Senior health deputies in
RMI, Palau and Guam
Governance
Affiliate Members
Professional associations for:
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Medicine
Dentistry
Nursing
Behavioral Health
Cancer Control
Primary Care
Education
Health Care
PIHOA commitment to
Pacific Governance
-- Affiliates
Must be:
Pacific-Governed
► Charitable
► Impact on health policy
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Where a lot of work happens.
PIHOA . . .
► . . . advocates for
► . . . builds capacity of
► . . . contracts with members
for
Professional licensing
Continuing education
Program planning
Governance
– Regional Associations
Health Professions
► Pacific Basin Medical Association
► Pacific Basin Dental Association
► American Pacific Nursing Leaders Council
► Pacific Behavioral Health Collaborating Council
► Northern Pacific Environmental Health Association
► Association of USAPI Laboratories
► Association of USAPI Pharmacies
Governance
– Regional Associations
Disease Specific
► Cancer Council of the Pacific Islands
► Pacific Chronic Disease Coalition
► Pacific Partners for Tobacco Free Islands
Policy / Leadership
► Pacific Resources for Education and Learning
► Pacific Post-Secondary Education Council
► Pacific Island Health Officers Association
► Association of Pacific Island Legislatures
► Micronesian Chief Executives Summit
Governance
– Regional Associations
Health Systems Specific
► Pacific Islands Primary Care Association
Other Groups – Less Formal
► Quality Assurance Officers/Performance Improvement
Managers
► Health Information Systems Swat Team
► Human Resources for Health Managers
► Public Health, Nursing and Nutrition Educators
Current PIHOA Secretariat
Angie Techur-Pedro
Vasiti Uluiviti
Human Resources for
Health (HRH) Coordinator
Greg Dever,MD
Data Specialist
Michael Epp
Executive Director
Regional Laboratory
Coordinator
Alicia Sitan
Fiscal Officer
Regie Tolentino
Administrative
Officer
Mark Durand, MD
QA/QI and Health Information
Systems Specialist
New Strategic Period
Human Resource for Health
NCD
Connectivity
Health Info Man Systems
Ancillary Services
Health Planning
Performance Management
Policy
Regional Health Priorities
Figure 1: NCD platform for practicalizing PIHOA’s regional health priorities
PIHOA Resolution 48-01
passed May 2010
“Declaring a Regional State of Health
Emergency to the Epidemic of NonCommunicable Diseases in the United
States-Affiliated Pacific Islands”
The NCD Burden
► Biggest
health problem in USAPI
► Among worst NCD disease and risk factor
statistics in the world
► Current disease burden unsustainable
 Endangering small, fragile cultures
► Current
economic burden unsustainable
 Largest part of health budgets
 Worker health/productivity
Earthquake has hit,
Waiting for the Tsunami
► Future
burden will be catastrophic
 High % of youth in USAPI
 Alarming increase in risk factors among youth
► Impact
on all sectors of society, especially
health, labor, trade.
Current approach not adequate
► Heroic
efforts underway, not nearly enough
► Fragmentation and lack of coordination at
local, regional, donor levels
► Too health sector focused. Whole of society
mobilization needed
 Agriculture, Trade, Education, Fisheries, etc…
► Lack
of Urgency
What’s happened since
the declaration?
Phase 1: Evangelism
May 2010 to Oct 2011
“Do you know there’s
a problem? Do you know
how big it is?”
Socialization
Alignment
Political Will
Why? So leaders will listen to you.
Resolutions & Endorsements
http://pihoa.org/initiatives/ncds/policy.php
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NCD Emergency Communique, 10th Micronesian Presidents' Summit
Communique, July 2010
NCD Emergency Declaration by the 5th Micronesian Traditional Leaders
Conference, November 2010, Koror, Palau;
Resolution endorsing the NCD Emergency Declaration by the 14th
Micronesian Chief Executives' Summit, December, 2010;
NCD Emergency Declaration by the Association of Pacific Island
Legislatures (APIL), December 2010.
Adoption of Pacific-wide declaration of NCD crisis, modeled after
PIHOA resolution 48-1, by the 9th Pacific Health Ministers Meeting,
Honiara, June, 2011.
Back again: NCD “Policy” Communique, 15th MCES, Pohnpei, July 2011
Back again: Request by Association of Pacific Island Legislatures, 30th
General Assembly, for PIHOA to serve as NCD Policy Advisor, Palau,
August 2011 (PIHOA given two hours on the APIL agenda)
Resolutions & Endorsements
http://pihoa.org/initiatives/ncds/policy.php
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Pacific Steering Group on Revitalizing Healthy Islands (Focusing on
NCDs), Organzied by the World Health Organization in Nadi, Fiji,
February, 2011,
Western Pacific Regional Ministerial Conference, Seoul, Korea, March,
2011,
First Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control, Organized by WHO, Moscow, 28-29
April 2011,
64th World Health Assembly, May, 2011 (via representation through
WHO Western Pacific Region),
Endorsement of 9th PMM Communique, Pacific Island Forums Meeting,
Fiji, September 2011
High-level Meeting on the Prevention and Control of Noncommunicable Diseases at the United Nations, New York, NY,
September 2011.
Formal Emergency Declarations
! ! ! Palau ! ! !
! ! ! Chuuk State ! ! !
Socialization Among Affiliates
Evangelizing at the following MEETINGS:
► American Pacific Nursing Leaders Council (twice)
► Pacific Basin Medical Association
► Cancer Council of the Pacific Islands (twice)
► Pacific Behavioral Health Collaborating Council
► Pacific Resources for Education and Learning
► Pacific Islands Primary Care Association
► Guam NCD Coalition Meeting
► SPC/WHO meeting on Nutrition Diet and Lifestyle (Guam)
► 2-1-22 NCD Forum, Tonga (WHO/SPC)
► Association of USAPI Laboratories
► Association of USAPI Pharmacies
► QA/QI/Performance Improvement Managers
► Human Resource Managers Meeting
Socialization Among Affiliates
Underwrote / Helped Coordinate the following CONFERENCE CALLS:
► Affiliate “Council” – 3 calls
► Pacific Basin Dental Association
► American Pacific Nursing Leaders Council
► Pacific Behavioral Health Collaborating Council
► Pacific Basin Medical Association
► Association of USAPI Laboratories (2 calls)
► Association of USAPI Pharmacists
► Education Committee
50th PIHOA Meeting: Emerging Consensus
Policy
► Create healthy public policies throughout all sectors, in keeping with
the Healthy Island Vision.
► NCD prevalence constitutes an emergency throughout the region,
requiring urgent and coordinated response. NCDs are an emergency,
and should be treated as such.
► Advocate for NCDs to be placed on the US national emergency
management agenda.
Prioritization / Resource Allocation
► Direct resources and activities to protect children and future
generations, empowering them to live healthy lifestyles by addressing
the priority risk factors, including diet, physical activity, tobacco, and
alcohol.
► Transform our health systems to protect and empower the current
generation by addressing the “Big Four” NCDs – cardiovascular
disease, diabetes, cancer, and chronic respiratory disease.
50th PIHOA Meeting: Emerging Consensus
Systems Strengthening
► Engage the government leadership to address the NCD crisis, using a
whole-of-society response.
► Build the capacity of the health system to address the NCD crisis.
► Strengthen NCD-related information systems.
► Develop human resources to prevent and control the NCD
emergency.
Mobilization
► Mobilize sufficient resources to address the NCD emergency, and
ensure sustainable resources to prevent its recurrence.
► Increase engagement of the full community – all of society, involving
all sectors and jurisdictions, from local to regional.
► Build & strengthen mechanisms for regional sharing and collaboration
across all groups involved regionally with addressing NCDs.
51st PIHOA Meeting: Emerging Consensus
Strategic Objectives for Affiliate Organizations
► Association of Pacific Island Legislatures (Senators Scaliem & Won Pat)
► American Pacific Nursing Leaders Council
► Pacific Basin Medical Association
► Pacific Behavioral Health Collaborating Council
► Association of USAPI Laboratories
► Pacific Chronic Disease Coalition
► Cancer Council of the Pacific Islands
► Pacific Partners for Tobacco Free Islands
► Pacific Islands Primary Care Association
► Northern Pacific Environmental Health Association
► Pacific Resources for Education and Learning
► Pacific Post-Secondary Education Council
50th PIHOA Meeting: Emerging Consensus
Strategic Objectives for Education Partners
► Chuuk State Government, Ministry of Education
► The Fiji School of Medicine
► The University of Guam, School of Nursing and Health Sciences
► College of the Marshall Islands, Administration and School of Nursing
► Guam Community College, School of Nursing
► Palau Community College, Public Health Program and School of
Nursing
► College of Micronesia-FSM, School of Nursing
► The University of Hawaii John A. Burns School of Medicine
► The University of Hawaii School of Agriculture
► The University of Hawaii Department of Nursing of
► Island Food Community of Pohnpei
► Pacific Partners In Nursing
50th PIHOA Meeting: Emerging Consensus
Strategic Objectives for Development Partners
► The World Health Organization
► The Secretariat of the Pacific Community
► US Health Resources and Services Administration
► US Centers for Disease Control and Prevention, Office of State, Tribal,
Local, and Territorial Support
► US Health and Human Services, Region IX
► US Department of Interior
► Framework Convention Alliance
► Association of State and Territorial Health Officials
► National Association of Chronic Disease Directors
► Asian Pacific Islander American Health Forum
Phase 2: Regional Mobilization
Nov 2011 to . . .
“From Consensus to Action”
Operationalizing
the NCD Crisis Response
Sample Mobilization Activities
at PIHOA
► Captured
five year $1.7/year CDC National
Public Health Improvement Initiative with
significant NCD component:
 Supporting NCD Policy/Law development
►“NCD
Leadership Summit” early 2012
 Development of NCD profiles
 Development of standards
► All
health systems strengthening priorities to
include NCD focus (QA/QI, HRH, lab,
planning, HIMS, planning, etc..)
Sample Mobilization Activities
at PIHOA
► Recruited
Presidential Management Fellow
for six month rotation beginning Jan 2012.
Primary focus: NCD Policy and Law
► Variety of health systems strengthening
activities (see PIHOA Annual Report)
Thank you very much!
Michael Epp
Pacific Island Health Officers Association
[email protected]
(808) 382-1231