Dr AVOCKSOUMA Djona , Human Resource for Health Programme Manager

SIDS meeting, Moroni 9-11 March 20111 |

Dr AVOCKSOUMA Djona , Human Resource for HealthProgramme ManagerWHO, Regional Office for AfricaBrazzaville, Congo

MEETING OF AFRICAN MINISTERS OF HEALTHMEETING OF AFRICAN MINISTERS OF HEALTHOF SMALL ISLAND DEVELOPING STATESOF SMALL ISLAND DEVELOPING STATES

Moroni, Comoros, 9 – 11 March 2011

Human Resources for Health: statement and problematic

for SIDS

Human Resources for Health: statement and problematic

for SIDS


Outline

1. HRH situation in the region

2. HRH and Attainment of MDGs

3. Situational Analysis in each SIDS country

4. Regional & National Observatory

5. Way forward


Introduction

• Given the current trends, most of the countries in the African Region will not achieve the health MDGs unless urgent action is taken;

• Minimum density threshold of 2.3 per 1000 of professional health workforce required to at least offer meaningful health service delivery.

• Whole African region:1.6/1000 well below the recommended minimum and the average is only 0.8/1000 for the 36/57 countries in HRH crisis.

• The 59th World Health Assembly adopted Resolution WHA59.23 called for the use of innovative strategies to maximize health professionals’ contributions.


HRH situation in Africa


Number and densities per 1000 population of Physicians and, Nurses and Midwives in Cape Verde, comoros, Mauritius , Sao Tome & Principe

and Seychelles

CountryPopulatio

nYear Category Number

Density/1000 pop

Cape Verde 508 659 2010

Physicians 274 0,54

Nurses and midwives

533 1,05

Comoros 752 438 2009

Physicians 121 0,16

Nurses and midwives

451 0,60

Mauritius 1 232 734 2005

Physicians 1303 1,057

Nurses and midwives

4604 3,734

Sao Tome & Principe

152 742 2008

Physicians 39 0,26

Nurses and midwives

372 2,44

Seychelles 80 000 2005

Physicians 121 1,513

Nurses and midwives

634 7,925


DENSITIES OF PHYSICIANS, NURSES AND MIDWIVESin Cape Verde, Comoros, Mauritius, Sao Tome &

Principe and, Seychelles (2005- 2010)

Country 2005-2010

Cape Verde 1,60

Comoros 0,83

Mauritius 4,79

Sao Tome & Principe 2,52

Seychelles 9,44

Average Africa 1,6

LIMIT 2,3


Situation analysis

Available

Cape Verde

80%Comoros

Mauritius

Seychelles

In process Sao Tome & Principe 20%

HRH policy Status

Available Comoros 20%

In process Seychelles 20%

Not available

Cape Verde

60%Mauritius

Sao Tome & Principe

HRH Status Documents


HRH strategic plan Status

AvailableCape Verde

40%Comoros

In processMauritius

40%Seychelles

Not available Sao Tome & Principe 20%

HRH Observatory StatusPlanned Comoros 20%

In process Sao Tome & Principe 20%

Not available

Cape Verde

60%Mauritius

Seychelles


Country Status

Cape Verde Drafte

Comoros Drafted with Analysis Situation

Sao Tome & Principe Draft available to HQ

Mauritius Not available

Seychelles Not available

Availability of Country Profile Document


Effective approach to build HRH development


Advocacy for the AHWO

• Officially Launched in 2007, the Africa HW Observatory is a component of African Health Observatory (AHO);

• AHWO is a vehicle for building knowledge, disseminating accurate information in HRH, and facilitating dialogue and consensus for evidence-based policy development and monitoring

• AHWO at regional level is a cooperative network initiative participated in by the countries, training institutions and partners ;

• The network comprising national observatories ( bringing together stakeholders at country level), partners and regional secretariat in AFRo;

• The national observatories are not perceived as administrative structures but as mechanisms based on linkages.


What is the role of AHWO?

The AHWO is to support actions that address HRH challenges at regional and country level through :

1. Promoting, developing and sustaining a firm knowledge base

2. Keeping track of progress and fostering HRH actions

3. Supporting and Improving HRH policy dialogue based on evidence

4. Sharing information and country experiences & practices.


Roles of HRH National Observatories

A National Observatory is seen as :

1. A national resource for HRH information

2. A Platform for stakeholders and partners for sharing information and policy dialogue

3. A Networking for joint planning, research, and tracking trends that have an impact on HRH policy.

• .


Pillars of the National HW Observatory

14

To support actions that address HRH challenges in the country


Contribution of HRH Observatories

1. Improve availability, access and use of evidence for HRH policy making, planning, stakeholder involvement & contribution

2. Monitor impact of policy decisions (e.g. PHC renewal; scaling-up education, migration)

3. Provide evidence through research, reviews, assessment, policy debates, roundtables, commission reports.

4. Link national to regional and global agenda

15


Way forward

• scaling up training for newly emerging and priority diseases;

• improving retention of qualified health workers in countries which suffer losses due to emigration;

• improving the capacity of educational institutions to enable them to produce more health workers in a quality manner;

• improving human resources for health governance capacity, in order to plan, regulate and manage the workforce more effectively at national level;


Way forward

• monitoring HRH trends; • steering HRH agenda and aligning it with other

national health system development policies; • engaging all relevant sectors (Finance, Education,

Labour and public services) as well as civil society and the private sector;

• integrating HRH plans to address specific disease or priority health programmes with the overall HRH plans of health ministries;

• resources mobilization for HRH and strategic investments;

• harmonizing and building synergies in HRH across programmes and global health initiatives.


Thank You !AHWO website

www. hrh-observatory.afro.who.int/

“I would like to put particular emphasis on the health situation analysis and trends to provide required evidence for the best policy options; the development and enforcement of WHO norms and standards; the promotion of health research and the technical support to Member States.”

Extract from RD’s Speech at the 126th Session of the WHO Executive Board, January 2010

END