Cross-sectoral issues between Health and Education in Human Resources in fragi le and conflict-affected states

HEART seminar on Human Resources in Fragile and Conflict-affected States

Royal Society, London 9th June 2016

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Introductions

NameOrganisationRole/specialism

HEART

NAME 

INSTITUTION

Alvaro Alonso-Garbayo ReBUILD team at LSTMChris Berry DFIDChris Joynes EDTElisabeth Resch OPMHelen Mobey EDTJo Keatinge DFIDKatharine Holmes EDTLizzie Smith DFIDNick Hooton ReBUILD team at LSTMNicola Watt DFIDNigel Pearson Independent ConsultantPatrick Douglas EDTPeter-Sam Hill OPMRashid Zaman OPMSam Franzen OPMSophie Witter ReBUILD team at QMUSusy Ndaruhutse EDTTim Martineau ReBUILD team at LSTMWilly McCourt Independent Consultant

HEART Consortium Members

www.heart-resources.org 3

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Programme

Introduction, Tim Martineau (Liverpool School of Tropical Medicine) and Joanna Buckley (OPM)

HEART

Recruitment to retention ‘pipeline’

Adapted from: Vujicic et al, 2006

• Initial posting• Induction• Bonding

• Career choice• Science grades

• Capacity• Need (quality

& quantity)

• Registration• On payroll• ROI

Selection• criteria• process

Recruitment to retention ‘pipeline’

Adapted from: Vujicic et al, 2006

• Shortage of health workers in Africa in 2013 = 4.2M

• Shortage of 18M health workers to meet SDGs

• 100M children no 1o Education

• 18 countries with Lower 2o pupil : teacher ratio >30:1

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Comparing HR in health and educations sectors in MLICs

Similarities largest public sector workforce difficult to staff in remotest areas traditionally high proportion of

females historically high engagement of

FBOs increasing privatisation of

professional training and service delivery

both sectors have dedicated HR targets in their respective SDGs

?powerful unions ?use of performance-based

incentives

Differences complexity of cadres in health vs

simpler structure in education high level of international migration

of health professionals vs lower for education sector

less predictable workloads in health (Hanson 2015)

?greater use of task-shifting in health

HEART

Few examples of work across health and education

Context of fragile and conflict-affected states

Since 2010, all major donors have published frameworks for programming in FCAS development projects need to be sensitive to how interventions shape the broader state-building and conflict dynamics within which they operate.

DFID increased spending in FCAS to 30% of UK ODA by 2014-15, representing an 86% increase since 2010. In November 2015 HMG made a commitment to allocate 50% of all DFID’S spending to fragile states and regions.

This commitment, combined with the reduction in number of DFID priority countries from 43 to 28 following the 2011 Bilateral Aid Review, and commitment to spend 0.7% GNI on ODA have led to a significant absolute increase in DFID’s expenditure on FCAS.

 Range of scenarios of FCAS:– Humanitarian assistance (less in education)– Reconstruction phase– Development phase– Transition from one to another

Challenges of working in fragile and conflict-affected states

Being conflict sensitive – who you engage with, how and where. Adverse impacts of certain health interventions e.g. Taliban's offensive against the polio vaccinations in Pakistan.

Access – e.g attacks on hospitals in Syria and Afghanistan.

Lack of strong institutions – gaps in regulatory, legislative and policy framework e.g. Somalia.

Questions of equity of access

Limited infrastructure e.g. roads, electricity, water

Objective of the session

explore the potential for cross-sectoral learning, and attempt to draw out some initial lessons about challenges and effective strategies that could further strengthen human resources in the fields of education and health in complex contexts and redress the current sectoral silos

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Programme

Introduction, Tim Martineau (Liverpool School of Tropical Medicine) and Joanna Buckley (OPM)

The health perspective, Sophie Witter (Queen Margaret University)

The education perspective, Chris Joynes (Education Development Trust)

Tea and coffee breakLessons learnt (Chris Berry and Lizzie Smith, DFID)Floor discussionWrap-up and conclusions

HEART

Floor discussion in HR in health and education in FCAS

What are the most important common challenges?What are the differences? Where could there be greater collaboration

between the two sectors? (programme design, research, etc)

What specific help do donors and governments want?

Thank you