GHWA World Federation of Public Health Associations Presentation

1
GHWA World Federation of Public Health
Associations Presentation

• 19th May 2008
• Dr Erica Wheeler
• GHWA
• WHO Geneva

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Global Health Workforce Crisis Context

• Populations living longer in developed countries,
  demanding extended care for pain-free life
• Disease burden in low income countries
  increasing, especially in sub-Saharan Africa
• Global shortage estimated gt 4 million
• Long history of neglect complexity, wrong
  policies, etc.
• African Health Ministers outcry at three
  consecutive World Health Assemblies
• Economic Collapse in sub-Saharan Africa
• Global inequalities in the midst of plenty
  wealth, knowledge, technology in a connected
  world.

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57 Critical shortage countries (doctors, nurses
midwives)
Source World Health Report 2006
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Health Spending per capita
(USD)
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Background why GHWA was created

• Worsening health workforce crisis
• Impact of the crisis on health outcomes, MDGs
• Increasing awareness, especially in Africa
• Need to involve all stakeholders (countries,
  academia, civil society, foundations, GHP/Is,
  WHO/other UN agencies private sector)

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What is GHWA?

• Recognition that no single entity can solve HRH
  crisis.
• Partnership enabling each member to perform
  better.
• Common platform for working together.
• Wide variety of stakeholders governments,
  agencies, NGOs, professional organizations,
  private sector, foundations, academia (gt 100).
• Administrative arrangement to be hosted by WHO in
  Geneva (MoU).

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GHWA Secretariat Activities
Members Partners
Members Partners
Civil society mobilization
GHWA Board
Country support
GHWA Members Forum
Regional organizations
GHWA Secretariat
Advocacy commitment
Country Action
Knowledge Information Monitoring
Global commitment to action
Coordinate Donors, GHP GHI
Global challenges
Working Groups Task Forces
Private sector and HRH Starting
Tools Guidelines Delivered
Financing HRH Began March
Migration Retention On-going
Scale up Ed. Training Delivered
Univ. access to HIV treat. Began March
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Priority Areas of Action

• Strengthening regional and country mechanisms and
  capacity to accelerate country actions
• It is important to demonstrate there is a n
  increasing pool of countries that are scaling up
  successful HRH programmes
• Advocating HRH issues
• The Kampala Declaration and Agenda for action and
  the outputs of Task Forces and Working groups
  will be and are being used as advocacy tools
  along with GHWA presence at high level meetings
  (G8, PEPFAR, HIV/AIDS in Mexico etc)

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Priority Areas of Action cont'd

• Knowledge brokering
• Use disseminate existing evidence
• Commissioning new research
• Sharing/dissemination through GHWA web site,
  listservs, Forum, Newsletter, Regional briefings.
  
• Working with regional HRH Observatories in AFR,
  AMR, EMR, EUR and Asia
• Promoting synergy between partners and addressing
  global HRH policy challenges
• The best and most practical setting for promoting
  synergy is at the country level through strong
  and clear country leadership. GHWA has been and
  will continue towirlk with global development
  partners to address issues such as migration,
  fiscal spaces and engaging GHI/Ps.

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GHWA Strategy objectives
Better Health
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Accelerating Country Action GHWA Pathfinder
Countries

• Selection
• Identification of country needs
• Likelihood of success
• Learning what works
• Support
• Catalytic funds to ignite action and provide
  models
• Convening partners
• Actions Results
• 7 pillars of country HRH program

• First wave
• Angola
• Benin
• Cameroon
• Ethiopia
• Haiti
• Sudan
• Vietnam
• Zambia

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Task Forces / Working Groups to address specific
issues

• Working Group on HRH Tools Guidelines
• within HAF Led by WHO, using ICT to facilitate
  MCT's work
• Health Worker Migration Policy Initiative
• to draft an International Code of Practice
• Task Force on HRH Financing
• addressing macro-economic constraints to HRH
• Scaling up Education Training Task Force
• what, who and how to scale up
• Working group on HRH for Universal Access
• working together with GHP/Is

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Deliverablesover the next 10 years

• National strategies implemented
• Growing awareness and activities
• Success stories of countries improving HRH
• Evidence and information shared
• What works and what does not work
• How best to plan and implement strategies
• Growing community of practice
• Tackling key global challenges
• Migration International Code of Practice
• Financing increased resource flows
• etc.
• Sustained political visibility
• GHWA global HRH focal point

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• "To ensure access to a motivated, skilled
  supported health worker by every person, in every
  village, everywhere."

Dr LEE Jong-wook, 1945-2006 WHO Director-General