A DECADE OF HUMAN RESOURCES IN HEALTH

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A DECADE OF HUMAN RESOURCES IN HEALTH

• MANAGING THE MAZE OF HEALTH NEEDS AND SHORTAGES

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THE REAL STORY OF HEALTH AND HUMAN RESOURCES
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WHEN WE DISCUSS SHORTAGES ARE WE TALKING ABOUT
?

• Vacant posts?
• Short fall in numbers of human resources?

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It doesnt stop there.
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RE-DEFINING SHORTAGES

• Shortages in Health Human
• Resources actually mean that there
• are gaps between the needs of the
• population and the services that
• are provided.

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A MAZE OF CONNECTED ISSUES
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SHORTAGES
DISTRIBUTION
NUMBERS
SKILL SET
MIGRATION
QUALITY OF PERFORMANCE / SERVICES DELIVERED
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How do we find our way through the maze of gaps
and shortages?
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(No Transcript)
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Costa Rica
THE AMERICAS LANDSCAPE
Brasil
Honduras
Trinidad and Tobago
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THE AMERICAS LANDSCAPE

• Size 35 countries and 13 territories
• Population 833,112,000
• Number of health workers 20-23 million health
  workers
• Shortages in numbers 128,000 doctors and nurses
  are needed
• Unemployed 150,000 doctors and nurses
• Emigrants The highest rate of physician
  emigration is from Jamaica (41.4), and nurses
  some countries reach 35.

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NUMBERS IN THE AMERICAS
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INTER-RELATED CAUSES
NUMBERS Demand rising, Incoming does not match
outgoing
DISTRIBUTION
SKILL SET
MIGRATION
QUALITY OF PERFORMANCE / SERVICES DELIVERED
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DISTRIBUTION IN THE AMERICAS
GeographicSocio-Economic
CulturalLinguistic
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INTER-RELATED CAUSES
NUMBERS Demand rising, Incoming does not match
outgoing
DISTRIBUTIONSeeking employment opportunity,
professional growth, salary
SKILL SET
MIGRATION
QUALITY OF PERFORMANCE / SERVICES DELIVERED
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SKILL MIX IN THE AMERICAS
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INTER-RELATED CAUSES
NUMBERS Demand rising, Incoming does not match
outgoing
DISTRIBUTIONSeeking employment opportunity,
professional growth, salary
SKILL SETProvider-based planning, no
coordination between academia and health policies
MIGRATION
QUALITY OF PERFORMANCE / SERVICES DELIVERED
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QUALITY IN THE AMERICAS
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INTER-RELATED CAUSES
NUMBERS Demand rising, Incoming does not match
outgoing
DISTRIBUTIONSeeking employment opportunity,
professional growth, salary
SKILL SETProvider-based planning, no
coordination between academia and health policies
MIGRATION
QUALITY OF PERFORMANCE / SERVICES DELIVEREDLow
morale, lack of training, low salary,
over-stretched workforce
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MIGRATION AND THE AMERICAS
Off to lands of new opportunity!
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INTER-RELATED CAUSES
NUMBERS Demand rising, Incoming does not match
outgoing
DISTRIBUTIONSeeking employment opportunity,
professional growth, salary
SKILL SETProvider-based planning, no
coordination between academia and health policies
MIGRATIONSeeking employment opportunity,
professional growth, travel
QUALITY OF PERFORMANCE / SERVICES DELIVEREDLow
morals, lack of training, low salary,
over-stretched workforce
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SOLUTIONS
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THE AMERICAS TAKE ACTION

• Observatories for Human Resources in Health
• Regional Consultation
• VII Regional Meeting of the Observatories
• Toronto Call to Action
• A Decade of Human Resources in Health

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(No Transcript)
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INTEGRATED SOLUTIONS
DISTRIBUTIONSeeking employment opportunity,
professional growth, salary
NUMBERS Demand rising, Incoming does not match
outgoing
TORONTO CALL TO ACTION
SKILL SETProvider-based planning, no
coordination between academia and health policies
MIGRATIONSeeking employment opportunity,
professional growth, salary
QUALITY OF PERFORMANCE / SERVICES DELIVEREDLow
morals, lack of training, low salary,
over-stretched workforce
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MAPPING INTERACTIONS
Allocating the right people in the right place
Policies and planning
Developing links between training institutions
services
Managing migrations
Labor relations and commitment of the workforce
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MAPPING INTERACTIONS
Allocating the right people in the right place
Policies and planning
Developing links between training institutions
services
Managing migrations
Labor relations and commitment of the workforce
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MAPPING INTERACTIONS
Allocating the right people in the right place
Policies and planning
Developing links between training institutions
services
Managing migrations
Labor relations and commitment of the workforce
29
MAPPING INTERACTIONS
Allocating the right people in the right place
Policies and planning
Developing links between training institutions
services
Managing migrations
Labor relations and commitment of the workforce
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MAPPING INTERACTIONS
Allocating the right people in the right place
Policies and planning
Developing links between training institutions
services
Managing migrations
Labor relations and commitment of the workforce
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MEETING HEALTH NEEDS IN THE AMERICAS

• Shortages are a symptom of a bigger problem that
  is felt in shortage of numbers, lack of access to
  care, deficiencies in quality of service,
  inconsistency of service, and unmet needs.
• In the end, the hope for the countries of the
  Americas, is a well-integrated strategic plan
  one that that will benefit the workforce with
  fair salaries, safe environments, and top rate
  education and resources, and one that will be
  flexible, skilled, and committed enough to meet
  the needs of all the populations.

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BUILD CAPACITIES
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HEALTH, SAFETY, AND MOTIVATION OF WORKFORCE
Health work is tough Get a helmet!
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ADEQUATE SALARY
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RECRUIT AND RETAIN
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Healthier happier workforce fewer gaps between
needs and services healthier happier population
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Allison Annette FosterHealth Systems
Strengthening/ Human Resources DevelopmentPan
American Health Organization / World Health
OrganizationPAHO / WHOfosteral_at_paho.org /
aafoster_at_aol.comMarie-Gloriose IngabireHealth
Human Resource Strategies Division Health Care
Policy Directorate Health PolicyHealth
Canadamarie-gloriose_ingabire_at_hc-sc.gc.cawww.o
bservatoriorh.org