Ensuring Global Human Resources for Health

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Ensuring Global Human Resources for Health

• A Call to Action
• Francis Omaswa
• Global Health Workforce Alliance.
• 22March 2007, 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 especially
  SSA increasing
• Global Shortage estimated 4million
• Long history of neglect complexity, wrong
  policies, professionalism in developed countries
• African Health Ministers outcry at three
  consecutive World Health Assemblies

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Things may get worse in the future

• Demand for care in industrialised world will
  continue to grow even if demand per person were
  constant, demographic changes ageing - would
  demand more HRH
• Projections show that if the industrialised world
  wants to maintain present levels of care, this
  will require an extra 8.5M health workers by
  2025 an increase of 20.
• Eastern Europe has problem with quality
• With increased demand, increases in HRH
  requirements will impact global labour market

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HRH availability and impact on MDG targets
Source Anand Barnighausen 2004
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Regional Health Worker Density
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Changes in life expectancy in selected African
countries with high and low HIV prevalence 1950
- 2005
with high HIV prevalence
Zimbabwe
South Africa
Botswana
with low HIV prevalence
Madagascar
Mali
1950 1955
1955- 1960
1960- 1965
1965- 1970
1970- 1975
1975- 1980
1980- 1985
1985- 1990
1990- 1995
2000- 2005
1995- 2000
Source UN Department of Economic and Social
Affairs (2001) World Population Prospects, the
2000 Revision.
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MAJOR CAUSES AND EFFECTS OF HOUSEHOLD POVERTY IN
UGANDA

Source Uganda participatory Poverty Assessment
survey 2002
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The challenges to HIV services scale up
"3x5" report
UA assessment report

• Partnership alignment
• Sustainable financing
• Affordable commodities
• Human resource crisis
• Equitable access

• Inadequate financing
• Human resource crisis
• Affordable commodities
• Stigma, discrimination..
• - Accountability

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African Leadership Global Momentum
HL Forum I Geneva
WHA Resolution 1
JLI Report
HL Forum II Abuja
Oslo Consultation
African Union Summit Abuja
Transitional WG
WHA Resolution 2
Africa Commission Report
G8 Summit Gleneagles
African Stakeholder Consultation Brazzaville
Asia Network Bangkok
African Regional Health Ministers Maputo
UNGA Summit
PAHO Observatory Toronto
AU Ministers of Health meeting Gaborone
HL Forum III Paris
World Health Report World Health Day
African Partnership London
WHA
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Scale-up framework
GOAL HEALTH OUTCOMES
INDICATOR MDGs
BASIC PACKAGE OF SERVICES
SKILL MIX
"CLOSE-TO-CLIENT HEALTH TEAMS (Defined within
country context)
Existing capacity Development of new capacities
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Health Workforce

• Adequate/available
• Competent
• Motivated
• Supported

Stronger health systems
Better Health
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Structure of the Global Health Workforce Alliance
Executive committee
GHWA Members Forum
Program / policy committee
GHWA Board
Nominating committee
GHWA Secretariat
Working Groups / Task Forces
Migration
Advocacy
Financing
Scale up Ed. Training
Tools Guidelines
Univ. access to HIV treat.
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HRH Action Framework
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Deliverables Ten years

• National strategies implementation
• Growing numbers of superior performers
• Growing awareness and activities
• Evidence and information base
• What works?
• How best to plan and implement strategies
• Growing community of practice
• Tackling key global challenges
• Migration
• Fiscal space
• Growing political visibility
• Advocacy and communications
• Focal point cooperation

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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