IANPHI

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IANPHI

• The Public Health Institutes
• of the World

www.ianphi.org
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• International Association of
• National Public Health Institutes
• (IANPHI)
• Strengthening global public health systems by
  strengthening national public health institutes
  (NPHIs)
• Founded 2006 54 members
• Secretariat co-located in Finland U.S.

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International Association of National Public
Health Institutes (IANPHI)

• First organization to link NPHIs globally to
• Create strengthen NPHIs in low-resource
  countries
• Conduct public health systems benchmarking
• Facilitate collaboration to ensure that NPHIs are
  part of the integrated solution to achieving
  improved health outcomes

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Modern-day public health threats confront high-
and low-resource countries alike

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• In low-resource countries,
• uncoordinated and
• inadequate public health
• systems impede efforts to
• address these other
• challenges

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Substantive improvements topublic health
systemsrequire a nationalorganizational focus
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National Public Health Institute (NPHI)

• Institution or network that provides
  leadership and coordination for public health
  systems at the national level
• Often part of the government (usually under
  MOH) or closely attached to it
• Promotes evidence-based decisions, policies,
  and programs

ISP
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Why NPHIs?

• Conduct coordinate routine public health
• functions that are the cornerstone of strong
• public health systems
• Respond to acute events public health crises
• Absorb donor funds coordinate donor activities
• Create a public health career path build public
  
• health workforce capacity sustainability

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Definition of an NPHI

• An NPHI is defined by its infrastructure, what it
  does, and how it does it
• Core Attributes describe the NPHI
• Core Functions say what the NPHI does

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Conduct and Coordinate Routine Public Health
Functions

• Examples of core functions
• Population health assessment
• Health protection (surveillance response)
• Research (evidence based for policies programs)
• Centralize core functions in an NPHI
• Coordinate response during an emergency
• National leadership for public health issues
• Policy agendas and resource allocation in line
  with countrys own priorities

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Respond to Acute Events

• 2003 SARS outbreak in Canada
• and Hong Kong
• Exposed shortcomings of public
• health systems national
• readiness
• Opportunity to renew national
• public health systems
• Create a national organization with
  responsibility, authority, and accountability
• Public Health Agency of Canada
• Hong Kong Centre for Health Protection

http//edition.cnn.com/SPECIALS/2003/sars/images/t
op.sars.kids.afp.jpg
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Coordinate Donor Activities

• Donor challenges
• Low-resource countries receive
• vertical funds from multiple donors
• Funding priorities do not reflect
• national priorities
• Solution
• Centralized home to absorb, manage, and
  coordinate funds

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Build Public Health Career Path Workforce
Capacity

• Low-resource countries often lose top experts to
  NGOs
• NPHIs provide a career path and a nucleus of
  public health professionals to carry out core
  functions

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IANPHIs Accomplishments

• Assist existing NPHIs
• Establish new NPHIs
• Promote South-South collaboration
• NPHI Framework
• Leadership development
• Advocacy, linkages, communication

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Process for Creating or Enhancing an NPHI

• Accepted planning approaches
• Vision and mission statements
• Assess and set priorities
• Develop a plan
• Implement, monitor, and adjust
• IANPHIs programs will assist countries to create
  or enhance NPHIs

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Assist Existing NPHIs

• Transform capacity
• Uganda Virus Research Institute (UVRI)
• Expand scope
• Colombias Instituto Nacional de Salud (INS)
• Tanzanias National Institute for Medical
  Research (NIMR)
• Boost national lab capacity
• Nigerian Institute of Medical Research (NIMR)
• Boost regional lab capacity
• Thailands National Institute of Health

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Establish New NPHIs

• Guinea-Bissau
• Rebuild infrastructure capacity after armed
  conflict
• Integrate core public health functions into
  single organizational structure in MOH
• Mozambique
• Aid in major restructuring of public health
  functions
• Ethiopia
• Ensure science-based technical expertise in all
  core functions

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South-South Collaboration

• Brazil (FIOCRUZ) leading efforts in
  Portuguese-speaking African countries
• Mexico (INSP) developing plan to strengthen
  public health infrastructure in the region

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NPHI Framework

• Core Attributes (9)
• National scope of influence
• Focus on major health problems
• Scientific basis
• Linkages
• Core Functions (11)
• Surveillance and response
• Evaluation and analysis
• Research

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Leadership Development

• First regional leadership meeting, Johannesburg,
  South Africa, April 2008
• Leadership and management development
• Strategic planning and conflict resolution
• Personal interchange
• Discussion of current
• and planned projects

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International Peer Assistance Advocacy Community

• Annual meetings
• Leadership
• development
• Website, newsletter
• Collaborative
• projects

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Historical Perspective

• 2002 Bellagio, Italy
• NPHI directors meet to discuss opportunities
• 2004 Helsinki, Finland
• Group reconvenes and declares intent to
  establish IANPHI
• 2006 Rio de Janeiro, Brazil
• 1st Annual Meeting official IANPHI
  launch
• 2007 Beijing, China
• 2nd Annual Meeting
• 2008 Bilthoven, Netherlands
• 3rd Annual Meeting

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Funding

• Initiated with support from Rockefeller
• Foundation
• One-year planning grant from Bill and Melinda
  Gates Foundation, 2005-2006
• Five-year implementation grant from Bill and
  Melinda Gates Foundation, 2006-2011
• Plans to seek additional funding sources

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NPHI Framework

• Background on NPHIs
• Definition of an NPHI
• Process for creating or enhancing an NPHI

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IANPHI Toolkit

• Resource guide for strengthening NPHIs
• Access to web-based information to build public
  health capacity around the world
• Available at no cost and accessible via
• IANPHI website

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Toolkit Six Sections

• General information
• Scientific resources
• Public health legislation,
• regulations and ethics
• Enhancing NPHI infrastructure
• and linkages
• Core NPHI functions
• Country-level data and tools
• Plus Suggest a Resource

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The Way Forward

• Develop stronger, more coordinated public health
  systems through the establishment of NPHIs
• Assist leaders in strategic planning
  development and implementation of an action plan
• Ensure the quality of projects to create
  sustained changes in public health systems

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IANPHI

• The Public Health Institutes
• of the World

www.ianphi.org