Workshop on the Role of Health Care Professional Associations (HCPAs) in Achieving MDGs 4 and 5. November 2007 Blantyre, Malawi.

Transcription

1 Wrkshp n the Rle f Health Care Prfessinal Assciatins (HCPAs) in Achieving MDGs 4 and 5 Nvember 2007 Blantyre, Malawi Annexes

2 List f annexes Annex 1: Jint Statement 2 Annex 2: Terms f Reference 8 Annex 3: Agenda f the Wrkshp 12 Annex 4: Presentatins : 21 One MNCH Plan: The Situatin in Malawi by Dr. Chisale Mhang, Ministry f Health, Malawi MDGs 4 and 5: Where We Are Nw, and Hw Can HCP Assciatins Cntribute t Change the Situatin? by Dr. Francisc Sngane, The Partnership Key Nte address by Hnrable Minister f Health, Mrs. Marjrie Ngaunje, Ministry f Health, Malawi Advcating fr Mthers, Nenates, Families, and Midwives, Keith Lipat, Assciatin f Malawian Midwives Experience in Develping the One Plan-Nigeria by Dr Nkeiru Onuekwusi, Federal Ministry f Health, Nigeria ACCESS Prgram Cllabratin with Health Care Prfessinal Assciatins in Ethipia, by Dr Jseph De-Graft Jhnsn, ACCESS Partnering fr Kangar Mther Care Scale-up Malawi, Evelyn Zimba, Save the Children Saving Newbrn Lives: Rles fr Healthcare Prfessinals by Dr Jy Lawn, Saving Newbrn Lives The Rle f HCPAs in Quality Imprvement by Dr Emmanuel Byaruhanga, Assciatin f Obstetrics and Gyneclgy f Uganda Organizatinal strengthening f Health Care Prfessinal Assciatins by Dr. Oliver Ezechi, Nigerian Institute f Medical Research Next Steps fr Wrkshp Participants by Kadi Ture, The Partnership Annex 5: Summary f cuntry actin plans 22 Annex 6: Blantyre Declaratin 25 Annex 7: Summary f Internatinal/Reginal Assciatin/Agency Interventin 27 Annex 8: Guidance ntes 28 Annex 9: Cuntry Grup Wrk template 32 Annex 10: Participants List 36 Annex 11: Final Evaluatin Frm 44 Annex 12: Final evaluatin 46 1

3 Jint Statement Health Prfessinal Grups Key t Reaching MDGs 4 & 5 (2007) Annex 1 This jint statement is prepared jintly by the health care prfessinal grups 1 in supprt f the new Partnership fr Maternal, Newbrn & Child Health. It reflects the cmmitment f health care prfessinals t wrk tgether at glbal, reginal, natinal, and lcal levels, respecting the autnmus nature f individual prfessins while recgnizing the imprtance f cllabratin in reducing child mrtality by tw-thirds (MDG 4) and maternal mrtality by three-quarters (MDG 5) by This statement is intended t supprt health prfessinal grups at the internatinal level in their effrts t guide and encurage their natinal scieties/member assciatins t wrk with ther key stakehlders in advcating, educating and infrming health plicy at the cuntry level, as well as in prviding culturally apprpriate, evidence-based skilled care as needed. Executive Summary Every cuntry wrldwide has cmmitted t The Millennium Develpment Gals (MDGs). A key strategy fr achieving the key indicatrs fr MDGs 4 & 5 n child and maternal health is the use f a multisectral apprach. Gvernments, multilateral and bilateral agencies, nn-gvernmental rganizatins (NGOs), health prfessinal grups, academic institutins and cmmunities are being challenged t wrk tgether t imprve the majr determinants f health, including scial and ecnmic status, human rights, the envirnment (including fetal), and health and illness services and systems. Wrking tgether in partnership warrants trust, respect, knwledge, effective cmmunicatin and a willingness t cllabrate at cuntry and cmmunity levels s that all wmen and children have a chance t attain the best pssible level f health and well-being in all parts f the wrld. Access t skilled care befre, during, and after birth is crucial t saving the lives f mthers and newbrns. Cuntries that have been actively striving twards skilled care have seen their maternal 1 Internatinal Federatin f Gyneclgy & Obstetrics (FIGO), Internatinal Cnfederatin f Midwives (ICM), Internatinal Cuncil f Nurses (ICN), Cuncil f Internatinal Nenatal Nurses (COINN), Internatinal Pediatric Assciatin (IPA) 2

4 and newbrn mrtality rates drp 2. T achieve the cverage that is required, midwives, nurses and physicians with midwifery skills must be available at every level f health care. The Lancet series n child survival (2003), the Lancet series n newbrn health (2005), the 2005 Wrld Health Reprt, and UNICEF s The State f the Wrld s Children 2005 have each highlighted the cntinuing tragedy f 11 millin preventable deaths f children under the age f five each year, even thugh suitable and prven interventins exist t prevent between 60 and 70 percent f these deaths 3. Educated, supprted and mtivated child health wrkers at cuntry level are key t the survival f the wrld's children. Likewise, the Lancet series n maternal survival (2006) highlights the cntinuing tragedy f maternal deaths and disability and the interventins knwn t save wmen s lives 4. Health prfessinals and health wrkers need strng, integrated health systems at bth natinal and lcal levels t supprt the delivery f universal care and services. Prven, affrdable interventins, prvided within an integrated netwrk f care, frm cmmunity t referral centers, can prevent millins f needless deaths and disabilities. Thrughut the cycle f life, individuals and cmmunities rely n health prfessinals t nt nly save lives, but t maintain and prmte well being. In the cntext f maternal, newbrn and child health, these prfessinals range frm midwives, nurses and dctrs at the cmmunity level t referral-level specialists, such as bstetricians, pediatricians, nenatlgists, bstetric/ nenatal/pediatric nurses, anesthesilgists and pharmacists. Health prfessinal assciatins and scieties have vital rles t play in ensuring that health prfessinals are well-prepared fr their imprtant rles in achieving MDGs 4 & 5. Strng prfessinal rganizatins prvide leadership. They set the standards f educatin, practice and prfessinal cmpetency assessment, and can wrk tgether with gvernments and ther stakehlders in setting and implementing health plicies t imprve the health f wmen, newbrns, children and adlescents. Hwever, the ability f prfessinal assciatins t make such cntributins depend n individual rganizatinal and institutinal capacities at cuntry level. This is especially true in thse resurce-pr settings, where the vast majrity f maternal, newbrn and child deaths and mrbidity ccur. 2 Wrld Health Organizatin (2005). The Wrld Health Reprt 2005: Make every mther and child cunt. Geneva: WHO. Child Health and Maternal Health Task Frce (2005). Wh s gt the pwer? Transfrming health systems fr wmen and children. Lndn: Earthscan. Millennium Prject (2005). Investing in develpment: A practical plan t achieve the Millennium Develpment Gals. A reprt t the UN Secretary General. Lndn: Earthscan 3 Bhutta et al (2005). Cmmunity-based interventins fr imprving perinatal and nenatal health utcmes in develping cuntries: A review f evidence. Pediatrics 115:2, Lawn, JE, Cusens, S, Zupan, J: Lancet Nenatal Survival Steering Team (2005). 4 millin nenatal deaths: When? Where? Why? Lancet 365 (9462): Lancet Maternal Survival Series Steering Grup (2006). Healthy mtherhd: an urgent call t actin. Lancet. 3

5 Psitin Statement We, the internatinal health prfessinal assciatins, cmmit urselves t the visin and gals f The Partnership fr Maternal, Newbrn, & Child Health. In this, we recgnize the imprtance f human rights, including sexual and reprductive rights f wmen and men, and especially the rights f wmen and children, in rder t ensure a cntinuum f care apprach, frm birth, childhd, and adlescence thrugh the child-bearing years. Health prfessinals wrking tgether at the natinal and cmmunity levels can make a significant cntributin twards the achievement f MDGs 4 & 5. We, the undersigned, believe that strengthening natinal and lcal cmmitment t imprving access and quality f care is an essential cmpnent f prmting safe mtherhd, newbrn health and child survival. We believe this is best achieved by fstering partnerships amng health prfessinal assciatins and their individual members. Actin The internatinal prfessinal assciatins cmmit t the fllwing actins glbally, and will encurage and supprt their natinal cunterparts in implementing actins apprpriate t natinal and lcal settings. At Cmmunity & Natinal Levels Prmte effective cmmunicatin, respect, and cllabratin amng prfessinals, recgnizing that each prfessinal grup has unique expertise t cntribute and that tgether we are mre effective than any ne grup alne; Strengthen existing health prfessinal rganizatins and prmte cllabrative effrts t achieve a cmmn visin fr maternal, newbrn and child health, with apprpriate cnsideratin sci-cultural and religius beliefs; Supprt linkages with ther stakehlders in maternal and child health at the natinal level, including varius categries f health wrkers, indigenus NGOs, and civil sciety grups; Prmte cnvergence f different stakehlders in supprt f a crdinated strategy and mnitring mechanism fr maternal, newbrn, child and adlescent health; Advcate fr increased cverage f essential interventins fr newbrns, children, adlescents, wmen and mthers. At the Glbal Level Crdinate maternal, newbrn, and child health agendas f internatinal prfessinal rganizatins via jurnals, annual meetings, special cmmittees and reprts; Crdinate glbal and reginal meetings f health prfessinal rganizatins t facilitate the develpment f cllabratin and partnership cmpetency and activity ; Assess natinal and internatinal prgress and public debate thrugh a crdinated apprach by prfessinal assciatins. Means fr Actin 4

6 Internatinal health prfessinal rganizatins can play a significant rle by prviding leadership and supprt t their natinal cunterparts in Advcacy, Cuntry- Level Supprt, Prmtin f Effective Interventins and Capacity Building. Advcacy Fr the highest attainable standard f health fr every mther, newbrn and child in keeping with MDGs 4 & 5 Fr universal access t quality health care Fr availability f essential drugs and equipment Fr strengthening health systems Fr bridging the gap between cmmunities and the health system Fr envirnmental health Fr maternal, newbrn and child health (MNCH) care in humanitarian emergencies Fr adequate funding and supprt fr maternal and child health prgrams at natinal and cmmunity levels Fr the use f MNCH as a platfrm fr the further develpment f a functining health system. Cuntry- Level Supprt Identifying the mst urgent, needs-based changes required f the health system at cuntrylevel Facilitating relatinships between cuntry-level prfessinal grups and cuntrylevel Ministries f Health, UN agencies, NGOs and dnrs Supprting the develpment f evidence-based interventins that can be implemented r scaled-up Supprting the develpment and implementatin f legislatin that supprts and enables the prvisin f skilled care by health prfessinals Prmting linkages with academic institutins t undertake research, educatin and mnitring thrugh existing netwrks Assisting in develping mdels fr prviding sustainable service delivery within bth the public and private sectrs Prmtin f Effective Interventins Identifying knwledge gaps and the means t address them Assist with standard setting/maintenance standards within the cuntry cntext Identifying prven effective interventins and making them knwn t cuntry-level prfessinal grups and their members Capacity Building at Cuntry Level Identifying needed cmpetencies fr all levels f maternal and child health carewrkers Recgnizing and supprting an apprpriate scpe f practice fr each cadre f health wrkers t prmte best-use f each grup s expertise 5

7 Influencing regulatin and legislatin t allw fr cmpetency-based practice by all types f health prfessinals alng the cntinuum f care Assisting with the training f prfessinals, upgrading f skills and prvisin f cmpetencybased educatin as defined by the specific prfessinal grup (e.g., midwives fr midwives, nurses fr nurses, physicians fr physicians) Assisting with setting standards and teaching f varius levels f health wrkers that exist at cuntry level Supprting the cmmitment t the ethical recruitment and retentin f health care prfessinals Increasing capacity f prfessinal rganizatins t meet the health challenges f wmen, newbrns and children Increasing the visibility f health issues affecting wmen, newbrns and children Assisting lcal agencies t have a strnger vice in wmen s, newbrn and child health by prviding supprt frm a glbal level, lending credence t causes at the natinal level, especially where there are n established prfessinal rganizatins In recgnitin f being an imprtant part f the slutin t achieve MDGs 4 & 5, the fllwing key internatinal health prfessinal grups pledge t wrk tgether thrugh their cuntry- level scieties and members, while being respectful f each ther's expertise, twards the cmmn visin f The Partnership t imprve maternal, newbrn and child health fr all. Internatinal Cnfederatin f Midwives Internatinal Cuncil f Nurses Internatinal Federatin f Gyneclgy & Obstetrics Internatinal Pediatric Assciatin Internatinal Pharmaceutical Federatin Cuncil f Internatinal Nenatal Nurses The Internatinal Cnfederatin f Midwives (ICM) is a cnfederatin f 85 midwifery assciatins frm 75 cuntries. Funded in 1919, ICM s missin is t advance wrldwide the aims and aspiratin f midwives in the attainment f imprved utcmes fr wmen in their childbearing years, their newbrn, and their families wherever they reside. ICM has cllabrated with FIGO and WHO n jint statements n Skilled Care and Preventin f Pstpartum Hemrrhage, and with ICN n Birth Registratin. The ffice in is The Hague; inf@internatinalmidwives.rg The Internatinal Cuncil f Nurses (ICN) is a federatin f 127 natinal nurses assciatins representing the millins f nurses wrldwide. Operated by nurses fr nurses, ICN is the internatinal vice f nursing and wrks t ensure quality care fr all and sund health plicies glbally. ICN has cllabrated with WHO n a number f jint statements, and with ICM n Birth Registratin and endrsed the FIGO, WHO and ICM jint statement n Skilled Attendants. The ffice is in Geneva: icn@icn.ch The Internatinal Federatin f Gyneclgy and Obstetrics (FIGO) is the nly wrldwide rganizatin that grups bstetricians and gyneclgists. The missin f FIGO is t prmte the well-being f wmen and t raise the standard f practice in bstetrics and gyneclgy. Funded in 1954, FIGO nw represents 110 member scieties in mre than 100 cuntries and territries.figo has cllabrated with ICM and WHO n jint statements n Skilled Attendants and Preventin f Pstpartum Hemrrhage. The ffice is in Lndn; fig@fig.rg The Internatinal Pediatric Assciatin (IPA) includes the Natinal Pediatric Scieties f 139 cuntries and the Reginal Pediatric Scieties f 6

8 Africa, Asia, Latin America, The Mediterranean/Middle East, Central Asia, Eurpe and Nrth America. The IPA was funded in 1910 and is gverned by its fficers and Executive and Standing Cmmittee. The IPA has a number f active prgram areas and cllabrates actively with WHO, UNICEF, GAVI, and the Stp TB Partnership. Offices are lcated in Geneva and Bstn; adminffice@ipa-wrld.rg The Internatinal Pharmaceutical Federatin (FIP) is the glbal federatin f natinal rganizatins f pharmacists and pharmaceutical scientists dedicated t imprving the access t and value f apprpriate medicine use wrldwide, and cntributing t changes in science, practice and health plicies wrldwide. Thrugh its member rganizatins, FIP cnnects, represents and serves mre than ne millin prfessinals arund the wrld. The Cuncil f Internatinal Nenatal Nurses (COINN) represents glbal unity fr nenatal nursing. COINN speaks with ne strng vice t facilitate the grwth f nenatal nursing and imprve healthcare utcmes fr ur patients and families wrldwide. The rle f the Cuncil is as advcate; plicy maker; quality evaluatr; cllabratr with health care, crprate and lay grups; educatr f health prfessinals, legislatrs and lay public; and leader in glbal nenatal nursing. The ffice is in based in Edmnd, Oklahma, USA; inf@cinnurses.rg. 7

9 Annex 2 Terms f Reference Wrkshp Facilitatr (Recruited Lcally) Aim T assist the Partnership in the planning f the first multi-cuntry health care prfessinals' wrkshp in Malawi, and prvide input fr an verall framewrk fr three subsequent wrkshps in ther regins. Backgrund The Partnership is preparing a series f fur reginal wrkshps, the first f which will be held in Malawi t include tw invited representatives f six different Health Care Prfessinal Organizatins frm Malawi, Nigeria, Tanzania, Uganda, and Ethipia. The wrkshp is scheduled fr Nvember 12-16, The purpse f the wrkshp is t build and deepen partnerships amngst HCP rganizatins and build cmmitment and invlvement in natinal health planning prcesses, and establish netwrk links t apprpriate UN agencies, dnrs and NGOs t allw fr better cmmunicatin and cllabratin between and amng the different health care prfessins and their reginal cunterparts. Tasks: 1) Participate in nging cmmunicatin including cnference calls and s with Secretariat staff and members f the planning grup. The planning grup cnsists f PMNCH Bard members wh represent HCPs. (nging) 2) Travel t Geneva fr briefing and discussins with the Partnership Secretariat. 3) Fcusing n lcal unit csts, prepare a budget fr the Malawi wrkshp, t include venue, cnference package, htel accmmdatins, catering, and lcal transprtatin including a field trip t rural and urban health clinics. (by July 31) 4) Prvide input fr a cncept paper fr the Malawi wrkshp and input fr the wrkshp agenda. (by July 31) 8

10 5) Take a lead rle in the detailed planning f the Malawi wrkshp including securing the venue (three bid letters are required), htel blck bkings, catering, and lcal transprtatin t and frm airprt and during cnference (by August 15); 6) als meet with Wrld Health Organizatin Malawi fficers t explain the nature and purpse f the wrkshp, thus helping t build a cllabrative relatinship with WHO/Malawi (nging) 7) Identify participants frm the six Health Care Prfessinal Organizatins t attend the Malawi wrkshp. (by mid August) 8) Attend the Malawi wrkshp t versee the flw f lgistics. 9) Prvid e input t the wrkshp evaluatin frm (by end August), and assist with the evaluatin by helping t btain feedback frm Malawi wrkshp participants (during the wrkshp); prvide draft input fr the evaluatin reprt n the perceived successes and failures f the event with suggestins fr future wrkshps (by mid December). 10) Buildi ng n lessns learned frm the Malawi wrkshp, prvide input t the develpment f a framewrk fr the three wrkshps t fllw. (Submit by mid December) 30% Due n signature f cntract 40% August 31, n satisfactry cmpletin f deliverables. 30% December 31, n satisfactry cmpletin f deliverables. 9

11 Wrkshp facilitatr Dr. Berengere de Negri Backgrund In 2005 a grup f Health Care Prfessinals (HCPs) and the Partnership fr Maternal Newbrn and Child Health issued a Jint Statement t guide HCPs in their effrts t advance maternal, newbrn and child health. The need t strengthen the rle f HCPs and their assciatins at cuntry level was identified as a high pririty. The Partnership is preparing a series f reginal wrkshps with the verall bjective f strengthening the participatin and rle f HCP assciatins in MNCH plicy and prgramme develpment, in rder t maximize their cntributin twards cuntry MNCH plans and the achievement f MDGs 4 and 5. The first f these wrkshps will take place in Blantyre, Malawi, Nvember 11-15, Participants will be health care prfessinals frm Ethipia, Nigeria, Tanzania, Uganda and Malawi, as well as representatives frm the public sectr -- in ttal a cuntry team f 6 t 8 representatives. Representatives frm reginal and internatinal assciatins and rganizatins will als be invited. The main utcme f the wrkshp will be practical actins that will enable natinal HCP assciatins t increase their cntributin t accelerated cuntry effrts t imprve the health f mthers, newbrn and children. The wrkshp will cnsist f presentatins, panel discussins n five identified areas f grwth fr HCPAs and cuntry grup wrk t identify necessary actin plans t strengthen HCPAs and their implementatin plans. We have identified Dr. de Negri as the facilitatr fr the event. As such her tasks are as fllws: Respnsibilities Pre-wrkshp Attend a tw day meeting rganized n Octber 1-2 nd at the Partnership headquarters in Geneva during which preparatry wrk will be agreed n and assigned Cmplete all preparatry wrk identified during the meeting held at the Partnership headquarters n Octber 1-2 nd within the assigned deadlines and revert t respnsible party at Partnership 10

12 Maintain pen and regular cmmunicatin with the rganisatin teams at the Partnership in Geneva as well as n the grund in Malawi Prepare feedback frms fr wrkshp success Wrkshp Be present at the pening ceremny n the Sunday preceding the start f the wrkshp (this day is included in the afrementined length f the wrkshp Fster an envirnment that encurages participatin and exchange by asking questins, mnitring sensitivities and guiding discussin Present: One MNCH plan: the ratinale, the situatin t date and the need fr accelerated prgress, n Mnday Nvember 12, 2007 Ensure that participant pinins are taken int cnsideratin by cmmunicating them t the Partnership team Establish rules f wrkshp cnduct and ensure their respect Prvide explanatins and supprt t cuntry teams during wrking sessins Make and present summary f key learnings at the end f sectins f wrking days Make nte f imprtant pints in a manner visible t the participants (there will be a nte taker fr mre thrugh reprting) Ensure achievement f stated utputs (cuntry grup activities and implementatin plans) Ensure wrkshp line f sight with bjectives Capture participant bjectives as well as Partnership bjectives in wrkshp Encurage the establishment f relatinships between different participants Pst wrkshp Analyse and present feedback frm respnse Draft reprt n wrkshp including frm, discussin pints, reactins, recmmendatins, and key learnings (achievements and shrtcmings), include a recmmendatins sectin fr the preparatin f subsequent wrkshps Create template fr fllw up n actins cmmitted t by cuntries and recmmend best means f full cperatin Prepare PwerPint presentatin summarizing wrkshp findings 11

13 Annex 3 Agenda Backgrund In September 2006, the Health Care Prfessinal (HCP) assciatins affiliated with the Partnership fr Maternal, Newbrn and Child Health (PMNCH) issued a Jint Statement t guide HCPs in their effrts t wrk with key stakehlders n issues f advcacy, capacity develpment, and implementatin f health plicies at cuntry level. A meeting f HCP Assciatins was facilitated by the PMNCH arund that time t identify means f increasing the effectiveness f Assciatins in cntributing t cuntry effrts t reach the Millennium Develpment Gals 4 and 5. Amng the challenges discussed was the need t clarify and strengthen the rle f HCP Assciatins at cuntry level. This need was eched during the 2007 PMNCH Partners' Frum. In additin, the Wrld Health Reprt, 2006, Wrking tgether fr health, highlighted the ptential f HCP Assciatins as imprtant actrs in helping t address the health sectr human resurces crisis. Several ther meetings and dcuments, including the Multi-cuntry Frum n Engaging the Private Sectr in Child Health (in Africa), held in Munyny, Uganda in Nvember 2005, and sme less frmal discussins have als reinfrced the imprtance f HCP Assciatins taking actin. In this cntext, the PMNCH Secretariat, with guidance frm an HCP Wrkshps Advisry Grup 5, is preparing a series f multi-cuntry wrkshps. The wrkshps will bring tgether representatives frm natinal prfessinal assciatins invlved in service delivery, and public sectr representatives, t establish a cmmn visin and identify practical means by which HCP Assciatins can maximize their cntributin t natinal maternal, newbrn and child health (MNCH) plicies and prgrammes. The first f these wrkshps will take place in Blantyre, Malawi, and will assemble teams f 6-8 HCP Assciatins' representatives and senir gvernment fficials frm Ethipia, Malawi, Nigeria, Tanzania, and Uganda. In additin, 15 resurce persns frm reginal and internatinal assciatins and agencies will be invited t enrich the exchange and learn frm the natinal assciatins abut the types f supprt that they need in rder t be mre efficient. Wrkshp discussins will fcus n the fllwing five areas f wrk: the rle f HCP Assciatins in advcacy and plicy dialgue, planning fr MNCH, quality imprvement, wrking tgether t address the MNCH human resurces crisis, and rganizatinal strengthening f the assciatins themselves. Panel discussins n these tpics will help identify actins that need t be undertaken by HCP 5 Members are representatives n the PMNCH Bard f the Internatinal Pediatric Assciatin, the Internatinal Federatin f Obstetrics and Gynaeclgists, and the Internatinal Cnfederatin f Midwives 12

14 Assciatins in rder t increase the impact f their cntributins. These discussins will als pen cmmunicatins acrss prfessinal lines as well as between HCP Assciatins and the public sectr. 13

15 Objectives Overall bjective The verall bjective f this wrkshp is t increase the cntributin f HCP Assciatins t natinal MNCH plans thrugh a strengthened participatin in plicy and prgramme develpment and an increased alignment f activities t the natinal targets regarding the achievement f MDGs 4 and 5 (reducing child mrtality by 2/3 and maternal mrtality by ¾ by 2015). Specific bjectives 1. Strengthen the rle f HCP assciatins as advcates fr MNCH and in plicy dialgue (Being an effective player in dealing with legislative barriers, imprving drug use plicies, advcating fr MNCH funding, quality imprvement measures) 2. Explre HCP assciatins rle in prmting ne cuntry MNCH plan (Wrking tgether and as gd partners with the public sectr t make this effective 3. Develp the rle f HCP assciatins in quality imprvement (Training, cntinuing educatin, mnitring / supervisin, standards f care, regulatin and accreditatin issues) 4. Increase HCPA jint activities t address the human resurces crisis with respect t MNCH (Advcacy fr and develpment f new cadres, task analyses, revisin f jb descriptins) 5. Strengthen rganizatinal aspects f HCP assciatins t enable them t develp mre fully their rles in the areas mentined in bjectives 1 4, and establish better partnering between assciatins and with the public sectr (Strengthening leadership, defining visin-plans-respnsibilities, effective partnering with the public sectr, harnessing energies f members, keeping HCPAs invlved in key issues affecting MNCH) Expected meeting results Fr cuntry level actin Pririty actins that supprt existing cuntry MNCH plans identified and cmmitted t by cuntry teams* (implementatin within 1-2 years). These actins shuld enhance the participatin and rle f HCP Assciatins in: Advcacy and MNCH plicy dialgue (3 5 actins) 14

16 Supprting ne cuntry MNCH plan (3 5 actins) Imprving the quality f MNCH care (3 5 actins) Wrking tgether t address the human resurces crisis (3 5 actins) Strengthening the rganizatinal aspects f HCP assciatins (3 5 actins) *Nte: Each cuntry team will chse 2 r 3 f the five areas t wrk n, that are clearly linked t cuntry MNCH plans. Fr actin frm reginal and internatinal bdies Areas f supprt frm reginal and/ r internatinal bdies determined fr the activities identified as pririty by cuntry teams. Duratin f the meeting Three and a half days Participants Up t eight representatives frm five cuntries, cmprising health care prfessinals (6 r 7 representatives) and ne public sectr senir fficial; as well, internatinal and reginal rganizatin representatives will be invited. Expected ttal participatin will be apprx. 50. Prfessinal assciatins are: Internatinal Cnfederatin f Midwives, Internatinal Cuncil f Nurses, Internatinal Federatin f Gyneclgy & Obstetrics, Internatinal Pediatric Assciatin, Internatinal Pharmaceutical Federatin, Cuncil f Internatinal Nenatal Nurses Representatives frm UN agencies (such as UNICEF, UNFPA, WHO, the Wrld Bank) and thers internatinal/reginal rganizatins Meeting activities 1. Presentatins f success stries r examples A success stry pertaining t a "grwth area" will be presented and discussed. The stries will illustrate the rle played by the HCPAs in the success and will highlight best practices r lessns learned. 15

17 2. Panels and plenary n each f the bjectives A panel discussin will fllw each presentatin. Panels will each be cmpsed f 4-6 peple frm different prfessinal assciatins, agencies and/r rganizatins. Each panel will be chaired by a facilitatr. A list f discussin pints will be available fr each panel t ensure full review f tpics. Time is alltted after the discussins fr cmments and questins. 3. Cuntry wrking grups The expected results f the meeting are centered n the identificatin f pririty actins that cuntry teams will t pursue in a 1-2 year time-frame. These actins will strengthen the rle f HCPAs in supprting natinal MNCH effrts. The cuntry team participants will als identify supprt needed frm reginal and internatinal agencies and the gvernment in rder fr these activities t be feasible. The cuntry wrking grups will be the key frum fr the identificatin f these activities and needs. Three sessins are planned. The first tw will fcus n selecting 2 r 3 f the 5 grwth areas fr HCP Assciatins. Grups will be asked t: Articulate a visin fr each bjective selected Identify current bstacles t reaching the visin Select 3-5 pririty actins that cuntry teams agree t pursue in the next 1 2 years a. They shuld link identified actins t their cuntry s current MNCH plans Develp and implementatin plan fr the actins (wh, when, hw). a. Plan shuld Indicate hw assciatins can wrk tgether in the implementatin f the actins In the third wrking grup sessin, cuntry teams will identify as precisely as pssible the supprt that they will need frm reginal and/r internatinal bdies t facilitate the implementatin f the identified activities. Fr this exercise, participants frm reginal and internatinal assciatins and agencies will be asked t jin cuntry grups. 16

18 C-facilitatrs: Lennie Kamwend, President f the Assciatin f Midwives f Malawi Bérengère De Negri, Senir Health Cmmunicatins Adviser n MNCH, Academy fr Educatinal Develpment Sunday, Nvember Registratin Opening ceremny Receptin One MNCH plan: the ratinale, the situatin t date and the need fr accelerated prgress, 17 Mnday, Nvember Intrductry cmments, Ms. Lennie Kamwend, President f the Assciatin f Midwives f Malawi, 2. Welcme, Dr. Francisc Sngane, Directr, PMNCH 3. Welcme, Hnrable Marjrie Ngaunje, Minister f Health, Malawi MDGs 4 and 5: Where we are nw, and what needs t be dne, Dr. Francisc Sngane, Directr, PMNCH

19 Dr. Chisale Mhang, Directr f Reprductive Health, Ministry f Health, Malawi Welcme Address, Hnrable Marjrie Ngaunje, Minister f Health, Malawi Cffee break Presentatin f example n HCP assciatins as advcates, Mr Keith Lipat, Publicist, Assciatin f Malawian Midwives Panel discussin n the rle f HCP assciatins as advcates fr MNCH and in plicy dialgue, Mrs. Adeline Jacb, Vice President, Tanzania Midwives Assciatin Questins / cmments frm the flr Lunch Presentatin f example f HCP assciatins and their rle in supprting ne MNCH plan, Dr. Nkeiru Onuekwusi, Head f Family Health, Federal Ministry f Health, Nigeria Panel discussin n the rle f HCP assciatins in prmting ne MNCH plan, Dr Augustine Massawe, Senir nenatlgist, Muhimbili Medical Centre, Pediatric Assciatin f Tanzania 18

20 Tea break Questins / cmments frm the flr Please nte that wrk begins at 8:30 n Tuesday, Nvember 13, 2007 Tuesday, Nvember Presentatin n the rle f assciatins in quality imprvement, Dr Emmanuel Byaruhanga, cnsultant bstetrician/gynaeclgist, Mbarara University Teaching Hspital, Uganda, Saving newbrn lives: rles fr HCPs, Dr Jy Lawn. Senir Research and Plicy Advisr, Saving Newbrn Lives, Save the Children; Mrs Evelyn Zimba, Newbrn Health Prgramme Manager, Save the Children Malawi Panel discussin n the rle f assciatins in quality imprvement, chaired by Dr. Pius Okng, FIGO C-chair MNH Questins / cmments frm the flr Cffee break Presentatin n example f HCP Assciatins wrking tgether t address the human resurces crisis, Jseph De Graft, Cmmunity Interventins Specialist, ACCESS, Panel discussin n wrking tgether t address the human 19

21 resurces crisis, chaired by Dr. Melkizedeki Kimar Crdinatr Family and Reprductive Health Prgramme, ECSA Health Cmmunity Questins / cmments frm the flr Lunch Intrductin t cuntry wrking grups, Dr. Bérengère De Negri, Senir Health Cmmunicatins Adviser n MNCH, Academy fr Educatinal Develpment Cuntry wrking grups (pririty actins at natinal level) Cffee break A discussin n Assciatins, Unins and Cuncils: Respnsibilities, Bundaries, Presence and Interactins, Nester My, Prgramme Manager, Internatinal Cnfederatin f Midwives 19:30 Jint dinner with the Natinal newbrn research teams attending the Saving Newbrn Lives spnsred wrkshp 20

22 Wednesday, Nvember Presentatin n an example f rganizatinal strengthening f HCP assciatins, Dr Oliver Ezechi, Chief Research Fellw & Cnsultant Obstetrician and Gynaeclgist, Nigerian Institute f Medical Research Panel discussin n rganizatinal strengthening f HCP assciatins and hw they can better wrk tgether, chaired by Peter Cper, Prfessr f Pediatrics, Wits University Questins / cmments frm the flr Cffee break Cuntry wrking grups cntinued Lunch Cuntry wrking grups cntinued Tea break Cuntry wrking grup wrap-up 17:30-19:30 Infrmatin Display Sessins Thursday, Nvember cuntry presentatins (15 minutes each with 15 minutes 21

23 discussin) Cffee break cuntry presentatins :30 Nigeria and Ethipia team presentatin: HCPAs at Federal, State and Lcal Level S What Nw: Next Steps fr Wrkshp Participants, Kadidiatu Ture, Technical Officer, PMNCH Panel: Internatinal and reginal assciatins and agencies' respnse t cuntry needs 12:30-12:45 Wrkshp verview Clsing sessin, Ms. Lennie Kamwend, President f the Assciatin f Midwives f Malawi Lunch 22

24 Participant Interventins EXAMPLE CHAIR PANEL ADVOCACY Keith Lipat Dr Jacb Mrs Chamisa Dr Gaym Dr Mwamtemi Dr Obuni ONE MNCH PLAN Dr Onuekwusi Dr Massawe Mrs Okli QUALITY IMPROVEMENT Dr Ezeaka Dr Tugumisirize Mrs Matla Dr Byaruhanga Dr Okng Mrs Chuwa Dr Lawn-SNL Dr Mslmba Dr Nankunda HR Dr De Graft Dr Kimar Dr Mwrzi ORGANIZATIONAL STRENGTHENING Dr Geert Heikens Sr Kebede Dr Mdegela Dr Ezechi Dr Cper Mrs My Dr Assefa Mrs Dihenga Dr Mukhtar-Yla INTERNATIONAL ORGANIZATIONS & ASSOCIATIONS Facilitatr Dr Schaller Mrs Davidge Dr Obinya 23

25 Annex 4 PRESENTATIONS See The Partnership web site 24

26 Annex 5 Summaries f Cuntry Wrk Plans Ethipia Organizatinal Strengthening f the HCPAs Identify ways f increasing membership Determine what functins different rganizatins shuld adpt: unin r assciatin? Organize jint meetings with ther HCPAs Reinfrce HCPA structures by taking part in the accreditatin and registratin f prfessinals Quality Imprvement Identify pprtunities t cunter prblem f lack f standard care Build cnsensus first with Ministry t get its supprt Identify gaps by Prfessinal scieties and assciatins Identify necessary steps t mtivate health care prfessinals Prepare an incentive package fr child health wrkers t mtivate and encurage them Malawi Strengthen existing Prfessinal Assciatins Cnduct a briefing meeting f all the existing assciatins in the first quarter f 2008 Cnduct an assessment f cmmunicatin systems t strengthen netwrk rientatin f assciatin leaders n leadership Cnduct exchange visits amng the assciatins Quality imprvement Cnduct stakehlders meeting t develp a Radmap t address quality imprvement Nigeria Advcacy Strengthen cllabratin with gvernment and HCPAs invlvement in plicy making by pushing fr the passage f the Health Bill, and sliciting meetings with gvernment Harmnize wrk dne by HCPAs thrugh a frum fr all HCPAs t dialgue with gvernment t address the MNCH issues in the cuntry Develp wrk plan fr IMNCH at state/lga level 25

27 Write prpsal t dnrs and have a technical cmmittee fr reviewing these at the HCPA Frum Advcate t cmmunity leaders Organize regular cllabrative meetings between MNCH actrs Organizatinal Strengthening Prcure ne building fr the HCPA secretariat t huse all the different HCPA as Natinal level. Establish an HCPA frum that will meet quarterly Write reprt f Malawi HCPA meeting and share with Ministry f Health and ther MNCH actrs Tanzania Uganda Strengthen Assciatins by: Prviding feedback t the individual HCPAs abut wrkshp Cnvening sensitizatin meeting amng secretariats f the HCPAs rienting them n the need fr partnership in the acceleratin f reductin f MNC deaths Getting the MH infrmed abut the imprtance f partnership amng HCPAs in accelerating achievement f MDGs 4 & 5 Building capacity in advcacy and lbbying skills amng secretariat members f HCPAs. Organizing training/wrkshp n advcacy skills in cllabratin with PMNCH, internatinal rganizatins e.g. Save Children etc Advcacy - Strengthen cmmunity invlvement and participatin by Ding an audit twards quality imprvement f MNC health n selected districts with high MNC deaths Organizing sensitizatin meetings with the lcal gvernment leaders and cmmunity leaders, religius leaders, traditinal birth attendants and NGOs perating in the cmmunity Sensitizing the lcal gvernment n bringing tgether ALL reprductive health stakehlders perating in their lcatins Strengthening quality f MNC care by One Plan Getting invlved in develping and updating training manuals fr in service and CME fr the varius cadres Educating health care prviders n the custmer care service. Training mre health care prviders n varius cadres Advcating fr imprving remuneratin especially t HCPs in remte facilities s as t increase equity 26

28 Bring PMNCH Directr t Uganda Cnfirm date fr the launch f the rad map and begin preparatry wrk Identify pririties and plans f the maternal and newbrn health wrking grup in the Ministry f Health Prvide MH with a reprt f the wrkshp and rganize visits Explit the pssibility f having a cmmn frum between Ob/Gyn, Paediatricians, Nurses and Midwives Becme invlved in the Health sectr strategic plan (HSSP II ) Quality Imprvement Situatin analysis using a check list n level f disseminatin and availability f treatment guidelines Organizatinal Strengthening HCPAs t create and share databases f their members Lk fr different pprtunities t get better rganized, such as invlving executive cmmittees Share assciatins' wrk plans amng each ther 27

29 Annex 6 Blantyre Declaratin f Cmmitment t Millennium Develpment Gals 4 and 5 The Health Care Prfessinal Organizatins Ethipia, Malawi, Nigeria, Tanzania, Uganda We, the representatives f the Health Care Prfessinal Assciatins and Scieties f five African cuntries, the African Regin, and the Internatinal Health Prfessinal Scieties Gathered here tgether in Blantyre, Malawi Nvember 11-15, 2007, at the first Partnership fr Maternal Newbrn and Child Health Wrkshp fr Health Care Prfessinal Assciatins and their Rle in Reaching MDGs 4 and 5 Hereby declare: Our cmmitment t bring the strengths f ur prfessins at cuntry, reginal, and internatinal levels t wrk tgether fr achievement f the MDGs 4 & 5 Our cmmitment t wrk tgether within the structure f the Partnership fr Maternal, Newbrn and Child Health with ur partners frm Gvernment, United Natins Agencies, Nn- Gvernmental Organizatins, and Dnr Organizatins Our cmmitment t engage, educate, energize and mbilize the Health Care Prfessinals and their Organizatins frm cuntries thrughut the wrld t becme active in this prcess Our cmmitment t advcate fr and strive fr the highest attainable standards f health and f health care fr the wrld's mthers, newbrns, and children Declared n this 15th day f Nvember 2007 here in Blantyre, Malawi at the First Reginal PMNCH Wrkshp by the Representatives f the Health Care Prfessinal Organizatins here present: Internatinal and Reginal Health Prfessinal Organizatins Internatinal Pediatric Assciatin (IPA) Federación Internatinale Obstetrice et Gynéclgie (FIGO) Internatinal Cnfederatin f Midwives (ICM) Cuncil f Internatinal Nenatal Nurses (COINN) Internatinal Pharmaceutical Federatin (PIP) Unin f African Pediatric Scieties and Assciatins (UNAPSA) 28

30 Reginal Representative Internatinal Cnfederatin f Midwives (ICM Africa East) Natinal Prfessinal Health Care Organizatins Ethipian Pediatric Sciety (EPS) Ethipian Sciety f Obstetricians and Gyneclgists (ESOG) Ethipian Nurse Midwives Assciatin (ENMA) Ethipian Pharmaceutical Assciatin (EP A) Malawian Pediatric Assciatin Assciatin f Obstetricians and Gyneclgists f Malawi (AOGM) Natinal Organizatin f Nurses and Midwives f Malawi (ICN) affiliate (NONM) Assciatin f Malawian Midwives (AMAMI) Pediatric Assciatin f Nigeria (EP A) Sciety f Gyneclgists and Obstetricians f Nigeria (SOGON) Natinal Assciatin f Nigeria Nurses and Midwives (NANNM) Pediatric Assciatin f Tanzania (PAT) Assciatin f Gyneclgists and Obstetricians fta (AGOTA) Tanzania Natinal Nurses Assciatin (TANNA) Tanzanian Midwives Assciatin (TAMA) Ugandan Pediatric Assciatin (UP A) Assciatin f Obstetricians and Gyneclgists f Uganda (AOGU) Uganda Natinal Assciatin fr Midwives Nurses and Midwives,(UNANM) Uganda Private Midwives Assciatin Signatures 29

31 Annex 7 Summary f statements f Internatinal and Reginal Assciatins and Agencies Internatinal Pediatric Assciatin (IPA) This internatinal rganizatin grups tgether pediatric Assciatins frm varius cuntries. Its wrk fcuses n child and adlescent health particularly malnutritin, HIV and AIDS in children and reexamining drug frmulae in children as per WHO reslutin. The Assciatin has been instrumental in related plicy change as well as the educatin f health care prfessinals wrking in pediatrics (Capacity building). They have als initiated cncerted dental care fr children. Internatinal Cnfederatin f Midwives (ICM) ICM is invlved in capacity building even thugh the rganizatin has limited financial resurces. The rganizatin assists member Assciatins t identify ptential dnrs. They have als run a Yung Midwifery Leadership prgram aimed at building leadership capacity in midwifery in the initial five cuntries including Malawi. ICM is willing t prvide technical assistance in curriculum develpment fr midwifery educatin and running leadership curses. They can als help thse cuntries wh d nt yet have a midwifery Assciatin t begin the prcess f btaining ne. COINN This rganizatin fr Nenatal Nurses was established in Suth Africa and has pened its membership t all cuntries. The rganizatin wrks in cllabratin with Pediatricians and ther relevant HCPs. They aim at prmting nenatal Nurses and nt necessarily nenatal intensive nursing. Participants were encuraged t establish Nenatal Nurses Assciatins in their cuntries. The rganizatin will hst an Internatinal cnference in 2010 in Durban, Suth Africa. UNICEF The UNICEF representative amng the participants gave sme backgrund t UNICEF as a United Natins Agency. The rganizatin recgnizes the fact that the mther cannt be separated frm the child hence supprt prgrams that seek t reinfrce the mther-child. UNICEF als gives supprt t individuals and NGOs as lng as the request is within its prgram f wrk. 30

32 Annex 8 Guidance Ntes Chairpersns f Panel Discussins Yu are kindly requested t mderate a panel discussin during this wrkshp, that fcuses n strengthening HCPA rles in ne f the five areas fr actin t imprve maternal, newbrn, and child health (advcacy, planning, quality imprvement, human resurces, rganizatinal strengthening). We wuld like yu t guide yur panel in an infrmal discussin (n presentatins are planned during the panel), asking the panellists t respnd t the fcus questins indicated belw. The bjective f each panel is t: 1. Share specific cuntry experiences n the panel tpic / area fr HCPA actin, highlighting the rle f ne r mre HCPAs 2. Elicit panellists' ideas n the barriers t HCPA actin and suggestins fr feasible and innvative directins fr increasing HCPA cntributins 3. Respnd t questins frm the audience. Yu have been assigned t chair the panel discussin n the rle f HCP assciatins in addressing the human resurces crisis T take place n Tuesday, Nvember 13 between 11:30 and 12:30. The names and cntacts f the panellist fr this panel are: 31

33 T help yu t cnduct the panel discussins during the wrkshp, we prpse that: Prir t the wrkshp yu cmmunicate with the panellists f the panel discussin yu have been assigned t. This can be dne by getting in cntact with the panellist thrugh phne, r (see abve). In case this is nt pssible, we invite yu t meet the panellists in Blantyre, fr example, the day prir t the panel. We wuld like yu t discuss briefly with them: - The bjectives f the panel and the way yu intend t cnduct it, e.g. specifying that n presentatins are required. - Specific experiences they wuld like t share, making sure these are relevant t the panel tpic and that they highlight HCPA rles. - Challenges encuntered, and innvative ideas fr HCPA actin t mve beynd the challenges and status qu. Fcus questins suggested are: D we have examples f HCPAs playing effective rles in the panel tpic area (advcacy, planning, quality imprvement, human resurces, r rganizatinal strengthening) Have HCPAs been able t wrk tgether in this tpic area? What are sme f the barriers t HCPAs making effective cntributins in this tpic area? What are sme practical and innvative actins that can vercme the barriers and increase HCPA rles in this tpic area? During the panel discussin, have each f the panellists express their pinin in a clear and cncise way. Limit their respnses t questins t 3 r 5 minutes. After the panel discussin (abut 60 minutes), yu are asked t field "Questins and Cmments" frm the flr. One way t d this is t cllect the questins, and listen t the cmments. Yu may wish t call n a particular panellist t respnd (participants smetimes mentin the persn t whm their questin is addressed), and / r t encurage any f the panellists t respnd. Yu may even invite participants t als respnd, where apprpriate. We hpe that yur chairpersnship will help the panel discussins t be lively, frank, and t-the-pint and much appreciate yur taking n this task. Please enjy it t! 32

34 Presenter giving an example f the invlvement f HCP Assciatins in prmting One MNCH Plan. Yu are kindly requested t present an example related t the invlvement f HCP assciatins in prmting One MNCH Plan. This presentatin will precede a panel discussin n the same subject and shuld serve t prvide sme insight abut sme f the key learnings, challenges, bttlenecks, successes that have been encuntered in prgrammes related t the tpic. Yur suggestins fr the future are als imprtant as they will prvide participants with innvative actins and ideas n which t base their actin plans. The presentatin can be expansive and list examples supprting a psitin r can fcus n ne specific reginal r natinal initiative. The fcus questin fr the rle f HCPAs in prmting One MNCH Plan is: Hw have HCPAs wrked tgether and as gd partners with the public sectr t make this effective? Sme sub questins that may be useful in shaping the presentatin: What are the main cmpnents f the MNCH plan in yur cuntry f reference? (maximum 5 minutes) Wh are the main partners invlved in the develpment f the MNCH plan in yur cuntry? What rle have the HCPAs played thus far? Is there a crdinatin mechanism that dictates mde f participatin? Hw have HCPAs interacted with nn-hcpa partners invlved in the planning? Hw have they interacted amng themselves? What barriers have they faced in their attempts t make cntributins t the MNCH plan? What are the slutins? What practical and innvative actins t vercme the gaps (resulted frm missed pprtunities related t the invlvement f HCPAs in the develpment f the MNCH plan) have yu used/think f? Presentatins shuld be prvcative and illicit questins. These presentatins will serve as part f the basis fr cuntry discussins and the ensuing identificatin f actin plans fr the cuntries. It is therefre imprtant that, where pssible, examples shuld prvide new perspectives n bth innvative methds r actins and analyses f barriers and slutins. Chice f examples shuld als be based n feasibility and return n investment. 33

35 Grup presentatins are als allwed but are subject t the same time limit as single persn presentatins: 20 minutes fr the presentatin and 10 minutes fr questins. Please infrm Kadidiatu Ture (turek@wh.int) f the title f yur presentatin at yur earliest cnvenience s that it may be reflected n the agenda. We als ask that cmpleted presentatins be sent t the partnership at least 10 days befre the cnference t allw fr crdinatin f cntent. Guide nte fr Infrmatin Display Sessin Participants Yu are invited t prepare an infrmatinal bth regarding experiences/lessns learned frm the health care prfessinal assciatins yu wrk with, r cntribute t. This infrmatin shuld relate t ne f the five tpic areas addressed in this wrkshp as listed belw: The rle f HCP assciatins as advcates fr MNCH and in plicy dialgue The rle f HCP assciatins in prmting ne MNCH plan The rle f assciatins in quality imprvement Wrking tgether t address the human resurces crisis Organizatinal strengthening f HCP assciatins and hw they can better wrk tgether This Infrmatin Display Sessin will be held n Wednesday, Nvember 14, 2007 frm 17:30 t 19:30. The sessin will cnsist f spaces reserved fr the different infrmatin presentatins. Participants will be able t display either n a table r n pster bard their infrmatin. Members f the presented assciatins will be expected t man bths and answer questins during the tw hur perid. We will prvide bards, tables, tape and pins t facilitate display rganizatin. Shuld yu decide t present infrmatin at this venue, please infrm Kadidiatu Ture at turek@wh.int f yur intended tpic and needs. Als, d nt hesitate t cntact me shuld yu need any clarificatins. 34