Health Workforce Planning Techniques and the Policy Context International Health Workforce Collaborative 6 May 2013, Quebec City Charles Godue Human Resources for Health
Antigua & Barbuda Argentina Bahamas Barbados Belize Bolivia Brazil Canada Chile Colombia Costa Rica Cuba Dominica Ecuador El Salvador Grenada Guyana PAHO MEMBER STATES and PAHO s PRESENCE IN THE REGION Guatemala Haiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Dominican Republic Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad & Tobago Uruguay USA Venezuela Participating States France Netherlands United Kingdom Associate Member Puerto Rico Observer States Spain Portugal Headquarters Country Offices Pan American Health Organization World Health Organization 2008
A dynamic policy environment: Growth with inclusion Sustained economic growth (the China effect) Inclusive redistributive social policies Low unemployment Reduction in poverty and extreme poverty Improved literacy Reduction in inequalities The demographic window Increasing pressure on governments / demand for services
Health systems policies Leadership role of the state in health policy (the want factor) Unified health systems Universal health coverage The renewal of PHC Integrated Networks of Health Services New interest for HRH planning Opportunity to link health needs with political needs
TORONTO CALL FOR ACTION A DECADE OF HRH 2005-15 1. Long term policies and plans 2. The right people at the right place 3. Appropriate education and competencies 4. Working conditions and performance 5. Migration of health personnel Pan American Sanitary Conference 2007 20 Regional Goals for HRH 2007-2015
CARIBBEAN HRH REGIONAL GOALS SUMMARY Goal 1 HRH density ratio of 25 per 10,000 95% CHALLENGE ONE Goal 5 - Establish a HRH unit 53% 60% Goal 2 - Proportion of PHC physicians will exceed 40% of the total medical workforce Goal 4 - Ratio of Nurses: Physicians is at least 1:1 100% 88% Goal 3 - Develop Primary Health Care teams with broad competencies
Framework for Program Evaluation & Outcome Mapping SITUATION: Needs, Political Context PRIORITIES: Situational Analysis GOALS OUTPUTS PLANS POLICIES OUTCOMES PROGRAMS DIRECTIVES GUIDELINES Program inventories Processes Mapped Gaps Identified Impacts Identified Successes Determined Reasons Identified Needs Identified INPUT/INVESTMENT: Personnel, Partnerships, Communications, Information Monitoring, Research, Finance, Incentives, Leadership & Management INITIATIVES ACTIVITIES IMPACT
2 nd Assessment of the Regional Goals and Program Evaluation AT THE NATIONAL LEVEL 1. 2 nd Assessment of the regional goals of HRH + contrast/compare with 1 st goals review + establish priorities 2. Results and recommendations presented to the Minister of Health 3. Identification of Priority HRH Programs 4. Conduct a Program Evaluation 5. Recommendations to the Minister of Health AT THE REGIONAL LEVEL 1. Inventory of HRH Programs 2. Inventory of good practices re achieving HRH goals 3. Identification of current HRH planning & management capacities (strengths & challenges) 4. New regional, sub-regional and country HRH goals & strategies to support the implementation of primary health care & universal health coverage
The 3 rd Global Forum on HRH 10-13 November 2013 in Recife, Brazil Overall Theme "Human Resources for Health: foundation for Universal Health Coverage and the post-2015 development agenda Forum Sub- Themes: Leadership, 9
New interest in the Region for HRH Planning Development of a technical cooperation strategy to support national capacity for HRH planning Online course on PAHO s Virtual Campus of Public Health with a coaching component for technical teams