Towards a Health Workforce science_15_jan15 - Jim Campbell
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Transcript of Towards a Health Workforce science_15_jan15 - Jim Campbell
Towards a Health Workforce science
Session 3: What systems are needed to monitor the SDG health goals?
Development of a roadmap for the post-2015 health SDGs15-16 January, 2015Glion-sur-Montreux
Jim CampbellDirector, Health Workforce, WHO
Executive Director, Global Health Workforce Alliance
Health workforce: 2014-2016
2014 2015 2016Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
May
201
6 69th World Health Assembly:Global Strategy on HRH
UNGA High-Level Meeting:Post-2015 development agenda adopted
WHO/WB/USAIDMeasurement Summit on post-2015
Sept
- O
ct 2
015 WHO Regional
Committees:Member States review of national/regional progress
Sep
2015
GHWA Board:Adopts recommendations on Global Strategy HRHFe
b 20
15
Jan
201
5
Global Strategy on HRH :Draft strategy developed
Code of Practice – National reportingDesignated National Authorities
Health Professional EducationNational assessments and reporting
Nursing and MidwiferyNational reporting
Jan
2016 WHO Executive
Board:Global Strategy on HRHWHO Code of Practice , Progress reports WHA64.7, WHA66.23
WHO Executive Board:Code of Practice – “relevance" and “effectiveness”
68th World Health Assembly:Code of Practice – “relevance" and “effectiveness” WHO
Global
GHWA synthesis paper reflecting outcome of Global ConsultationN
ov 2
014
– Ja
n 20
15
Populationcoverage
Financial protection
People-centred, integrated health services (AAAQ / right to health)
wealth quintiles
“UHC”
UHC: The health workforce implications….
A
B
B1
B2
B3
Populationcoverage
Financial protection
People-centred, integrated health services (AAAQ / right to health)
wealth quintiles
“UHC”
UHC: The health workforce implications….
A
B
B1
B2
B3
Post-2015: The Health Workforce implications….
Goal 3: Ensure healthy lives and promote well-being for all at all ages
• Reduce maternal mortality and end preventable deaths of newborns and U5 children and ensure universal access to SRH care services• End the epidemics AIDS, tuberculosis, malaria, and NTDs and combat hepatitis,
water-borne diseases, and other CDs• Reduce by 1/3 premature mortality from NCDs through prevention and
treatment, and promote mental health and wellbeing• Strengthen prevention and treatment of substance abuse, including narcotic drug
abuse and harmful use of alcohol• Halve global deaths and injuries from RTAs• Achieve UHC, including financial risk protection, access to quality essential health
care services, and access to safe, effective, quality, and affordable essential medicines and vaccines for all• Reduce the number of deaths and illnesses from hazardous chemicals and air,
water, and soil pollution and contamination
Post-2015: ‘zero’ targets…
• …..reduce maternal mortality...(70 per 100,000 live births)…
• …..end preventable deaths of newborns….
• …..end preventable deaths of U5 children…..
• …..ensure universal access to SRH care services…..
• …..end the epidemics AIDS, tuberculosis, malaria, and NTDs
Post-2015: ‘zero’ targets…but weak on ‘how?’
• …..reduce maternal mortality...(70 per 100,000 live births)…
• …..end preventable deaths of newborns….
• …..end preventable deaths of U5 children…..
• …..ensure universal access to SRH care services…..
• …..end the epidemics AIDS, tuberculosis, malaria, and NTDs
• increase substantially …..the recruitment, development and training and retention of the health workforce……
The health workforce implications ……
Sexual & Reproductive
Maternal/Newborn
Child Health
CDs
NCDs
Mental Health
Trauma
Public Health & Global Health Security
BUT the HEALTH & SOCIAL CARE WORKFORCE has impact beyond Goal 3.
They are AGENTS OF SUSTAINABLE DEVELOPMENT
GHWA: 8 Thematic papers
http://www.who.int/workforcealliance/media/news/2014/consultation_globstrat_hrh/en/
# 1: The drivers of change in health labour markets;
# 2: The role of transformative education;
# 3: Data and measurement of HRH availability, accessibility, acceptability and quality;
# 4: Accountability and alignment for post-2015: the roles and responsibilities of state and non-state actors; Paper for consultation (will be available shortly);
# 5: Leadership, governance and policy alignment in public/ private health systems;
# 6: The drivers of change in Fragile States;
# 7: Improving health worker productivity and performance in the context of universal health coverage: the roles of standards, quality improvement, and regulation;
# 8: Building on human capability beyond the health sector;
Supplementary: REF # A: What are the health workforce and service implications of the Global Framework for Public Health?
Data & measurement of HRH
http://www.who.int/workforcealliance/media/news/2014/consultation_globstrat_hrh/en/
2013 2014 2015 2016Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Recife Conferencex
Thematic Paper – Data & Measurementx
WHO Global Strategy on HRH (DRAFT)x
Measurement & Accountability Summitx
GHWA Synthesis document and Board Statementx
UNGA Post-2015x
OWG SDGs – goals/ targetsx
HRH: So, what next?
Goal 3c: increase substantially …..the recruitment, development and training and retention of the health workforce……
“increase” -> requires a baseline and progress over time -> increase numbers (but not density/pop)
-> increase numbers (but more of the same)-> increase density (but not equity)-> increase density (but not effective coverage)
“substantially” -> vs. need? -> vs. demand?
HRH: So, what next?
Goal 3c: increase substantially …..the recruitment, development and training and retention of the health workforce……
ASSUMING NO CHANGE:
-> Baseline, Baseline, Baseline-> “2 x 10 x 100”-> Create demand for data-> Create demand for workforce science
2: Who/where are they? What education? 10: Minimum Data Set100: National Health Workforce Account
MDS and National Health Workforce Account
M1
M2
M3
M4
National Health Workforce Account
Modular: from MDS to HLM
Stocks / Flows
Education
MDS…
Minimum Data Set Data ElementsIdentification Number Unique Identification Number, Date of Issue, Date of Expiration, Place
of IssueFull Name First name, last name, middle name, maiden name, other names
Birth History Date of Birth, Sex at Birth, Place of Birth, father's name and mother's name, photograph
Citizenship, Country of Residence, and Language
Citizenship at birth, citizenship at present, country of residence, ability in spoken and written languages
Address Physical addressContact Information Telephone number, email address, emergency contact name
Professional License and Certification
License and certification name, issuing institution, date of issue and date of expiration, photograph
Employment Status Employment status, employment title and occupational category
Employment Address Full address of current employerData Submission Institution Name of the institution submitting data; date and time of submission
HW data sources….
MedicalCouncil
MoHPayroll,
Retirement
NationalUniversity
Ministry of Defense
ImmigrationXpat Online
PrivateHospital
Board of HealthSciences
NursingCouncil
CivilService
Commission
An example: Multiple data sources
The HW Registry - concept
MedicalCouncil
MoHPayroll,
Retirement
NationalUniversity
Ministry of Defense
ImmigrationXpat Online
PrivateHospital
Board of HealthSciences
NursingCouncil
CivilService
Commission
HealthWorkforce
Registry
Need for Unique Person
ID system(NCIT)
*using Minimum Data Set
Creating a workforce science: “National HW Account”
National Health Workforce Accounts
(NHWA)
National capacity building
Improved national
reporting
GHO
Improved national planning
Overview
Campbell J, Dussault G, Buchan J, Pozo-Martin F, Guerra Arias M, Leone C, Siyam A, Cometto G.
A universal truth: no health without a workforce.
Forum Report, Third Global Forum on Human Resources for Health, Recife, Brazil. Geneva, Global Health Workforce Alliance and World Health Organization, 2013. Campbell J, Dussault G, Buchan J, Pozo-Martin F, Guerra Arias
M, Leone C, Siyam A, Cometto G. A universal truth: no health without a workforce. Global Health Workforce Alliance and World Health Organization, 2013.
A universal truth….