Charles Godue HR Unit, PAHO/WHO

The Second Conference of Asia-Pacific Action The Second Conference of Asia-Pacific Action Alliance on Human Resources for Health Alliance on Human Resources for Health

12-14 October 2007, Beijing, China12-14 October 2007, Beijing, China

Human Resources in Human Resources in Health for the New Health for the New MillenniumMillenniumFrom Alma Ata to the From Alma Ata to the Millennium DeclarationMillennium Declaration

Our world, our health…Our world, our health…

20

APPROPIATE DISTRIBUTIONAND SKILL MIX

HIGH QUALITY PERFORMANCE

GOOD LABOR CONDITIONS, COMMITMENT,

MANAGEMENT TRAIN

LINK TRAINING INSTITUTIONS WITH HEALTH NEEDS AND

SERVICES

APPROPIATE SKILL SETS

THE RIGHT PEOPLE INTHE RIGHT PLACE

ENOUGH NUMBERS

POLICY AND PLANNING

MANAGED MIGRATION

MIGRATION

TORONTO CALLTO ACTION

A Decade of Human Resources for Health

TORONTO CALLTO ACTION

A Decade of Human Resources for Health

THE VISION

Equitable access for all people to an adequately trained, skilled and supported health workforce to contribute to attaining

… the highest possible level of health

To achieve maximum impact on health outcomes, human resources policy should focus on the development of integrated health systems

based on primary health care and health promotion, and the strengthening of public

health capacities

THE VISION

Innovation

LA VISION

Human Resources for Health for the Future

Community-based training

Ethos of public service

Equitably distributed

Appropriate skill mix

Generalist and public health orientation

Social skills

Interdisciplinary work

ComplexProblems

Need forsustained

actions

Need for a PLAN

+ =

• A Decade for Human Resources: where do we want to go?: challenges, goals and plans

• A roadmap: how do we do it?

• A string of lighthouses: are we going in the right direction?

• Political commitment: The countries want better health for all; we need to invest in the people that can make this possible

• Partnerships: no one will get there alone. The countries are making collective agreements to sustain and collaborate in this road

REGIONAL GOALS 2007 -2015

Long Long range range plans plans and and policiespolicies

Goal 1: All countries of the Region will have achieved a Goal 1: All countries of the Region will have achieved a human resources density ratio level of 25 per 10,000human resources density ratio level of 25 per 10,000

Goal 2: The regional and subregional proportions of primary Goal 2: The regional and subregional proportions of primary health care physicians will exceed 40% of the total medical health care physicians will exceed 40% of the total medical workforceworkforce

Goal 3: All countries will have developed primary health care Goal 3: All countries will have developed primary health care teams with a broad range of competencies that will teams with a broad range of competencies that will systematically include community health workers to improve systematically include community health workers to improve access, reach out to vulnerable groups, and mobilize access, reach out to vulnerable groups, and mobilize community networkscommunity networks

Goal 4: The ratio of qualified nurses to physicians will reach Goal 4: The ratio of qualified nurses to physicians will reach at least 1:1 in all countries of the Regionat least 1:1 in all countries of the Region

Goal 5: All countries of the Region will have established a unit Goal 5: All countries of the Region will have established a unit of human resources for health responsible for the of human resources for health responsible for the development of human resources policies and plans, the development of human resources policies and plans, the definition of strategic directions and the negotiation with definition of strategic directions and the negotiation with other sectors, levels of government, and stakeholdersother sectors, levels of government, and stakeholders

REGIONAL GOALS 2007 -2015

Right Right people people in the in the right right placesplaces

Goal 6: The gap in the distribution of health personnel Goal 6: The gap in the distribution of health personnel between urban and rural areas will have been reduced by between urban and rural areas will have been reduced by half in 2015half in 2015

Goal 7: At least 70% of the primary health care workers will Goal 7: At least 70% of the primary health care workers will have demonstrable public health and intercultural have demonstrable public health and intercultural competenciescompetencies

Goal 8: 70% of nurses, nursing auxiliaries and health Goal 8: 70% of nurses, nursing auxiliaries and health technicians including community health workers, will have technicians including community health workers, will have adapted their skills and competencies to the complexities of adapted their skills and competencies to the complexities of their functionstheir functions

Goal 9: 30% of health workers in primary care settings will Goal 9: 30% of health workers in primary care settings will have been recruited from their own communitieshave been recruited from their own communities

REGIONAL GOALS 2007 -2015

Retain Retain health health workersworkers

Goal 10: All countries of the Region will have adopted a Goal 10: All countries of the Region will have adopted a global code of practice or developed ethical norms on the global code of practice or developed ethical norms on the international recruitment of health care workersinternational recruitment of health care workers

Goal 11: All countries of the Region will have a policy Goal 11: All countries of the Region will have a policy regarding self-sufficiency to meet its needs in human regarding self-sufficiency to meet its needs in human resources for healthresources for health

Goal 12: All sub-regions will have developed mechanisms Goal 12: All sub-regions will have developed mechanisms for the recognition of foreign-trained professionalsfor the recognition of foreign-trained professionals

REGIONAL GOALS 2007 -2015

Healthy Healthy and and productiveproductive

workforceworkforce

Goal 13: The proportion of precarious, unprotected Goal 13: The proportion of precarious, unprotected employment for health service providers will have been employment for health service providers will have been reduced by half in all countriesreduced by half in all countries

Goal 14: 80% of the countries of the Region will have in Goal 14: 80% of the countries of the Region will have in place a policy of health and safety for the health workers, place a policy of health and safety for the health workers, including the support of programs to reduce work-related including the support of programs to reduce work-related diseases and injuriesdiseases and injuries

Goal 15: At least 60% of health services and program Goal 15: At least 60% of health services and program managers will fulfill specific requirements for public health managers will fulfill specific requirements for public health and management competencies, including ethicsand management competencies, including ethics

Goal 16: 100% of the countries of the Region will have in Goal 16: 100% of the countries of the Region will have in place effective negotiation mechanisms and legislations to place effective negotiation mechanisms and legislations to prevent, mitigate or resolve labor conflicts and ensure prevent, mitigate or resolve labor conflicts and ensure essential services if they happenessential services if they happen

REGIONAL GOALS 2007 -2015

Align Align training training and and practicepractice

Goal 17: 80% of schools of clinical health sciences will have Goal 17: 80% of schools of clinical health sciences will have reoriented their education towards primary health care and reoriented their education towards primary health care and community health needs and adopted inter-professional community health needs and adopted inter-professional training strategiestraining strategies

Goal 18: 80% of schools of clinical health sciences will have Goal 18: 80% of schools of clinical health sciences will have adopted specific programs to recruit and train students from adopted specific programs to recruit and train students from underserved populations with, when appropriate, a special underserved populations with, when appropriate, a special emphasis on indigenous, or First Nations, communitiesemphasis on indigenous, or First Nations, communities

Goal 19: Attrition rates in schools of nursing and medicine will Goal 19: Attrition rates in schools of nursing and medicine will not exceed 20%not exceed 20%

Goal 20: 70% of schools of clinical health sciences and public Goal 20: 70% of schools of clinical health sciences and public health will be accredited by a recognized accreditation bodyhealth will be accredited by a recognized accreditation body

Establish in the ministry of health a specific structure responsible for the strategic direction of human resources planning and policies, promoting proper alignment with health systems and services policy and ensuring intersectoral coordination

ACTION

Consider developing a national plan of action for human resources for health, with specific goals and objectives, an appropriate set of indicators and a tracking system, largely intended to strengthen integrated primary health care and public health capacities and ensure access to underserved populations and communities

The 2007 PASC urges the Member States to:The 2007 PASC urges the Member States to:

Pursue the development of a critical mass of leaders with specialized competencies in the management of human resources planning and policies at the central and decentralized levels

ACTION

Commit themselves to the achievement of the proposed regional goals for human resources for health 2007 – 2015 and intensify technical and financial cooperation between countries in support of the plan

The 2007 PASC urges the Member States to:The 2007 PASC urges the Member States to:

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