HRH presentation-V2

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Transcript of HRH presentation-V2

C R E A T I N G A H E A L T HW O R K F O R C E :

L E V E R A G I N G Y O U T H

A L A N D S C A P E A N A L Y S I S

J o s h u a A . C o l e

H e a l t h W o r k f o r c e & E c o n o m i c s i n t e r n ,

U S A I D / G H / O H SS e p 2 9 T H , 2 0 1 6

F o r I n t e r n a l U S A I D p u r p o s e s o n l y

T O P R E S E N T O N T H E H R H A C T I V I T I E S W I T H I NM Y S C O P E O F W O R K , W I T H A N E M P H A S I S O NT H E L A N D S C A P E A N A L Y S I S

T O R E Q U E S T F E E D B A C K A N D S U G G E S T I O N SO N T H E D E V E L O P M E N T O F S A I D A N A L Y S I S

P R E S E N T A T I O NO B J E C T I V E S

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3 K E Y A C T I V I T I E SF O R H R H

HRH profile mockupHealth systemsbenchmarking toolHRH analysis & webinarYouth & health labormarket landscapeanalysis

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D E V E L O P I N G AL A N D S C A P EA N A L Y S I S O NY O U T H & H E A L T HL A B O R M A R K E T S

A C T I V I T Y # 3

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WHAT LEDTO THISANALYSIS?

Global HRH StrategyCommission on HealthEmployment and EconomicGrowthHRH2030Discussions with field missions

B A C K G R O U N D

Health workforce need Global need for 18 million additional health workers by 2030, primarily in low­resource

settings, to attain high and effective coverage of health services 

By 2030, low income countries are projected to face widening gap between # of health

workers needed and capacity to employ them

LICs  will need 3.4 million health workers and increase supply by 11% per year until 2030

Middle income countries will face increasing demand for healthcare due to economic

growth; health workforce must increase by 8% per year

Health labor markets

Supply of health­care workers and the demand for health­care workers

Labor market forces determine compensation, employment settings, geographic location

and specialty choice of workers

Labor markets of many countries, particularly in Africa, are biased against youth

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C O M P A N Y . C O M07

B A C K G R O U N D - C O N T ' D

C O M P A N Y . C O M07

B A C K G R O U N D - C O N T ' D

B A C K G R O U N D - C O N T ' D

Youth bulge and workforce development 1.2 billion people aged 15­24 years globally in

2015, most live in LMICs

71 countries experiencing the youth bulge

600 million jobs to create over the next 10 years to

meet rising workforce supply

Effective youth employment associated with

political and social stability 

 Expand regionaleconomy by 22% andreduce poverty by 51

million people

Increase Africa's skilledyouth labor supply from25% to 50% by 2030

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HOW CAN WE LEVERAGE YOUTH TO

STRENGTHEN THEHEALTH WORKFORCE?

C O M P A N Y . C O M

C A S E S T U D I E S MSI GENERATION (2014-)

Develop a 8­12 weektraining curriculum withemployers (8 privatehospitals & institutes)                                 Train youth as general dutyassistants                                     Students apply to program**selection bias**   Requirements: Class 8thpass or 10th pass; ages of18­29 unemployed

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Impact

GDAs save 16 minutes of nurses’ time per 8hours [Productivity gains] Generation­GDAhave performance scores [Performance gains]New employers are signing up to pay 30% of therecruiting and training costs [Partnership gains]

C A S E S T U D I E S Kenya Youth Empowerment Program (2010-16)

3 components: Capacity Building and Policy Development, Private Sector Internships and

Training, Labor­intensive works and social services

Mandated Kenya Private Sector Alliance to implement KYEP and coordinate stakeholders

Implemented in Nairobi, Mombasa, and Kisumu

8 week training + 4 months of work experience. 

Youth, stipend KES 6,000 per month; employers, KES 3,000 per intern monthly

allowance 

Requirements: at least 8 years of education ; ages of 18­29 unemployed

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Impactmonthly earnings for men were KSh 6,700 higher than for program non­participants [Income gains] 14­months after internship, 80% of young men had paid work compared with 69% inthe control group. Men who completed the full training program experienced a 14.2%gain. For women, a 6.7% and an 8.7% respective increases [Employability gains]

L E S S O N S L E A R N E D A N DR E C O M M E N D A T I O N S

Encourage and promote public­private partnership, whileensuring government ownership                                        Youth­employer matching process can be cumbersome   Emphasize the importance of soft skills training               Promote demand­driven technical skills training/ linkagesto business development services for increased impact 

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G A P S

Applicability of youth workforce development programs inpublic healthcare. Can similar results be achieved in lessdynamic health labor markets?                                                                                                             Role and involvement of medical associations                     Strategies for less ideal situations of low marketabsorptive capacity, fragile states, or rural areas                 Data on youth not targeted by these programs or thosewho dropout, longitudinal data                                                                       Lack of cost­benefit analyses; projected economic andhealth gains

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Q & A

F E E D B A C K

S U G G E S T I O N S F O RM O V I N G F O R W A R D ?

T H A N K Y O U

J o s h u a A . C o l e

H e a l t h W o r k f o r c e & E c o n o m i c s i n t e r n

U S A I D / G H / O H S