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WHO investments in Northern Pacific Jane Wallace Division for Pacific Technical Support. Outline. Priorities: How we decide what to do Operations: What we are actually doing How we know we have achieved our objectives. A word about WHO. Member State organization Core functions
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WHO investments in Northern Pacific Jane Wallace Division for Pacific Technical Support
Outline • Priorities: How we decide what to do • Operations: What we are actually doing • How we know we have achieved our objectives
A word about WHO • Member State organization • Core functions • Providing leadership • Shaping research agenda • Setting norms and standards • Articulating policy options • Providing technical support, capacity building • Monitoring health trends • HQ, 6 regional offices and about 145 country offices
Background – Pacific focus Country office for N Pacific in FMS (CNMI, FSM, Palau,RMI) DPS (Division for Pacific Technical Support)22 Countries and areas 80 staff in 7 offices
Priorities: deciding what to do County Coop Framework Country Coop Framework, Pacific Ministers Meeting and others Regional Committee
Priorities: Pacific Ministers Meetings Healthy Islands vision NCDs Top 4 additional priorities Mental health: PIMHnet (I: island) Health information: PHIN (I: information) HR: PHRHA, POLHN Social determinants of health: CROP
Priorities: country cooperation strategy National development plans UN Development Assistance Framework (UNDAF) National health plans Multicountry CCS Goals, outcomes Pacific strategic framework Goals, outcomes Country strategy WHO’s support to countries WHO country workplan Output
Priorities: WHO and Pacific countries Mission Global priorities Main outcomes Pacific strategies WHO core functions Mission Global priorities Main outcomes Pacific strategies WHO core functions Mission Global priorities Main outcomes Pacific strategies WHO core functions
Priorities: country profiles in CCS • Country summary • Summary of national health policy • Strategic priorities from WHO • Joint document, prepared together (MoH, WHO) • Multi-year, not operational Aligning Pacific-wide approaches and country implementation
Operations: NCDs BEHAVIORAL • Tobacco • Diet • Physical Activity • Alcohol ENVIRONMENTAL • Socio-cultural • Policy • Economic • Physical NON-MODIFIABLE • Age, Sex, Genes BEHAVIORAL • Tobacco • Diet • Physical Activity • Alcohol ENVIRONMENTAL • Socio-cultural • Policy • Economic • Physical NON-MODIFIABLE • Age, Sex, Genes NCD END-POINTS • Heart Disease (incl Hypertension & Stroke) • Diabetes & complications • Cancer • Chronic Respiratory Disease END-POINTS • Ischemic Heart Dis. • Stroke • Peripheral Vasc. Dis. • Cancer • Chronic Lung Dis. INTERMEDIATE RISK FACTORS • Raised Blood Pressure • Abnormal Blood lipids • Raised blood sugar • Obesity INTERMEDIATE RISK FACTORS • Hypertension • Blood lipids • Diabetes • Obesity
Operations: POLHN work in FSM • POLHN: online courses, course materials for health professionals in the Pacific • One centre in each state in FSM • Student enrolment: • 2010: 5 students • 2011:15 students taking 30 courses • 2012: 70 students taking 90 courses • Many partners to develop courses; WHO set up and MoH runs the centers
Operations: Dengue outbreak RMI Dengue Ward (before) • Outbreak in 2011 • Training for case management • Improve and utilize surveillance • Identify virus(es) responsible • Vector production sites and control strategies • Main partners: RMI MoH, WHO, CDC
Resources invested • Human resources are main investment • Establishment of DPS office • Subsequent strengthening through increased HR • Establishment of CLO for Northern Pacific • Can draw on additional technical expertise • Regional office in Manila • HQ in Geneva
Achieving our objectives • Financial and indicator reporting • Annual progress report on the entire Western Pacific region • Ad hoc reports, reviews, surveys, surveillance • Coordination and other meetings
Moving forward • Focus more on outcomes not outputs • Look at cross cutting impact on public health • Requires a broader view than just health
WHO Office for Northern Micronesia • Your “One-Stop Shop” for working with WHO • Officially covers FSM, RMI and Palau • Unofficial facilitation of WHO work with CNMI and Guam • Contact info: • wallacej@wpro.who.int , ragazar@wpro.who.int , or who.fsm@wpro.who.int; +691-320-2619 (office)
Thank you Questions or comments?
How we know we have achieved our objectives • Reporting options • Financial and indicator reporting through enterprise-wide system • Annual progress report on the entire Western Pacific region • Ad hoc reports, reviews, surveys • Issues and challenges • Focus more on outcomes not outputs • Look at cross cutting impact on public health • Requires a broader view than just health
With Which Office Do I Work? WHO Headquarters (“HQ”) (Geneva) Rarely interacts directly with countries (except for global meetings) May occasionally provide direct technical assistance WHO Regional Office for the Western Pacific (“WPRO”) (Manila) Has technical expertise in all WHO work areas Often sponsors regional workshops WHO Division of Pacific Technical Support (“DPS”) (Suva, Fiji) Focused on the needs of the Pacific Technical expertise in most WHO work areas WHO Country Liaison Office for Northern Micronesia (“CLO”) (Pohnpei, FSM) See next slide
Priorities: deciding what to do Our Member States tell us! • World Health Assembly • Regional Committee meetings • Healthy Islands - Pacific Ministers Meeting • Country Cooperation Strategy (CCS)