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HUMAN RESOURCES FOR HEALTH:

HUMAN RESOURCES FOR HEALTH:. Challenges and Strategies for Africa and Links with Global Developments Eric Buch UNSW Feb 06 eric.buch@up.ac.za. Africa. Knows there is a crisis and the basic causes Long a priority for African Ministers’ of Health Been key to taking HR to international agenda

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HUMAN RESOURCES FOR HEALTH:

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  1. HUMAN RESOURCES FOR HEALTH: Challenges and Strategies for Africa and Links with Global Developments Eric Buch UNSW Feb 06 eric.buch@up.ac.za

  2. Africa • Knows there is a crisis and the basic causes • Long a priority for African Ministers’ of Health • Been key to taking HR to international agenda • 2004 WHA resolutionon migration 2006 • Heads of State Summits Decisions • Durban 2002, Abuja 2005 • Emerging efforts by countries and partners

  3. African challenges Includes : • Challenges in training, deployment, motivation and retention, severe urban-rural imbalances, poor incentives, difficult work conditions and lack of technical competence. • Health systems dysfunction undermines performance and morale

  4. Challenge to implement HoSdecisions • Determine the categories that will provide an appropriate human resource mix • Prepare inter-ministerial costed HR development & deployment plans, packages • Forward fund growth of training capacity • Build cadre of multi-purpose trained clinic staff

  5. Policy challenges • Choice of health worker mix • Clear position on migration • Convince Ministers of Finance • Flexibility in Conditions of Service • Incentives that work • Policy frame for successful CHWs • Changing donor architecture • Mobilise GHI funds for HR • Active Ministers’ leadership

  6. Implementation challenges • Implement our plans, harmonise donors • Curricula for auxiliaries • Modernise training institutions • Grow African capacity • Effective district and service managers • Support and supervision of CHW, auxiliaries • More than descriptive observatories • Share experience • Functional districts as drivers • Build with health systems

  7. Global Developments • Joint Learning Initiative • High Level Forum on Health MDGs • Abuja, Oslo and Brazzaville platform • Global Health Workforce Alliance & Regional • World Health Report and Day • World Bank Programme • Donor interest • Technical Framework • Country focus

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