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Considerations in Developing NPHIs

Considerations in Developing NPHIs. Sue Binder www.ianphi.org. What Are NPHIs?. U.S. CDC. Mexico INSP. Netherlands RIVM. Finland THL. Who is next?. China CDC. Ethiopia EHNRI. What Are NPHIs: The Framework.

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Considerations in Developing NPHIs

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  1. Considerations in Developing NPHIs Sue Binder www.ianphi.org

  2. What Are NPHIs? U.S. CDC Mexico INSP Netherlands RIVM Finland THL Who is next? China CDC Ethiopia EHNRI

  3. What Are NPHIs: The Framework • Developed in response to the need to have a consistent language for ourselves, donors, and partners about what NPHIs are and what they do • IANPHI members worked together to create a consensus document, published 2007

  4. The Framework Includes Background information about NPHIs Definition of an NPHI Core NPHI Attributes and Functions Approaches to creating or enhancing an NPHI

  5. Examples of NPHI Core Attributes • National scope of influence • Focus on major public health problems • Scientific basis • Linkages – sub-national/ national/international; government/non- government

  6. Examples of NPHI Core Functions • Population health assessment • Surveillance, problem investigation, & control of threats • Research • Prevention programs & health promotion • Human resources development & management • Emergency preparedness & response

  7. Which Core Functions Does a “Typical” NPHI Do? • Many NPHIs become more comprehensive over time, e.g., CDC • Often, a crisis is an impetus to increase comprehensiveness • Example: Public Health Agency of Canada created following 2003 SARS outbreaks • Lack of communication between national and sub-national • Large numbers of people quarantined unnecessarily • Health care system overwhelmed by worried well • Business and tourist travel stopped • Subsequently, the Parliament legislated the Public Health Agency of Canada

  8. IANPHI Long-term Projects • Mostly in low-resource countries • Project can last several years • Goal is sustainable increases in NPHI capacity to conduct Core Functions related to pressing problems in the country

  9. IANPHI Long-term Projects(cont’d) • We aim to be transformative • IANPHI funds are limited, but can serve as a catalyst – have a multiplier effect • Guinea Bissau: Linkage of formerly disparate groups a robust NPHI • Tanzania: Investment in non-communicable disease surveillance and policy work as the Ministry expands its NCD efforts, NIMR is playing an important role in providing a science base

  10. Keys to Success of Long-Term Projects • A high-level champion in the government • NPHI Leadership: Critical for • Aligning staff and programs with the NPHI’s vision and mission • Staff buy-in to organizational change • Deal with barriers • Garnering additional resources • Vision for how the IANPHI invest-ments will lead to transformation

  11. Other IANPHI Support for NPHI Development • Technical assistance • Strategic planning • Meeting with key people (e.g., Ghana) • Funding of meetings, e.g., for strategic planning • Training • General leadership and management development, e.g., as part of annual meetings • Targeted: Address specific needs • Mentorship program

  12. Substantive improvements to public health systems require a national organizational focus – an NPHI. IANPHI looks forward to helping you to develop yours.

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