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Capacity Workshop on Health System Development: Human Resources Development

Capacity Workshop on Health System Development: Human Resources Development. Alexandria, 8-12 June 2008 Ghanim Alsheikh, WHO/EMRO alsheikhg@emro.who.int. Outline. HR and H System HR and Health Outcomes HRD Sub-system HR Policy framework Main messages for future directions.

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Capacity Workshop on Health System Development: Human Resources Development

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  1. Capacity Workshop on Health System Development: Human Resources Development Alexandria, 8-12 June 2008 Ghanim Alsheikh, WHO/EMRO alsheikhg@emro.who.int

  2. Outline • HR and H System • HR and Health Outcomes • HRD Sub-system • HR Policy framework • Main messages for future directions

  3. HRH and Health system

  4. Message 1:As a cross-cutting function, HRH is the ENGINE of any Health System HR HR HR HR HR HR

  5. HRH and Health Outcome

  6. 100 Measles Immunization 80 Skilled Birth Attendance 60 Coverage (%) 40 20 0 .5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 Health Worker Density (per 1,000) Worker Density & Service Coverage From: JLI 2004.

  7. Worker Density and Mortality (Data from 117 country) Source: Anand & Baernighausen- 2004 (JLI)

  8. HR “Numbers Game” Message 2: Number essential but NOT ENOUGH Performing HS and its HRH

  9. HRH Mal-distribution

  10. Health Worker Density Comparisons by World’s Regions From: JLI 2004.

  11. Regional mal-distribution: Physicians

  12. Regional mal-distribution: nurses

  13. Deceiving Surplus Unregistered out-migration; Dual practice Poor absorption of HS: only 60/135K employed in public National/Foreign workforce: 2% 2 November 2014 13

  14. National mal-distribution: Geographic & facility maldistribution Densities per population of Drs & nurses in Hospitals & Health Centers bygovernorates Hospitals Health Centers Physicians Nurses and midwives

  15. Different mal-distribution: Skill Mix: 14 EMR countries

  16. What standards?Ratio of Nurse/Physician in OECD (1) & EMR (2) Message 3: Averages are misleading, close M&E for different kinds of mal-distribution is essential, HRH regional & national observatories

  17. Human Resources Development Sub-system

  18. Generic Framework for National HRH dynamics Inflow Education In-migration Production of Health Stock Health Workers Coverage Motivation Competence Retirement Death Out-migration Outflow Source: JLI 2004.

  19. HEALTH SYSTEM EDUCATION SYSTEM HEALTH PLANNING HUMAN RESOURCES PLANNING HUMAN RESOURCES PRODUCTION HUMAN RESOURCES UTILIZATION WHO76542 THE HEALTH MANPOWER SYSTEM The Human Resources Development Sub-system • Message 4: • HRD intervention should be systematic to address 3 stages: • HR planning, • HR production and • HR utilization

  20. National HRD subsystem Stakeholders HR Planning HEALTH SYSTEM DEVELOPMENT HR Production HR Utilization National Planning Coucil Health planning MOH HRD Units Message 5: Wide membership of a National Coordinating mechanism to address all stages of HRD system Health services University HPE Professionalassociations Vocational education continuingeducation CPD Universitynon-HPE

  21. Message 6:A Nanal HRH Policy should address all HRD subsystem to meet demands of health system development ACHIEVING A SUSTAINABLE HEALTH WORKFORCE ANALYSIS POLICY LEADERSHIP FINANCE HRH MANAGEMENT SYSTEMS PLANNING EVALUATION PARTNERSHIP EDUCATION IMPLEMENTATION OTHER HEALTH SYSTEM COMPONENTS COUNTRY SPECIFIC CONTEXTS HEALTH SYSTEM Equity Effectiveness Efficiency Quality BETTER HEALTH OUTCOMES

  22. Conclusion: main messages: As a cross-cutting function, HRH is a priority for efficient Health System to achieve health outcomes HRD should address both number, quality and performance Sound information and close M&E of different kinds of mal-distribution is essential. HRD interventions should be systematic to address 3 stages of HRD subsystem Wide membership of a National Coordinating mechanism is essential to address all stages of HRD system and ecosystems. A Nanal HRH Policy should address all HRD subsystem aiming at meeting demands of health system development. 2 November 2014 22

  23. Thank you 2 November 2014 23

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