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National Public Health Institutes Core Attributes. Peter B. Bloland, DVM, MPVM Director Division of Public Health Systems and Workforce Development Global Health Leadership Forum November 10, 2011. Center for Global Health. Division of Public Health Systems and Workforce Development.
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National Public Health InstitutesCore Attributes Peter B. Bloland, DVM, MPVM Director Division of Public Health Systems and Workforce Development Global Health Leadership Forum November 10, 2011 Center for Global Health Division of Public Health Systems and Workforce Development
National public health institutions Defining
National Public Health Institutes Definition: “Science-based organization or network of organizations that provides national leadership and expertise to efforts to achieve substantive, long-term improvements in the public’s health” From: IANPHI Europe (2011) National Public Health Institutes – European Perspective, Report 40/2011, Helsinki
NATIONAL PUBLIC HEALTH INSTITUTIONS (IANPHI 2007) Core Attributes of
National Scope of Influence Core Attributes of NPHIs • National vision, national • visibility • Operational relationships • at sub-national levels • Ability to implement critical • public health programs • throughout country • National Impact From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Core Attributes of NPHIs • Public institution with • explicit mandate & • authorities from • government • Support of government for • operations, including • emergency powers, as • needed • Supports government as • resource for data & • evidence for policy • development From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Core Attributes of NPHIs • Prioritizes evidence-based • decision making, as free • from political influence • as possible • Maintains public trust as • unbiased source • of health information and • advice From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Core Attributes of NPHIs • Uses best available • scientific data upon which • to base guidelines, • recommendations, • policies, programs • Recognized, respected, & • primary source of public • health information From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Core Attributes of NPHIs • Increasingly able to • address all major public • health challenges affecting • nation’s public: • Infectious diseases • Non-communicable • diseases • Injuries • Environmental health • Occupational health From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Core Attributes of NPHIs • Dedicated budget • Predictable funding base • commensurate with • responsibilities • Adequately sized and • appropriately skilled • workforce, including • managerial, scientific, • technical From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Adequate Infrastructural Support Core Attributes of NPHIs • Reliable power, water • Access to scientific literature • Reliable communications, • including internet, phone • Laboratories capable of • meeting international • GLP and QA standards From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Adequate Infrastructural Support Linkages & Networks Core Attributes of NPHIs • Functional relationships & • partnerships within • government and with non- • governmental organizations, • private sector • International, national, sub- • national, community levels From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Adequate Infrastructural Support Linkages & Networks Accountability Core Attributes of NPHIs • In accordance with • building and maintaining • public trust, is accountable • to public: • Transparent operations • Strategic plan • Expenditures • Impact From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
National public health institutions Core Functions of
Evaluation and analysis of health status Public health surveillance, problem evaluation, control of risks and threats Prevention programs & health promotion Social participation in health Planning and management Regulation & enforcement* Evaluation and promotion of coverage & access to health services Human resource development & training Quality assurance n personal and population health services Public health research Reduction of impact of emergencies and disasters Core Functions From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. www.ianphi.org
Especially in times of economic challenges: Need for greater accountability, stewardship of public/ donor funds Need for greater coordination between programs Need for greater impact, proof of return on investment Need for better leadership From CDC perspective, NPHIs offer: logical institutional home and “center of gravity” for many of the various public health programs for which CDC provides technical assistance logical partner in government-to-government relationship most sustainable model for strengthening public health systems and achieving lasting positive impact on public’s health Why NPHIs? Why Now?