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Capacities of Caribbean Health Workforce to meet current challenges of non communicable disease prevention and control. Results of a key informant study High level meeting on Human resources for Health in the Caribbean Branka Legetic, James Hospedales,
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Capacities of Caribbean Health Workforce to meet current challenges of non communicable disease prevention and control Results of a key informant study High level meeting on Human resources for Health in the Caribbean Branka Legetic, James Hospedales, Pan American Health Organization- World Health Organization
Survey on Training needs for NCD prevention and control ( on line 2010) • Purpose: To contribute to the improvement of CARMEN school project initiatives, by getting opinion on key competences lacking among health workforce regarding NCD prevention and control. • Key informants: NCD program managers/coordinators, leaders of related NCD initiatives/programs ( tobacco, alcohol, health promotion, physical activity and nutrition)
Objective: • Identify the needs and preferences for capacity building from professionals working in NCD and related programs and are managers in charge of planning and executing NCD and related programs on a country level. • Participants • 31 country • Caribbean: Barbados, Bahamas, Jamaica, Surinam, BVI, Cayman Islands, Guyana, St Lucia, St Kitts, Trinidad
Study results ( 2010): Profile of the respondents: • Participants:146 NCD managers & collaborators • Caribbean: 45 NCD managers and collaborators • Response rate: 72%, Caribbean: 65% • Gender: F( 60.2%) M (39.8%) • Average age: 39; Caribbean:41 • Profile: MD 58%; MSc 66%; 19%PhD; 49% specialists • Caribbean: MD 60%; MSc 20%; 40% specialists
Competences that need enforcement (Region) Investigation, statistics, epidemiology (10%) Evaluation (8.6%) Negotiation skills ( esp. with other sectors) 7.9% Advocacy ( 6.8%) Collaboration, coordination, networking (6.1%) Inter-sectoral action (5.4%) Social marketing and communication (5.1%)
Competences that need enforcement (Caribbean) • Monitoring and evaluation 13.3% • Professional development 9.3% • Planning 8.0% • Research, statistics ,epidemiology 6.7% • Collaboration, coordination, work with other sectors 5.3% • Social Marketing 5.3% • Resource mobilization 5.3%
Access equitable use of health services p1 mín Development of health personnel Program administration p2 Quality assurance Self-care at community level p3 Applied research Policy development institutional capacity p4 Regulation and fiscal capacity Surveillance of NCDs and RF p5 max Health promotion Health situation analysis Intersectoral action Evaluation of plans and programs Social participation 0 10 20 30 40 50 60 70 80 90 100 % Respondents Level of priority given to Essential Public Health Functions in relation to NCDs Caribbean
yes Basic Software no Internet other Computer at Work Specialized Software Video Conference Library 0 10 20 30 40 50 60 70 80 90 100 % of respondents Available resources for training
CARMEN Network 2011 MembersArgentina, Anguilla, Aruba,Antigua Bolivia, Brazil, Bahamas, Canada, Colombia, Costa Rica, Cuba, Curacao, Chile, Dominica, El Salvador, Ecuador, Guatemala, Honduras, Jamaica, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Trinidad & Tobago, Uruguay, BVI Barbados, St Kits & Nevis, Grenada, Guyana, Surinam, 33 Collaborating membersSLU,USF,NHLBI,CDC,PHAC AMNET, RAFA,ILSI,F&V,IDB • Special Project • USA-Mexico (border)
Carmen School Special project of CARMEN network • Generic name for series of training and public health activities that build a partnership between Schools or Departments of Public Health (SPH), Public Health Agencies and Ministries of Health (MOH) at the country level.
Present composition • Evidence Based Public Health Course (EBPH) • Physical Activity and Public Health, (PAPH) • Social Marketing course (SM) • Policy Analyses and Decision Making (PADM) • Chronic Disease management (CDM) All offered in Spanish and English
Partners • The University of Saint Louis, School of Public Health (PRC) in USA • University of South Carolina, School of Public Health (PRC) US • University of South Florida, School of Public Health (PRC)US • University of Cali, School of Public Health (Colombia) • University of Concepcion, Department of Public Health (Chile) • University of Pelotas, ( Brazil) • The West Indies University, Department of Public Health (Jamaica) • The University of San Carlos & University of Galileo (Guatemala) • University of South Florida branch in Panama City ( Panama) • University of Miami
Challenges Logistics & organization: • Limited reach through “in person” courses • Resource demanding Content: • Request for “new skills” like negotiations, inter-sector action, social marketing, communication
Conclusion &… • Capacity building as the #2 bullet for action on Next Steps (Mid term Report on Regional Strategy and Action plan for NCDs in the Americas presented to countries in 2010) • UN HLM Declaration implementation requires from countries greater capacity in all aspects of NC prevention and control
NEXT STEPs for 2012 CARMEN School at PAHO Virtual Campus
Thank you! www.paho.org/chronicdisease