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Country Coordination and Facilitation

Country Coordination and Facilitation. 04 May 2010 San Salvador Hirotsugu Aiga , MPH, PhD Coordinator, GHWA secretariat. Background & introduction. Part 1. Country coordination and facilitation. Way forward. Part 2. Part 3. Outline of presentation. Part 1. Background & introduction.

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Country Coordination and Facilitation

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  1. Country Coordination and Facilitation 04 May 2010San SalvadorHirotsugu Aiga, MPH, PhDCoordinator, GHWA secretariat

  2. Background & introduction Part 1 Country coordination and facilitation Way forward Part 2 Part 3 Outline of presentation

  3. Part 1 Background & introduction

  4. Part 1 Of 57 crisis countries, 5are in Latin America. Countries with a critical HRH shortage [Source] WHO. (2006). World Health Report 2006. WHO: Geneva.

  5. Part 1 What is GHWA? • Vision: access for all to a skilled, motivated, and supported health worker as part of a functioning health system. • Mission: mobilize all stakeholders to collaboratively advocate and take appropriate actions to achieve access for all to skilled and motivated health workers, with a focus on the 57 countries in crisis. • Stakeholders:258Alliance Members and 29 Alliance Partners, representing developing and developed countries, health professional organizations, academia, NGOs and the private sector.

  6. Part 1 + 258 GHWA members 29 GHWA partners • Africa Public Health Alliance • African Christian Health Association (ACHA) • African Medical and Research Foundation • Asia Pacific Action Alliance on Human Resources for Health • Bill & Melinda Gates Foundation • Duke University • East, Central, and Southern African (ECSA) Health Community • Federal Ministry for Economic Cooperation and Development, Germany • French Development Agency - Agence Française de Développement • Health and Life Sciences Partnership • International Council of Nurses • International Hospital Federation • Intrahealth International, Inc. • Irish Aid - Department of Foreign Affairs, Ireland • Japan International Cooperation Agency (JICA) • Norwegian Agency for Development Cooperation (NORAD) • Physicians for Human Rights • Realizing Rights – The Ethical Globalization Initiative • Results for Development Institute • The Canadian International Development Agency (CIDA) • The College of Surgeons of East, Central, & Southern Africa (COSECSA) • The UK Department for International Development (DFID) • The United States Agency for International Development (USAID) • Tropical Health and Education Trust • Uganda National Association of Community & Occupational Health • University of Ottawa - Université d'Ottawa • World Health Organization (WHO) • World Health Professions Alliance • World Medical Association

  7. Part 1 Core functions of GHWA Three core functions “ABC”: • Advocating for keeping HRH issues high on the global agenda => High level commitment at G8 2008 and 2009, Global forum on HRH • Brokering knowledge =>country profile, technical tools, community of practice, etc. • Convening all stakeholders => regional meeting, technical working groups, task forces, consultations,etc.

  8. Part 1 Kampala Declaration & Agenda for Global Action • Building coherent national and global leadership for HW solution • Scaling up education and training • Managing pressures of the international health workforce market and its impact on migration • Retainingan effective, responsive and equitably distributed health workforce • Securing additional and more productive investment in the health workforce • Ensuring capacity for an informed response based on evidence and joint learning :

  9. Part 2 Country coordination and facilitation (CCF)

  10. Why? Part 2 HRH as a complex polyhedron (1) MOH (6) Health professional association (5) NGO (7) Private sector (4) Civil society (1) MOH (2) MOE=>Education (3) MOF=> Investment (4) MOL(5) MOFA Deployment &distribution Social recognition Accreditation Recruitment Quality: In-service trainingProfessional dev’t Quantity: Pre-service training Migration & retention

  11. Part 2 • Comprehensive solution => All the stakeholders work together as a multi-sectoral team What is “Country Coordination and Facilitation” (CCF)? CCF is the processwhich brings all the key stakeholdersin the country to develop and implement a comprehensive evidence-based HRH plan • Transparency => All the stakeholders share the information and decision making process • Ownership => All the stakeholders share the roles and responsibility • Maximizing existing mechanism => Reinforce the existing HRH committee, if there is.

  12. Flow of the CCF process Part 2 GHWA secretariat STEP1 STEP 5 STEP 2 CCF regional TOT CCF regional mtg=>sensitization CCF facilitation guidance Regional institution STEP 3 CCF national trg Local institution GHWA partnerin country:Multi-/bi-lateral agency Ministry of Labor Ministry of Education STEP 4 Coaching & mentoring Ministry of Finance Health Prof Association STEP 6 Facilitation & acceleration Private sector Civilsociety ............ Develop & implement costed HRH plan [ Global level ] [ Regional level ] [ Country level ] National HRH Committee Ministry of Health [ Note ] STEP 2 and STEP 5 will be undertaken as a combined sessions.

  13. CCF process in the country Part 2 Supervision & Coaching Consultation Facilitation & acceleration GHWA partner(eg, PAHO, USAID, WB….) National HRH Committee Local institution

  14. Expected outcome of CCF Part 2 National HRH Committee throughout the processes & outcome [Outcome 1] Preparation of HRH country profile [Outcome 2] Development of comprehensive costed HRH plan [Outcome 3] Implementation of comprehensive costed HRH plan [Outcome 4] M&E of implementation of comprehensive costed HRH plan

  15. Part 3 Way forward

  16. Lessons learned from other regions Part 3 1. Inadequate dialogues between stakeholders => Information was not adequately shared between the sectors 2. In particular, health professional associations are not adequately involved. => involvement of non-state stakeholders is key. 3. Stakeholders’ involvement had been limited to validation of HRH strategy and plan. => they would like themselves to be more involved.

  17. Way forward, to start CCF Part 3 3. Discuss how the HRH costed plan should be • Open a dialogue between key stakeholders 2. Think about organizing national HRH committee ? 4. Identify local institute & the Alliance partner 5. Request for CCF support from GHWA, if needed Then,the CCF process starts

  18. Thanks for your attention.Let us work together! Contact:Hirotsugu Aiga Laurence CodjiaCoordinator, GHWA Technical Officer, GHWAEmail: aigah@who.int Email: codjial@who.intPhone: +81-22-791-2450 Phone: +81-22-791-2360 http://www.who.int/workforcealliance/en/

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