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Human Resources for Health action framework. The First Conference of the Asia-Pacific Action Alliance on Human Resources for Health (AAAH) 28-31 October 2006, Thailand. Background.
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Human Resources for Health action framework The First Conference of the Asia-Pacific Action Alliance on Human Resources for Health (AAAH) 28-31 October 2006, Thailand
Background • A technical consultation was held in Washington, DC, on December 14-15, 2005, to develop an HRH Action Framework to support "an effective and sustainable health workforce” • Sponsored by WHO and USAID, the consultation consisted of multilateral and bilateral agencies, donors, partner countries, NGOs and members of the academic community. • WHO included the framework in The World Health Report 2006: Working together for health.
March to October 2006 a steering group: development through an inclusive process refinement (framework + its components) building a rich base of tools, guidelines and other resources. HRH ACTION FRAMEWORK DEVELOPED November'06 to January'07 more tools and resource material will be added as they become available, will include also useful documented country experiences ongoing and dynamic process. HRH ACTION FRAMEWORKCOMPLETED Background
Value of the HRH Framework • Many of the existing tools and guidelines are focused on describing the problem; others focus on helping to find solutions • This framework is: • useful to carry out an assessment and develop a comprehensive country strategy, • to develop these strategies into an organized and systematic implementation plan that will draw in other sectors • and to be used as a ‘filter’ to refine current HRH strategies.
HAF: main building blocks ANALYSE > PLAN > ACT HRH Action Cycle Action Fields WHAT TO DO HOW TO DO IT Critical Success Factors
PROCESS RELATED Country led Government supported Multi-sector Multi-stakeholder Donor alignment Gender sensitive CONTENT RELATED Results focused System linked Knowledge based Learning oriented Innovative Comprehensive and integrated HAF : critical success factors
Preparation & Planning Policy Leadership Finance H R M Systems Implementation Situation analysis Partnership Education M & E HRH Action Framework tools for an effective and sustainable health workforce country specific context including labour market Critical Success Factors BETTER HEALTH SERVICES EquityEffectivenessEfficiencyAccessibility Improved Health Workforce Outcomes BETTER HEALTH OUTCOMES other healthsystemcomponents Go to CD-Rom / Internet
In-service training Capacity of Training institutions Pre-service education tied to health needs Training of non-formal care providers Etc. How intervention areas underneath action field. Illustrative example of ‘EDUCATION’
Preparation & Planning Policy Leadership Finance H R M Systems Implementation Situation analysis Partnership Education M & E How components link to each other: illustrative example What policies or next steps are needed to maximize training capacity at the country level and within the region? How to maximize effective utilization of available funding for health through better harmonization and alignment of partner funding behind national plans?
Preparation & Planning Policy Leadership Finance H R M Systems Implementation Situation analysis Partnership Education M & E Illustrative indicators • Ratio of graduates of pre-service training programs to projected demand by type of health worker. • Attrition of students in pre-service education programs. • Number of certified lecturers/tutors employed by pre-service institutions by cadre and geographic location. • Agreements in place between MoH and other health providers to supplement the delivery of health services. • Mechanisms in place to mobilize community support for health services. • Mechanisms in place for coordination of key stakeholders (including donors)
Links to priority programs, Frequently asked questions, Tools, Country experience, etc. The goal is to keep the framework simply on its face, but also to be responsive to questions people have. e.g. how does this framework help me with my programme? Web product still under development to include….
Practical benefits • Resources are organized according to agreed upon HRH framework (may be obvious but...); • Ultimately, will have: • a short description of a resource when clicked; • resources organized and cross-referenced by area of intervention.
For plenary discussion • In what ways would the HRH Action Framework (meaning the graphic, the critical success factors, the tools and guidelines, and so on) be most helpful for your work at the country level? • What could be done to facilitate its use at the country level? • Any other comments?