52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr WHO investments in Northern Pacific Jane Wallace Division for Pacific Technical Support WHO investments in Northern Pacific Jane Wallace Division for Pacific Technical Support

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Outline Priorities: How we decide what to do Operations: What we are actually doing How we know we have achieved our objectives

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr A word about WHO Member State organization Core functions –Providing leadership –Shaping research agenda –Setting norms and standards –Articulating policy options –Providing technical support, capacity building –Monitoring health trends HQ, 6 regional offices and about 145 country offices

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr 80 staff in 7 offices DPS (Division for Pacific Technical Support) 22 Countries and areas Background – Pacific focus Country office for N Pacific in FMS (CNMI, FSM, Palau,RMI)

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Impl country Pacific approaches Refined for regional context Global public health agenda set and reviewed Background - how WHO works

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr World Health Assembly Priorities: deciding what to do Country Coop Framework, Pacific Ministers Meeting and others Regional Committee County Coop Framework

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Priorities: Pacific Ministers Meetings Healthy Islands vision NCDs Top 4 additional priorities –Mental health: PIMHnet (I: island) –Health information: PHIN (I: information) –HR: PHRHA, POLHN –Social determinants of health: CROP

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Priorities: country cooperation strategy National development plans UN Development Assistance Framework (UNDAF) National health plans Multicountry CCS WHO country workplan Pacific strategic framework Country strategy Goals, outcomes WHO’s support to countries Output

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Priorities: WHO and Pacific countries

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Priorities: WHO and Pacific countries Mission Global priorities Main outcomes Pacific strategies WHO core functions Mission Global priorities Main outcomes Pacific strategies WHO core functions Mission Global priorities Main outcomes Pacific strategies WHO core functions

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Priorities: country profiles in CCS Country summary –Summary of national health policy –Strategic priorities from WHO Joint document, prepared together (MoH, WHO) Multi-year, not operational Aligning Pacific-wide approaches and country implementation

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr END-POINTS  Ischemic Heart Dis.  Stroke  Peripheral Vasc. Dis.  Cancer  Chronic Lung Dis. NCD END-POINTS  Heart Disease (incl Hypertension & Stroke)  Diabetes & complications  Cancer  Chronic Respiratory Disease INTERMEDIATE RISK FACTORS  Hypertension  Blood lipids  Diabetes  Obesity INTERMEDIATE RISK FACTORS  Raised Blood Pressure  Abnormal Blood lipids  Raised blood sugar  Obesity BEHAVIORAL  Tobacco  Diet  Physical Activity  Alcohol ENVIRONMENTAL  Socio-cultural  Policy  Economic  Physical NON-MODIFIABLE  Age, Sex, Genes BEHAVIORAL  Tobacco  Diet  Physical Activity  Alcohol ENVIRONMENTAL  Socio-cultural  Policy  Economic  Physical NON-MODIFIABLE  Age, Sex, Genes Operations: NCDs

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Operations: NCDs

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Operations: POLHN work in FSM POLHN: online courses, course materials for health professionals in the Pacific One centre in each state in FSM Student enrolment: –2010: 5 students –2011:15 students taking 30 courses –2012: 70 students taking 90 courses Many partners to develop courses; WHO set up and MoH runs the centers

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Operations: Dengue outbreak RMI Outbreak in 2011 –Training for case management –Improve and utilize surveillance –Identify virus(es) responsible –Vector production sites and control strategies Main partners: RMI MoH, WHO, CDC Dengue Ward (before)

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Resources invested Human resources are main investment –Establishment of DPS office –Subsequent strengthening through increased HR –Establishment of CLO for Northern Pacific Can draw on additional technical expertise –Regional office in Manila –HQ in Geneva

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Achieving our objectives Financial and indicator reporting Annual progress report on the entire Western Pacific region Ad hoc reports, reviews, surveys, surveillance Coordination and other meetings

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Moving forward Focus more on outcomes not outputs Look at cross cutting impact on public health Requires a broader view than just health

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr WHO Office for Northern Micronesia Your “One-Stop Shop” for working with WHO Officially covers FSM, RMI and Palau –Unofficial facilitation of WHO work with CNMI and Guam Contact info: or

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Thank you Questions or comments?

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Analysis of 4 key steps/areas (in particular 4 priorities) HRHealth information Mental health Social determinant Priority setting N & S (policy, strategy, tools) Capacity building (Implementation) M & E

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr How we know we have achieved our objectives Reporting options –Financial and indicator reporting through enterprise-wide system –Annual progress report on the entire Western Pacific region –Ad hoc reports, reviews, surveys Issues and challenges –Focus more on outcomes not outputs –Look at cross cutting impact on public health –Requires a broader view than just health

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr With Which Office Do I Work? WHO Headquarters (“HQ”) (Geneva) –Rarely interacts directly with countries (except for global meetings) –May occasionally provide direct technical assistance WHO Regional Office for the Western Pacific (“WPRO”) (Manila) –Has technical expertise in all WHO work areas –Often sponsors regional workshops WHO Division of Pacific Technical Support (“DPS”) (Suva, Fiji) –Focused on the needs of the Pacific –Technical expertise in most WHO work areas WHO Country Liaison Office for Northern Micronesia (“CLO”) (Pohnpei, FSM) –See next slide

52 nd Meeting of PIHOA Guam, June 2012 Most photos courtesy of Flickr Priorities: deciding what to do Our Member States tell us! World Health Assembly Regional Committee meetings Healthy Islands - Pacific Ministers Meeting Country Cooperation Strategy (CCS)