1. JOURNEY TO A ROAD MAP Allison Annette Foster PAHO/WHO Regional Office

2. EVOLUTION OF A ROAD MAP Regional Initiatives National Achievements International Cooperation and Contribution Trends and Challenges Framework for Cooperation Integration of Efforts

3. REGIONAL VISION CCH II and the CCH III Toronto Call to Action CSME CCS Global Reach

4. NATIONAL ACHIEVEMENTS EXPANDED SET OF DATA ON HUMAN RESOURCES FOR HEALTH COOPERATION BETWEEN ACADEMIC INSTITUTIONS AND HEALTH AUTHORITIES INTER-SECTOR COOPERATION AND CONTRIBUTION NATIONAL HRH PLANS COMMITMENT TO SKILLS ENHANCEMENT: Assessments, Curricula Development, Training

5. INTERNATIONAL PARTNERS GOVERNMENTS – DEPARTMENT OF HEALTH OF ENGLAND – HEALTH CANADA and CIDA CANADA – US DEPT. OF HEALTH AND HUMAN SERVICES AND USAID – BRAZIL INTERNATIONAL DEVELOPMENT AGENCIES – PAHO/WHO – WORLD BANK UNIVERSITIES AND COLLABORATING CENTRES – UWI DEPT OF NURSING, DALHOUSIE UNIVERSITY, UNIVERSITY OF MICHIGAN, TECHNICAL PARTNERS – I-TECH – TRG

6. INTERNATIONAL CONTRIBUTIONS – Jamaica in both of the Global Health Workforce Alliance (2008 and 2011) – UWI Mona in Belize and Trinidad and Tobago – St. Lucia, Barbados, Trinidad and Tobago and Belize all contributed to the Canadian Summer Institute (2009 and 2010) – Brasil International Conference on Needs-Based Planning (2009) – UN Meeting in New York - NCDs – -

7. ROAD MAP OVERVIEW

8. TRENDS – NCDs AND CHRONIC DISEASES – MENTAL HEALTH ISSUES – HIV / AIDS – AGEING POPULATION – SOCIAL AND ECONOMIC CHALLENGES

9. ROAD MAP: FIRST STEPS TO LARGER SYSTEMIC CHALLENGES Low hanging fruits: Feasible / Implementable; Measurable; Avoid changing government systems or national priorities RETENTION PRODCTIVITY PATIENT-CENTERED CARE ACCESS SOCIAL DETERMINANTS PUBLIC HEALTH COMPETENCIES

10. ROAD MAP – MAIN LINES OF FOCUS GOVERNANCE EDUCATION

11. ROAD MAP – HOLISTIC / SYNERGISTIC PATIENT APPROACH SOCIETY APPROACH GOVERNMENT SECTORS PRIVATE / PUBLIC SECTORS SHARED RESOURCES ALIGNED TECHNICAL SUPPORT SHARE / DIVIDE STRENGTHS KNOWLEDGE TRANSFER LESSONS LEARNED

12. ROAD MAP: MECHANISMS AND PARTNERSHIP Tool Kits Advocacy Training Academic Institutions Technical Partners Cooperation between Government Bodies

13. FACILITATING INITIATIVES Patient Rights Health Information Systems Gender Equity Public Health Competency Framework Resolution Against Prejudice and Discrimination New - technologies and changes

14. CONSIDERATIONS – ROAD MAP APPROVAL – INSTITUTIONAL COMMITMENT – PARTNERS – ADVISORY COMMITTEE (S) – LEADERSHIP