1. AAAH meeting, Beijing, China | October, 2007 1 |1 | Dr Jean Yan Coordinator, Nursing, Midwifery and Health Professions, Department of Human Resources for Health Beijing, China, 12-13 October 2007 The World Health Report 2006 On ward ….

2. AAAH meeting, Beijing, China | October 2007 2 |2 | we're here with the health workers who are with the people they serve April 2006

3. AAAH meeting, Beijing, China | October 2007 3 |3 | Global Commitments to address critical shortage of health workforce ( May 2006) WHA Resolution 59.23 Rapid Scaling-up of Health Workforce Production WHA Resolution 59.27 Strengthening Nursing and Midwifery

4. AAAH meeting, Beijing, China | October 2007 4 |4 | WHA Resolution 59.23 Rapid Scaling up of health workforce production Revitalize health training institutions and rapidly increase the health workforce Encourage global partners to support health training institutions Engage in training partnerships to improve capacity and quality of health professional education in developing countries Development of health workforce planning teams, use of innovative approaches to teaching in developing countries, state of the art teaching materials, continuing education through innovative use of information and communications technology

5. AAAH meeting, Beijing, China | October 2007 5 |5 | WHA Resolution 59.27 Strengthening Nursing and Midwifery - N&M involvement in integrated planning of HRH – re. strategies for maintaining adequate numbers of competent N&M personnel - to recruit N&M in all relevant WHO programs to ensure the contributions of nursing and midwifery in the development and implementation of WHO ’ s policy and programs - support to Member States in optimizing the contribution of N&M to meeting national heath policies and the MDGs - encourage and support Member States in the provision of workplace environments that are safe and support the retention of nurses and midwives

6. AAAH meeting, Beijing, China | October 2007 6 |6 | Improved national capacities to plan, train, deploy, retain and manage the health workforce Policy options Strengthened institutions Country impact Work cyclesActivities/products Strategic information Country work WHO/HRH Strategic directions and work streams Strengthened HRH agenda at country, regional and global level Access to motivated, skilled, and supported health workforce Health systems/country work: GAVI-HSS, GF Integration with priority diseases PHC Institutions strengthened: regional offices and partnerships accreditation mechanisms governance for HRH regulation Strategic information: Core indicators Global databases Observatories, CoP Policy options/good practices: education, retention, migration Monitoring and evaluation

7. AAAH meeting, Beijing, China | October 2007 7 |7 | Norms and standards setting HRH Action Framework Tools and guidelines for health workforce monitoring (core indicators and benchmarks) Standards for practice in nursing and midwifery Guidelines for task shifting for achieving universal access to HIV/AIDS treatment and care

8. AAAH meeting, Beijing, China | October 2007 8 |8 | Regional and country support Support the development of country and regional HRH Observatories as mechanisms for policy development and information sharing Provide country support for HRH assessment, planning and implementation Provide technical support for scaling up the health workforce production

9. AAAH meeting, Beijing, China | October 2007 9 |9 | Visibility Evidence Political Advocacy Stronger health systems Adequate/available Competent Motivated Supported Fiscal space Migration Alignment Addressing global issues Observatories: National, regional, global Research Sharing Learning Knowledge Health Workforce Better Health Leadership/management Education / training Recruitment /deployment Incentives/retention Regional support Country Action

10. AAAH meeting, Beijing, China | October 2007 10 | Structure of the Department of Human Resources for Health

11. AAAH meeting, Beijing, China | October 2007 11 | Global Health Workforce Alliance GHWA Members’ Forum GHWA Board MigrationAdvocacy Scale up Ed. & Training Tools & Guidelines Executive committee Nominating committee Program / policy committee GHWA Secretariat Financing Univ. access to HIV treat. Working Groups / Task Forces

12. AAAH meeting, Beijing, China | October 2007 12 | Death from HIV – largest cause of attrition Zambia: - 1980: 2 nurses out of 1000 died - 2001: 27 nurses out of 1000 died Botswana: - 1999-2005: 17% of health workforce died - 1999-2010: 40% of health workforce will die (projection if no action) HIV prevalence = 15%  up to 33 % loss of health workers in 10 years

13. AAAH meeting, Beijing, China | October 2007 13 | Treat (prevent, care, and support) A package of HIV/AIDS prevention, care, treatment, and support for health workers Train (and planning for HRH) Measures to empower HRH towards UA Retain Strategies to enable health systems to retain health workers Universal Access to HIV Treatment: The TTR plan Task shifting

14. AAAH meeting, Beijing, China | October 2007 14 | Scaling-up Education and Training Case studies ( indicators and benchmarks) Roadmap for countries to scale –up Setting –up educational system Guide for international partners to support countries to scale-up

15. AAAH meeting, Beijing, China | October 2007 15 | BETTER HEALTH SERVICES Equity Effectiveness Efficiency Accessibility BETTER HEALTH OUTCOMES other health system components country specific context including labour market Improved Health Workforce Outcomes Situation analysis Preparation & Planning Impleme ntation M & E Policy Leadership PartnershipEducation Finance H R M Systems Critical Success Factors HRH Action Framework tools for an effective and sustainable health workforce

16. AAAH meeting, Beijing, China | October 2007 16 | Migration of Health Workers Review of Codes of Practice, bilateral agreements, MRAs ( Commonwealth COP, ASEAN MRA, Caribbean Single Market and Economy, South Pacific Code of Practice, Namibia-Kenya MOU, Philippines- Spain MOU, UK-South Africa MOU) Framework for Global Code of Practice : principles Opportunities for collaboration and monitoring impact Information on Health worker Migration ( WHO-OECD ) core dataset Effective Policy response to Migration of Health workers ( WHO,ILO,IOM in 5 countries : Romania, Senegal, Costa Rica, Trinidad and Tobago, Kenya)

17. AAAH meeting, Beijing, China | October 2007 17 | Migration of Health workers Policy Advocacy Council Technical Working Group EB and WHA 2008 UN Global Migration Forum WHO GHWA RR High –level Migration Forum WHO/OECD WHA 2008

18. AAAH meeting, Beijing, China | October 2007 18 | Primary Health Care Commissioned study of PHC and HRH Framework Three – country case study on CHW: Uganda, Kosovo Literature review on contributions of health professions in PHC Good Practices on PHC ( 2-3 cases from each region)

19. AAAH meeting, Beijing, China | October 2007 19 | Commitments to address critical shortage of health workforce ( May 2006) WHA Resolution 59.23 Rapid Scaling-up of Health Workforce Production WHA Resolution 59.27 Strengthening Nursing and Midwifery

20. AAAH meeting, Beijing, China | October 2007 20 | Regional Response AFRO High level inter-ministerial technical consultation (MOH, Finance, Education and Public Service) - 48 countries Consensus on the priority actions to address health workforce crisis reached and supported at the 3 rd Conference of AU Ministers PAHO Decade for Human Resources EURO RC Resolution (EUR/RC57/R1) EMRO Human Resource Observatory

21. AAAH meeting, Beijing, China | October 2007 21 | HRH Priority Action Areas EMROEUROAFROPriority Areas X X XHealth workforce policy, planning and management X XMigration and Code of Practice X X XBetter intelligence ( info and knowledge base) HS/HR Observatory X XGovernance, stewardship, partnership X X Scaling-up production Financing

22. AAAH meeting, Beijing, China | October 2007 22 | http://www.who.int/hrh