JOURNEY TO A ROAD MAP

Allison Annette Foster

PAHO/WHO Regional Office

EVOLUTION OF A ROAD MAP

• Regional Initiatives• National Achievements• International Cooperation and Contribution• Trends and Challenges• Framework for Cooperation• Integration of Efforts

REGIONAL VISION

• CCH II and the CCH III• Toronto Call to Action• CSME• CCS• Global Reach

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

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

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

– -

ROAD MAP OVERVIEW

TRENDS– NCDs AND CHRONIC DISEASES– MENTAL HEALTH ISSUES– HIV / AIDS

– AGEING POPULATION– SOCIAL AND ECONOMIC CHALLENGES

ROAD MAP: FIRST STEPS TO LARGER SYSTEMIC CHALLENGES

Low hanging fruits: Feasible / Implementable; Measurable; Avoid changing government systems or national priorities

RETENTIONPRODCTIVITYPATIENT-CENTERED CAREACCESSSOCIAL DETERMINANTSPUBLIC HEALTH COMPETENCIES

ROAD MAP – MAIN LINES OF FOCUS

• GOVERNANCE

• EDUCATION

ROAD MAP – HOLISTIC / SYNERGISTIC

PATIENT APPROACHSOCIETY APPROACHGOVERNMENT SECTORSPRIVATE / PUBLIC

SECTORSSHARED RESOURCES

ALIGNED TECHNICAL SUPPORT

SHARE / DIVIDE STRENGTHSKNOWLEDGE TRANSFERLESSONS LEARNED

ROAD MAP: MECHANISMS AND PARTNERSHIP

• Tool Kits• Advocacy• Training• Academic Institutions• Technical Partners• Cooperation between Government Bodies

FACILITATING INITIATIVES• Patient Rights• Health Information Systems• Gender Equity• Public Health Competency Framework• Resolution Against Prejudice and

Discrimination• New - technologies and changes

CONSIDERATIONS

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