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What policy changes in both Africa and the West can address the current challenges?

What policy changes in both Africa and the West can address the current challenges?. HRH are important. Vital for progress on MDGs Glue of an effective health system HRH fundamental for access to basic services Global problem but particularly for Africa

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What policy changes in both Africa and the West can address the current challenges?

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  1. What policy changes in both Africa and the West can address the current challenges?

  2. HRH are important • Vital for progress on MDGs • Glue of an effective health system • HRH fundamental for access to basic services • Global problem but particularly for Africa • Neglected for a long time but this is changing

  3. Whatever we do… • Take risks and push innovation • Make sure that any work is • Country led • Harmonised • Aligned with country processes • Predictably financed for the long term • Learn lessons • Build whole health systems • Short and long term agendas

  4. Pay Housing Schooling Job satisfaction Equipment & drugs Career progression Increased demand for health in developed world Established routes of migration Quality of life &

  5. Investment in health systems • Investment in training and research • Listen to why workers leave • Build capacity where it is needed • Making the most of the workforce

  6. What is UK doing? • Investments in health, primary and secondary education • NHS Links & support to THET • Cross government work • Emergency Human Resources Programme, Malawi

  7. Malawi EHRP • Expand training capacity • Salary top ups • Stop gap recruitment of Drs and Nurse Tutors • Strengthen HRH capacity in Ministry of Health • Ensure monitoring of progress

  8. Early results • Total staffing is increasing • Nurses leaving government service appears to be dropping • Training schools expanded • Hard to serve health centres identified • Staff housing upgrades started • Reengaging retired staff

  9. Not just developed country pull, rural – urban, public - private/NGO, intra Africa • Ethical recruitment internationally and within countries • Workforce planning - aiming for self sufficiency

  10. Diaspora & DFID • Connections for Development to set an ongoing dialogue in place • New ideas • Innovation and pragmatism • Consultation

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