WHO investments in Northern Pacific Jane Wallace Division for Pacific Technical Support

1. WHO investments in Northern Pacific Jane Wallace Division for Pacific Technical Support

2. Outline • Priorities: How we decide what to do • Operations: What we are actually doing • How we know we have achieved our objectives

3. 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

4. Background – Pacific focus Country office for N Pacific in FMS (CNMI, FSM, Palau,RMI) DPS (Division for Pacific Technical Support)22 Countries and areas 80 staff in 7 offices

5. Background - how WHO works

6. Priorities: deciding what to do County Coop Framework Country Coop Framework, Pacific Ministers Meeting and others Regional Committee

7. 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

8. Priorities: country cooperation strategy National development plans UN Development Assistance Framework (UNDAF) National health plans Multicountry CCS Goals, outcomes Pacific strategic framework Goals, outcomes Country strategy WHO’s support to countries WHO country workplan Output

9. Priorities: WHO and Pacific countries

10. 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

11. 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

12. Operations: NCDs 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 NCD END-POINTS • Heart Disease (incl Hypertension & Stroke) • Diabetes & complications • Cancer • Chronic Respiratory Disease END-POINTS • Ischemic Heart Dis. • Stroke • Peripheral Vasc. Dis. • Cancer • Chronic Lung Dis. INTERMEDIATE RISK FACTORS • Raised Blood Pressure • Abnormal Blood lipids • Raised blood sugar • Obesity INTERMEDIATE RISK FACTORS • Hypertension • Blood lipids • Diabetes • Obesity

13. Operations: NCDs

14. 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

15. Operations: Dengue outbreak RMI Dengue Ward (before) • 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

16. 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

17. 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

18. Moving forward • Focus more on outcomes not outputs • Look at cross cutting impact on public health • Requires a broader view than just health

19. 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: • wallacej@wpro.who.int , ragazar@wpro.who.int , or who.fsm@wpro.who.int; +691-320-2619 (office)

20. Thank you Questions or comments?

21. Analysis of 4 key steps/areas (in particular 4 priorities)

22. 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

23. 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

24. 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)