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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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Presentation Transcript
hrh are important
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
whatever we do
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
slide4
Pay

Housing

Schooling

Job satisfaction

Equipment & drugs

Career progression

Increased demand for health in developed world

Established routes of migration

Quality of life

&
slide5
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
what is uk doing
What is UK doing?
  • Investments in health, primary and secondary education
  • NHS Links & support to THET
  • Cross government work
  • Emergency Human Resources Programme, Malawi
malawi ehrp
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
early results
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
slide9
Not just developed country pull, rural – urban, public - private/NGO, intra Africa
  • Ethical recruitment internationally and within countries
  • Workforce planning - aiming for self sufficiency
diaspora dfid
Diaspora & DFID
  • Connections for Development to set an ongoing dialogue in place
  • New ideas
  • Innovation and pragmatism
  • Consultation