the global health care workforce (laura hoemeke)

8/6/2019 The Global Health Care Workforce (Laura Hoemeke)

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Health Workers Save Lives

National Press FoundationWashington, DC June 9, 2011

Laura Hoemeke, MPHDirector of Strategic Communications,IntraHealth International


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Click

here
http://www.youtube.com/watch?v=tCSmIYmPOi4&playnext=1&list=PL9E05FB16305D0BF0


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(Source: Global Health Workforce Alliance, Imagine, 2011.)

people lack access to basic healthcare


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Lives in the balance

Lives in the balance


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In 2006 the WHO identified 57 countries with a health workforcecrisis.

Critical shortage of healthservice providers


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Five years later

all 57 countries remain incrisis.


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(Source: WHO, World Health Report, 2006.)

but only 4% of theworlds health workers.

Sub-Saharan

Africa has 25% of the global burdenof disease


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The crisis in East Africa

0

0.5

1

1.5

2

2.5

D o c t o r s / n u r s e s / m i d w i v e s p e r 1 , 0 0 0 p o p u l a t i o n

(Source: WHO, Global Atlas of the Health Workforce, 2011.)


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lo, the beleaguered health worker

Inequitablydistributed

Too

few

Poorlysupported

Too few

Inadequatelyeducated


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Health workers save lives.


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More health workers, better healthoutcomes

(Source: WHO, World Health Report, 2006.)

1% increase in health professionalsassociated with an almost 5% increasein maternal survival and an over 2%increase in both infant and childsurvival

each additional health worker in population of

1000 = 10 to 15 5 decline in burden of infectiousdisease


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Rural populations have less access tohealth workers

0

1

2

3

4

5

6

Ethiopia Rwanda Kenya Uganda

(Source: World Bank, Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa, 2010.)

Docto rsper 1,000

popula tion

Amha

ra

Addis

Gikong oro

Kigali

Turkana

Nairob i

Kamu

li

Kampa la


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0102030405060708090

Ethiopia Kenya Rwanda Uganda

% o f b i r t h s

Percentage of births attended by a health professional

Rural Urban

(Source: Demographic and Health Surveys: Ethiopia 2005; Kenya 2008-09; Rwanda 2007-08; Uganda 2008.)

which affects health outcomes


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05

101520253035404550

Ethiopia Kenya Rwanda Uganda

% o f M W R A

Rural Urban

which affects health outcomes

Modern method contraceptive prevalence

(Source: Demographic and Health Surveys: Ethiopia 2005; Kenya 2008-09; Rwanda 2007-08; Uganda 2008.)


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Projected impact of increasing healthworker density on maternal mortality

Health worker density

(Sources: 83 country sample: Anand and Barnighuasen, Human Resources and Health Outcomes: Cross-Country Econometric Study,Lancet 2004; 364:1603-1609. Health worker density for Ethiopia: WHO, Global Atlas of the Health Workforce. Maternal mortality forEthiopia: Maternal Mortality for 181 Countries, 1980-2008: A Systematic Analysis of Progress Towards Millennium Development Goal5, Lancet 2010; 375. )


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Practical solutions


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Solutions to the health workercrisis

Expandeducation

Mobilizeleaders

Strengthenmanagem

ent


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Mobilizing leadersUgandaHuman Resources for Health TechnicalWorking GroupEngaging ministries, donors, partners, health workers

Malawi

Emergency HR Program53% increase in public sectorhealth workforce, 2004 to2009; use of key servicesincreased; more than 13,000lives saved


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Expandeducation

Mobilizeleaders

Deploywhere

needed

Strengthenmanagem

ent


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Educating health workers

EthiopiaMassive expansion of healthextension workers34,000 health extension workers

dispatched to 15,000 health posts

Mali

The right health workertrained in the right placeGao Nursing School in ruralnorth


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Solutions to the healthworker crisis

Expandeducation

Mobilizeleaders

Deploywhere

needed

Strengthenmanagem

ent


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Deploying health workers

RwandaCommunity health workersdeploying 60,000 health workers; dramaticimprovements in child survival, maternal health anduse of family planning

Uganda

Rural health workerattraction and retentionusing discrete choice

experiment to figure outwhat motivates health

workers


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Solutions to the healthworker crisis

Expandeducation

Mobilizeleaders

Deploywhere

needed

Strengthenmanagement


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Managing health workers

Tanzania

Productivity improvementmaking health facilitiesmoreclient-friendly and morehealth worker-friendly

KenyaEmergency Hiring Plan

830 nurses hired andplaced in 200 healthfacilities in six months


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Expandeducation

Mobilizeleaders

Deploywhere

needed

Strengthenmanagement


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Agenda for actionAdvocacy|Assets |Accountability


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www.intrahealth.org

Laura Hoemeke, Director of Strategic Communications,

[email protected]

Visit us at Booth 416 during GHC

the global health care workforce (laura hoemeke)

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