Estrategia de cooperación para la segunda medición de Metas Regionales y Análisis de Políticas de Recursos Humanos para la Salud

Transcripción

1 Estrategia de cooperación para la segunda medición de Metas Regionales y Análisis de Políticas de Recursos Humanos para la Salud Taller de expertos Lima, Perú, de noviembre 2012 Charles Godue Coordinador Recursos Humanos para la Salud

2 Principales marcos internacionales de políticas de recursos humanos para la salud Ámbito regional Observatorio de RHS 1999 Llamado a la Accion de TOR Metas Regionales de RHS Reforma sectorial Renovación de la APS RISS Joint Learning Initiative 2003 Informe Mundial de la Salud 2006 Declaracion de Kampala 2008 Estamos en buen camino para alcanzar 3er Foro las Global Metas? de RHS Recife 2013 Cual será la nueva agenda de RHS post 2015? Informe Mundial de la Salud 2008 Informe Mundial de la Salud 2010

3 20 Metas Regionales de RHS Desarrollo de indicadores Desarrollo de una metodología 1era medición y línea basal en 24 países Informe de progreso para la CSPA Medición en niveles descentralizados y 2nda medición Proponemos a los países una 2nda medición? (medición intermedia) Si proponemos una medición intermedia para documentar avances y retrocesos, como podemos evaluar la contribución de las políticas, estrategias y programas diseñados para alcanzarlas? Un proceso de evaluación de políticas podría generar los insumos críticos al desarrollo de una nueva agenda de RHS post 2015?

4 Un proceso de evaluación de políticas de RHS puede informar: Las Metas Regionales de RHS? Los objetivos y prioridades nacionales de RHS? Los objetivos sub regionales de RHS? Búsqueda de un denominador común, relacionado con la APS y la cobertura universal en salud, priorizando la disponibilidad de un personal de salud suficiente, competente, motivado y apoyado en el primer nivel de atención

5 Resultados esperados (outcomes): La propuesta de evaluación de política debe ser: Relativamente simple Relevante, atractiva, con tracción política Flexible y adaptable a contextos y realidades diversos (países de ingreso bajo / medio) Articulada a iniciativas existentes (ej: Road Map en el CAR) Introducción de ajustes y mejoría de las políticas, estrategias y programas en marcha Diseño de nuevas iniciativas Identificación de los principales obstáculos Fortalecimiento de las capacidades de planificación Cultura de monitoreo y evaluación Aprendizaje colectivo Insumos para una nueva agenda de RHS post 2015

6 La estrategia de cooperación propuesta Mónica Padilla CAM Benjamín Puertas Sur América Don Ferguson CAR Mario Dal Poz CC UERJ Margarita Velazco, Observatorio Social Gail Tomblin, CC DU Expertos M. Nunez, R. Cameron Consultores Regionales OPS

7 Las expectativas del taller. LOS INSUMOS Marco conceptual Metodología Tool kit Glosario Guías Capacitación Templates LOS PROCESOS Identificación y preparación del grupo conductor Participantes Actividades (encuesta, estudios, grupos focales etc.) Coaching LOS PRODUCTOS Informes de análisis de políticas Inventario de políticas Estudios de caso Publicaciones Buenas practicas, policy briefs Curso de planificación otros Red de Observatorios de RHS / Red de Aprendizaje (CVSP)

8 Los tiempos disponibles Preparación y diseño NOV12 ENE13 2nda medición y análisis de políticas en los país FEB AGO Reunión regional de RHS SEP 13? 3er Foro Mundial de RHS Recife NOV 13 t

9 Observatoriorh.org

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11 Gracias! Merci! Thanks!

12 HHR Observatory: core ideas PRINCIPLES AND VALUES HRH POLICIES STAKEHOLDER S INTERESTS INFORMATIO N AND EVIDENCE Evidence-based Healthcare Muir-Gray, J (1998)

13 EVIDENCE FOR DECISION MAKING THE HRH OBSERVATORY National Inter institutional Inter sectoral Group HRH Core Data Set Comparative studies Case Studies Cooperation between countries Information Clearinghouse Training Institutional Development Direct Technical Cooperation HRH STEWARDSHIP HRH POLICIES PLANNING REGULATION EDUCATION HRH MANAGEMENT ANALYSIS NEGOTIATION AGREEMENT HRH STRATEGIC INTERVENTIONS

14 MISSIONISSION To lead strategic collaborative efforts among Member States and other partners to promote equity in health, combat disease, and improve the quality of, and lengthen, the lives of the peoples of the Americas. Pan American Health Organization World Health Organization 2008

15 Antigua & Barbuda Argentina Bahamas Barbados Belize Bolivia Brazil Canada Chile Colombia Costa Rica Cuba Dominica Ecuador El Salvador Grenada Guyana PAHO MEMBER EMBER STATES TATES and PAHO s s PRESENCE IN THE REGION Guatemala Haiti Honduras Jamaica Mexico Nicaragua Panama Paraguay Peru Dominican Republic Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Suriname Trinidad & Tobago Uruguay USA Venezuela Participating States France Netherlands United Kingdom Associate Member Puerto Rico Observer States Spain Portugal Headquarters Country Offices Pan American Health Organization World Health Organization 2008

16 HUMAN RESOURCES FOR HEALTH: THE REGIONAL APROACH Integration processes between countries NAFTA SICA CARICOM CAN MERCOSUR PAHO HSS/HR Technical Cooperation Four official languages: English French Portuguese Spanish

17 Laying the Foundation RROAD Road Map MAP Implementation, IMPLEMENTATION, High Level Meeting, Caribbean HRH Road Map (2012) Kampala Declaration (2008) CARICOM CCH III (2008) The Health Agenda for the Americas (2008) HRH Data Management Project (2007) Regional Goals for HHR (2007) WHO World Health Report (2006) Global Health Workforce Alliance (2006) Joint Learning Initiative Joint (2004) Learning Toronto Call to Action (2005)

18 HHR Road Map The Journey Context Components/Milestones Outcomes Impacts Population Health Issues Epidemiology Aging Population Child Health Mental Health Education Poverty/Education Violence/Crime Health System Issues Inefficiency Costs & Capacity Poor Access Service Quality Leadership Management HRH Issues HRH Shortages Rural Supply Growing Needs Attrition Emigration Health & Safety Training Productivity HRH Database GOVERNANCE Develop & Implement HRH Plans HRH Policies Workplace Improvements HRH Inventories HRH Observatory EDUCATION & TRAINING Managerial Skills HIS Training Policy Development Staff Management Provider Competence Health Learning Network HRH PLANS Community Based Integrated PHC Teams Enhanced Skills Task Shifting Competency Based Deployment Needs Based Planning Health Promotion Disease Prevention Chronic Care STABILITY of Health Workforce EFFICIENCY of Service Delivery EFFECTIVENESS of Health Outcomes ENABLERS Legislation Programs Policies Management Funding Planning Partnerships Communications Evaluation/ Monitoring WORKFORCE Optimal Competent Aligned with Needs Stable Distributed Flexible Accountable HEALTH SYSTEM Efficiency Quality Equity Access Administration Sustainability POPULATION Improved Access Appropriate Access Better Quality Better Informed Better Health

19 HRH Capacity & Skills Development EDUCATION E D U TRAINING INFORMATION SUPPORT Funding H R H Facilities Managers Health, safety & security Labour relations Assessment & deployment Professional development Performance management Succession planning Incentives & compensation Recruitment & retention HRH Planners Legislation & regulation Policies & programs Data systems & monitoring Communications & partnerships Research & evaluation Evidence based planning Health Care Providers Primary health care Public health Chronic care Health promotion Disease prevention Community based Integrated teams Task shifting Competency based deployment G O GOVERNANCE E R N A N C E MANAGEMENT SERVICE PROVISION

20 OBSERVATORY MODEL (AMRO) National Observatory MO H Sub regional Regional Observatory PAHO UN I P. A. Sub regional Other

21 The HHR Observatory: definition It is a regional network of governments, academic institutions, health services and social organizations, promoted by the Pan American Health Organization, for the generation, analysis, access and exchange of information, knowledge and experiences to support decision-making and the formulation and implementation of public policies, in response to national HHR priorities and the Regional Goals for HHR

22 Mission Through collaborative networking, contribute to the generation of information and knowledge aimed at strengthening the response capacity of the national health authority and to the formulation and management of HHR policies, plans and strategies designed to achieve universal coverage and the development of health systems based on Primary Health Care

23 Objectives To produce evidence in HHR, through systematic and critical analysis and from different perspectives, based on a country s needs To generate standardized information on HHR To evaluate and monitor situations and trends of HHR related to the 20 HHR regional goals and the 5 challenges of the Toronto Call to Action

24 Objectives To improve the quality of information and strengthen information systems on HHR To identify information gaps and research needs on HHR To design communication and dissemination strategies of information, evidence and concerted action

27 TORONTO CALL FOR ACTION REGIONAL GOALS FOR HHR HEALTH AGENDA OF THE AMERICAS PAHO STRATEGIC OBJECTIVE Long term policies and plans 2. The right people at the right place 3. Appropriate education and competencies 4. Working conditions and performance 5. Migration of health personnel Capacity for HHR planning Planning HHR for Ageing and NCDs How to introduce more flexibility in the regulation of professional practice Reform of GME Coordination with ministry of education Indigenous Peoples, cultural diversity and HHR Salaries, modes of remuneration, financial incentives to performance Health and safety of health workers

28 Red Regional CVSP Nodos de Países 139 Instituciones Actores claves (10) Ministerios de Salud Oficinas OPS Universidades Asociaciones (10) * * Nodo OPS Cuba(21) Mexico* Costa Chile Rica * Colombia* (13) * (8) Ecuador * Brasil (10) Peru* * Paraguay Chile** (7) Argentina (21) (9) (34) (6) 28

29 E learning Platform

30 THE NEED FOR AN HHR OBERVATORY IN CANADA? Highly recognized technical expertise Health system with values and principles coherent with universal coverage and PHC strategy Research know-how and capacity in HHR / Health Systems The essence: national relevance and contribution The concept: technical cooperation (share knowledge and information resources) The way: structured network Specific interest: Caribbean Region, Brazil, Chile