human resources for health

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{Photo credit: Todd Shapera - Rwanda.}Photo credit: Todd Shapera - Rwanda.

This blog post is part of a series leading up to the 67th World Health Assembly (WHA) in Geneva, Switzerland from May 19 – 24, 2014. In conjunction with the WHA, the Leadership, Management & Governance (LMG) Project will host a side session with global health leaders titled, “Governance for Health: Priorities for Post-2015 and Beyond”. This blog series will offer insight on how good governance in the health system can result in stronger health impact as we move beyond the Millennium Development Goals. This post originally appeared on the LMGforHealth Blog.

While substantial progress in the Millennium Development Goals will have been achieved in many countries by 2015, reductions in preventable maternal and infant deaths lags, and the persistent struggle of disease burdens from communicable and non-communicable diseases is worrying.

 {Photo credit: Brigid Boettler/MSH}A participant asks a question during the congressional briefing on saving women's & children's lives in fragile countries.Photo credit: Brigid Boettler/MSH

It can be easy to take healthcare workers for granted. For the majority of us living in the United States, you know that a trained doctor and nurse will see you when you need assistance; a lab technician will do your blood work; and a certified pharmacist will dispense your prescriptions. But imagine going into labor and not knowing if a midwife or doctor will be present? Or, if you need a medication and there is no pharmacy to provide it?

These are the challenges facing millions of people in low- and middle-income countries—and the problems are made worse for those living in rural areas and/or fragile states.

Training health workers

To address this ongoing challenge, MSH, with International Medical Corps and the Frontline Health Workers Coalition, organized a Congressional briefing with the Congressional Women’s Caucus on March 26: “Saving Women’s and Children’s Lives: Strengthening the Health Workforce in Fragile Countries.”

At the heart of the discussion was the acknowledgement that to save lives you must have a strong health system and a strong health workforce.

 {Photo credit: Genaye Eshetu/MSH.}Teberih Tsegay, Almaz Haile, Jember Alemayehu, and Yeshi Derebew, of Korem Town, Ethiopia.Photo credit: Genaye Eshetu/MSH.

Knowledge is power, so the saying goes.

No one understands that more than Teberih Tsegay, Almaz Haile, Jember Alemayehu, and Yeshi Derebew, of Korem Town, Ethiopia, who have used their knowledge to save the lives of babies in their community. "Some years back there was no one to teach us, so we gave birth to HIV-positive children. But now we can teach others so no child will be born with the virus," said Jember.

Seeing the toll HIV had taken on their communities—but empowered with knowledge and skills to stop its further spread—the four women began working with the Korem Health Center as Mother Mentors in 2010. They teach HIV-positive pregnant women and their husbands about the steps necessary to keep their babies safe from the virus.

Remarkably, since they began their work three years ago, only one child has been born HIV-positive in Korem Town.

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The Third Global Forum on Human Resources for Health convened in Recife, Brazil from November 10-13, 2013.The Third Global Forum on Human Resources for Health convened in Recife, Brazil from November 10-13, 2013.

The Third Global Forum on Human Resources for Health (HRH Forum) brought together some 2,000 representatives of government, academia, professional associations, and civil society from 93 World Health Organization (WHO) Member States. Participants took stock of the current state of the global health workforce and committed to working toward universal health coverage (UHC), culminating in adoption of the Recife Declaration (PDF). "Country after country has outlined actions that will ultimately transform and improve the landscape for health workers, and prioritize their needs in a world with ever growing demands being placed on them," said Dr. Marie-Paule Kieny, WHO Assistant Director-General for Health Systems and Innovation and Executive Director a.i. of the Global Health Workforce Alliance.

{Photo by Warren Zelman.}Photo by Warren Zelman.

This post also appeared on Gates Foundation's Impatient Optimists Blog and on Frontline Health Workers Coalition's website.

In a week and a half, as a team of our colleagues arrive in Ethiopia for this year’s International Conference on Family Planning, others will already be in Brazil for the Third Global Forum on Human Resources for Health. This year’s HRH Forum addresses universal health coverage (UHC), a concept which continues to gain momentum as the focus of global health efforts from institutions like the World Bank and World Health Organization (WHO).

It’s symbolic that these two meetings are happening half a world apart: as movements around family planning, health workforce and UHC have advanced, there has been too little dialogue and collaboration across these communities.

{Photo credit: Warren Zelman}Photo credit: Warren Zelman

A new global network for addressing critical social service workforce issues has formed, called the Global Social Service Workforce Alliance (" href="https://twitter.com/SSWAlliance">). Comprised of organizations and individuals, the SSWAlliance: "recognizes the key challenges facing this workforce and aims to promote the knowledge and evidence, resources and tools and political will and action needed to address them, especially within low to middle income countries."  

Amy Bess, coordinator, introduced the SSWAlliance via webinars on June 6 and 7, 2013.

Ummuro Adano, a steering committee member of the SSWAlliance, and a principal technical advisor at MSH, said:

Rwandan physicians receive continuing professional development. (Photo credit: C. Tran Ngoc/MSH)Rwandan physicians receive continuing professional development. (Photo credit: C. Tran Ngoc/MSH)

Maintaining state-of-the-art skills and knowledge is crucial for physicians. But in most developing countries, the lack of structured or ongoing educational activities has pushed medical doctors to travel abroad to benefit from the most recent expertise.

To solve that problem---and improve Rwanda's health system---the Rwanda Medical Council (RMC) launched the continuing professional development program in 2011. The continuing professional development sustains practitioners' knowledge through workshops, seminars, practical sessions, and research.

The USAID Integrated Health Systems Strengthening Project (IHSSP), led by Management Sciences for Health, provided technical and financial support to the RMC for the implementation of the continuing professional development program by developing strategic and monitoring and evaluation plans, helping to run an office, accrediting health professional societies as continuing professional development providers, and preparing the national sensitization campaign.

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