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DGH Lecture Series: Barbara Stilwill


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Department of Global Health Lecture Series

A Cause for Concern: The Global Health Workforce and
the State of Our Health: Barbara Stilwell

Published in: Business, News & Politics
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DGH Lecture Series: Barbara Stilwill

  1. 1. Field support in Southern Sudan Agnes Comfort Barbara Stilwell, Capacity Project
  2. 2. Key issues – governance and government <ul><li>Weak MOH and weak governance generally </li></ul><ul><li>Appointees are ex-army with no experience of running a Ministry: weak management capacity </li></ul><ul><li>Serious lack of coordination across departments especially with the presence and projects of so many donors </li></ul><ul><li>MOH staff are overworked and not performing well: poor facilities and equipment </li></ul><ul><li>Poor budget awareness and control </li></ul>
  3. 4. Key issues <ul><li>Few health workers: <1:1000 people </li></ul><ul><li>Distribution bias to towns </li></ul><ul><li>Motivation variable </li></ul><ul><li>Trying to change curriculum from Arabic to English – translation of some curricula now complete, but no teachers </li></ul><ul><li>Desperately poor infrastructure – classrooms, equipment, books – and not in English </li></ul><ul><li>Few qualified teachers </li></ul><ul><li>Small pool of suitable applicants: under a quarter of eligible children attend secondary school </li></ul><ul><li>Medical school still in Khartoum </li></ul>
  4. 6. Capacity in Southern Sudan <ul><li>Significant presence, trusted by the government </li></ul><ul><li>Taking a strategic, systems approach to workforce development </li></ul><ul><li>Working with partners </li></ul>
  5. 7. To date (1) ………….. <ul><li>First multisectoral HRH forum in Southern Sudan, attended by over 40 representatives of the Central MoH, State MoH and all partners: August 2006 </li></ul><ul><li>Contributed significantly to the development of HR policy and implementation plan: 2006-7 </li></ul><ul><li>HRIS assessment done and implementation about to begin </li></ul>
  6. 8. To date (2) …………. <ul><li>Implemented a range of leadership initiatives and different levels of system </li></ul><ul><li>Contributed to the training and eventual repatriation of 15 Southern Sudanese doctors </li></ul>
  7. 9. Infrastructure in Juba
  8. 10. Office for Capacity? February 07
  9. 11. Office now open – March 07
  10. 12. Capacity opportunities 07-08 <ul><li>HRIS – continue to develop robust system </li></ul><ul><li>Performance assessment with teams from all States: what competencies are needed to deliver BPHS? Working with AMREF </li></ul><ul><li>Resources centers: 2 to begin </li></ul><ul><li>Repatriating doctors and perhaps others </li></ul><ul><li>Leadership development – follow up, mentoring and coaching </li></ul><ul><li>Supporting implementation of HR policy </li></ul>
  11. 13. Resource room Juba hospital
  12. 15. Juba hospital
  13. 16. Developing capacity 10% at a time