Estimates indicate that healthcare costs drive an additional 4% of Indian families, over 50 million people, into poverty each year.The challenge before us is not one of resources. As a country we are already spending more than enough money on healthcare; we produce almost all of the drugs that we need locally, at a fraction of global costs; we have the finest physicians and nurses; and our technological capabilities are internationally recognized. What we need is a health system that uses these resources effectively.
The Eastern Mediterranean Region has a low density of health workers compared to other WHO regions. While the number of medical schools and density of physicians and nurses has increased in recent decades, it has not kept pace with population growth. There are also imbalances in skill mix and distribution of health workers across countries in the region. Protracted crises have led to out-migration of health workers and violence against healthcare facilities. To address these health workforce challenges, the draft WHO regional framework calls for countries to develop strategic plans, increase investment in education and employment, strengthen collaboration and information systems, and enhance regional cooperation.
The document summarizes progress made towards implementing the Action Plan for Sexual and Reproductive Health in Europe. It outlines three main goals of enabling informed decisions about SRH, ensuring highest attainable SRH standards, and guaranteeing universal SRH access. Half of member states require sexuality education in schools, but capacity building for teachers is still needed. Almost all member states provide free antenatal care, but improving quality and reducing mortality is a priority. Over half of member states allow contraceptive access without parental consent for adolescents under 18, but availability and access remain challenging. Assessments of SRH in relation to universal health coverage have been completed in 6 countries with 6 more planned in 2020 to advance the goals.
How is gehip leadership development different from traininggehip2010
The document discusses the difference between training and leadership development in public health. Training involves building technical and administrative skills at each level of the public health system through programs like those for community health officers, supervisors, and nurses. Leadership development adds additional components like field practicums for integrated problem solving, peer leadership training, district health profiling, and information and decision-making skills. It also includes health system development team training to build capacity across different levels of the public health system.
How is gehip leadership development different from traininggehip2010
The document discusses the difference between training and leadership development in public health. Training involves building technical and administrative skills at each level of the public health system through programs like those for community health officers, supervisors, nurses, and district directors. However, training does not build the capacity for systems-level collaboration. Leadership development through GEHIP will add field-based practicums, peer leadership training, district health profiling, and information and decision-making skills to help form an integrated public health team capable of solving problems across levels of the system.
Jim Campbell: Midwifery workforce: Present and future challenges for quality ...Jim Campbell
The post-2015 discourse for global health includes discussion of Universal Health Coverage, Preventing Maternal Mortality by 2035 and a Global Newborn Action Plan, amongst others.
These are aspirational targets for low- and middle-income countries, trying the "bend the curve" downwards on current annual rates of reduction in maternal and neonatal mortality. UHC extends the coverage of services to the population and the health benefits package.
This briefing document discusses strengthening nursing and midwifery in Europe to support health goals. It aims to promote discussion on maximizing their contributions and potential. Key outcomes include consulting on a strategic framework and engaging commitment to realize the role of nursing and midwifery. A compendium shares 55 good practices from 18 countries supporting health promotion. The roadmap outlines meetings through 2015 to develop a shared vision aligned with health priorities.
Estimates indicate that healthcare costs drive an additional 4% of Indian families, over 50 million people, into poverty each year.The challenge before us is not one of resources. As a country we are already spending more than enough money on healthcare; we produce almost all of the drugs that we need locally, at a fraction of global costs; we have the finest physicians and nurses; and our technological capabilities are internationally recognized. What we need is a health system that uses these resources effectively.
The Eastern Mediterranean Region has a low density of health workers compared to other WHO regions. While the number of medical schools and density of physicians and nurses has increased in recent decades, it has not kept pace with population growth. There are also imbalances in skill mix and distribution of health workers across countries in the region. Protracted crises have led to out-migration of health workers and violence against healthcare facilities. To address these health workforce challenges, the draft WHO regional framework calls for countries to develop strategic plans, increase investment in education and employment, strengthen collaboration and information systems, and enhance regional cooperation.
The document summarizes progress made towards implementing the Action Plan for Sexual and Reproductive Health in Europe. It outlines three main goals of enabling informed decisions about SRH, ensuring highest attainable SRH standards, and guaranteeing universal SRH access. Half of member states require sexuality education in schools, but capacity building for teachers is still needed. Almost all member states provide free antenatal care, but improving quality and reducing mortality is a priority. Over half of member states allow contraceptive access without parental consent for adolescents under 18, but availability and access remain challenging. Assessments of SRH in relation to universal health coverage have been completed in 6 countries with 6 more planned in 2020 to advance the goals.
How is gehip leadership development different from traininggehip2010
The document discusses the difference between training and leadership development in public health. Training involves building technical and administrative skills at each level of the public health system through programs like those for community health officers, supervisors, and nurses. Leadership development adds additional components like field practicums for integrated problem solving, peer leadership training, district health profiling, and information and decision-making skills. It also includes health system development team training to build capacity across different levels of the public health system.
How is gehip leadership development different from traininggehip2010
The document discusses the difference between training and leadership development in public health. Training involves building technical and administrative skills at each level of the public health system through programs like those for community health officers, supervisors, nurses, and district directors. However, training does not build the capacity for systems-level collaboration. Leadership development through GEHIP will add field-based practicums, peer leadership training, district health profiling, and information and decision-making skills to help form an integrated public health team capable of solving problems across levels of the system.
Jim Campbell: Midwifery workforce: Present and future challenges for quality ...Jim Campbell
The post-2015 discourse for global health includes discussion of Universal Health Coverage, Preventing Maternal Mortality by 2035 and a Global Newborn Action Plan, amongst others.
These are aspirational targets for low- and middle-income countries, trying the "bend the curve" downwards on current annual rates of reduction in maternal and neonatal mortality. UHC extends the coverage of services to the population and the health benefits package.
This briefing document discusses strengthening nursing and midwifery in Europe to support health goals. It aims to promote discussion on maximizing their contributions and potential. Key outcomes include consulting on a strategic framework and engaging commitment to realize the role of nursing and midwifery. A compendium shares 55 good practices from 18 countries supporting health promotion. The roadmap outlines meetings through 2015 to develop a shared vision aligned with health priorities.
Career progression and a new role to support registered nurses and health car...Jo Moriarty
The document discusses the introduction of the nursing associate role in England to address nursing shortages and lack of career progression for healthcare support workers. It provides background on workforce numbers and notes nursing shortages are a global issue. The nursing associate role requires a two-year qualification and allows healthcare support workers to gain registered status while remaining employed. It is hoped this will help retain staff, free up nurses' time, and provide a career pathway. An ongoing study is evaluating the impact of the role on career progression, quality of care, and the workforce.
This document discusses scaling up family practice to progress towards universal health care coverage in the WHO Eastern Mediterranean Region. It outlines the characteristics of family practice and assessments showing gaps in family physicians across countries in the region. WHO strategies to increase the number of family physicians include increasing production of family medicine specialists and a bridging program to train general practitioners. A framework is proposed with actions around governance, financing, service delivery, quality, and community empowerment to advance family practice. The conclusion calls for incorporating family practice in national health policies, strengthening family medicine training and universal essential services, improving primary care quality, and public-private partnerships in service delivery.
The document discusses Wisconsin's efforts to collect nursing workforce data through a survey of registered nurses and forecast nursing supply and demand. It notes that over 77,000 nurses responded to the survey. Preliminary analysis of the data looks at the nursing workforce breakdown by demographics, education levels, practice settings, and hours worked. Future work will use the data to develop a statewide nursing supply model and generate nursing demand projections to estimate any gaps between supply and demand. Regional forums will review the data and make recommendations for nursing education and practice policies.
Operational guidelines for maternal newborn healthAjay Halder
The document provides operational guidelines on maternal and newborn health in India. It outlines the principles that (1) every woman should have access to a skilled birth attendant for safe delivery, (2) efforts should be made for institutional delivery to manage potential complications, and (3) postnatal care for mothers and newborns up to 42 days is critical. The guidelines specify service packages, quality standards, and human resource and infrastructure requirements to reduce maternal and newborn mortality based on international best practices and the Indian context. Districts are to use these guidelines to develop outcome-based plans and monitor progress towards national health goals.
How can health accounts inform health sector investments? Lessons from countr...HFG Project
Countries must have a firm grasp on their health financing landscape in order to ensure sufficient and effective use of resources. Health Accounts—an internationally standardized methodology that allows a country to understand the source, magnitude, and flow of funds through its health sector—provide a wealth of information on past spending. When combined with macroeconomic, health utilization, and health indicator data, Health Accounts provide powerful insights for health financing policy.
USAID’s Health Finance and Governance (HFG) project supports countries to institutionalize their Health Accounts so that they are produced regularly and efficiently, and are a useful tool for policymakers. In this technical briefing webinar, held June 29, 2016, HFG experts used country examples to demonstrate how Health Accounts have been (and can be) used to inform national health financing decisions. The experts also provided perspectives on the future of Health Accounts.
The India Newborn Action Plan aims to reduce neonatal and stillbirth rates in India. It outlines the current high rates of newborn and child deaths in India. The plan's vision is for every birth to be celebrated and every woman, baby and child to survive and thrive. The goals are to achieve single digit neonatal and stillbirth rates by 2030. Key interventions include care during labor/birth, management of preterm/sick newborns, and community newborn care. Milestones include developing state plans, strengthening monitoring, and a mid-course review in 2017. Challenges include improving infrastructure, human resources, quality of care, governance, and further research.
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNsAnil Mishra
Abstract:
Prepared by the MOHFW in 2010 to strengthen and operationalise the 24X7 PHCs and designated FRUs in handling Basic and Comprehensive Obstetric Care including Care at Birth, this guideline reorients the service providers particularly the Auxiliary Nurse Midwives (ANMs), Staff Nurses (SNs), and Lady Health Visitors (LHVs) for providing skilled care during pregnancy and childbirth.
Keywords: Maternal Health, Newborn Child Health, Quality of Care, Health workers, ANC, Obstetric care, Guidelines, Government
Year of Publication: 2010
Source: MoHFW
The document discusses Nepal's National Safe Motherhood Programme, which aims to reduce maternal and neonatal mortality. It does this by addressing the three key delays that can impact obstetric emergencies - delay in seeking care, reaching care, and receiving care. The programme promotes birth preparedness, encourages institutional deliveries, and expands emergency obstetric services. It has made progress through policies, training more skilled birth attendants, and revising plans like the Safe Motherhood and Neonatal Health Long Term Plan. The Aama Programme provides cash incentives for institutional deliveries and antenatal care to increase utilization of maternal health services. Evaluations found the incentives increased institutional delivery rates, though issues like false reporting need to be addressed
The document discusses nursing reforms in India to address the growing demand-supply gap in the nursing sector. It notes that nurses form the largest segment of the healthcare workforce but that India currently faces a significant shortage of trained nurses. The Federation of Indian Chambers of Commerce and Industry has constituted a task force to examine challenges in nursing education, regulation, and career opportunities. The task force aims to develop recommendations to strengthen the nursing sector and empower nurses to better deliver healthcare.
Ey nursing-reforms-paradigm-shift-for-a-bright-futureanshuman0309
This document discusses the growing healthcare needs in India and the demand-supply gap in nursing. It notes that India's population is growing and lifestyle diseases are increasing, placing greater demand on the healthcare system. However, India lags in healthcare spending and availability of infrastructure and qualified workforce. Specifically, there is a significant gap between the demand and supply of nurses. India needs an additional 2.4 million nurses to meet the growing demand. Strengthening nursing education and reforms are needed to close this gap and help India's healthcare sector meet the country's growing needs.
Dr. Poly Begum discusses strategies to reduce maternal mortality in Bangladesh, which include expanding training of midwives. Bangladesh aims to train 3,000 midwives by 2015 to improve maternal and neonatal health outcomes. Doubling the percentage of births attended by skilled health workers is a key goal. Strengthening emergency obstetric care through upgrading facilities and ensuring round-the-clock midwifery services are also part of the strategy. Cooperation across all sectors is needed to further reduce Bangladesh's maternal mortality ratio.
healthcareworkforceindia sabu this is a useful document for healthcaredeepak162
The document discusses the healthcare workforce challenges in India. It notes that India faces a shortage of 7.4 million skilled healthcare workers to provide adequate coverage. Some key workforce shortages include a need for over 2 million doctors by 2030, a shortage of 2.5 million nurses, and a supply/demand gap of 6.5 million allied health workers. The success of India's goal of universal health coverage by 2022 and programs like the National Health Protection Mission will depend on having an adequately trained healthcare workforce. However, India currently lacks reliable national data on the availability and qualifications of healthcare professionals across different fields.
The Positive Impact of Public Health Midwives for Nations Wellbeing through P...ijtsrd
1. Public Health Midwives (PHMs) have played an important role in Sri Lanka's primary healthcare system for over a century, providing maternal and child health services, especially in rural areas where access to healthcare is limited.
2. The study finds that PHMs' performance management in Sri Lanka is inadequately implemented, with deficiencies in setting performance goals and standards, performance reviews, career growth opportunities, and compensation.
3. By strengthening PHM training programs and increasing their numbers through expanded public funding, Sri Lanka can better maintain essential rural healthcare workers and improve national health outcomes like reduced maternal and child mortality.
The document summarizes Bangladesh's national health policy. It outlines the key parts of the health policy including the introduction, background context, objectives, principles and strategies. The policy aims to improve health indicators like reducing maternal and child mortality, and achieving nutrition and Millennium Development goals. It acknowledges achievements in reducing health issues but also current issues like low doctor to population ratios. The strategies adopted to achieve the goals include strengthening primary healthcare, developing human resources, integrating community participation, and encouraging roles of NGOs and private sectors.
The document discusses human resource challenges in Nepal's health sector and proposes strategic planning recommendations. It finds that Nepal faces a critical shortage of health workers, with only 0.67 doctors and nurses per 1,000 people compared to the WHO recommended minimum of 2.3. The public health workforce is concentrated in urban areas. Several factors contribute to these issues, including uncoordinated HRH planning, production, and management between ministries. The document recommends improving HRH data collection and planning, strengthening management and training, increasing retention in rural areas, and enhancing coordination between stakeholders to help Nepal achieve its health goals.
This document provides an overview of Bangladesh's health system. It discusses the key building blocks of the health system including service delivery, human resources, health financing, and challenges. Some of the main points covered are:
- Bangladesh has a pluralistic health system consisting of public, private, NGO, and informal sectors.
- The main challenges include an overall shortage and skill imbalance of human resources, as well as low motivation and absenteeism in rural areas. Initiatives are underway to address these challenges through new training programs and incentives.
- Government health expenditure is about 1% of GDP and 4.45% of the national budget. Out-of-pocket expenses account for 63% of total health spending.
This document summarizes a term paper on critically analyzing Nepal's 2006 National Policy on Skilled Birth Attendance. It includes a recommendation letter, approval sheet, acknowledgements, and table of contents sections. The introduction provides background on Nepal's high maternal and neonatal mortality rates and the goal of the policy to increase skilled attendance at birth. It defines skilled birth attendants and outlines the policy's objectives, strategies, and institutional arrangements to strengthen training, deployment, and support for skilled birth attendants to improve health outcomes.
USAID Community Capacity for Health Program (Mahefa Miaraka)JSI
How Can Population, Health, and Environment Projects Learn from Family Planning High Impact Practices?
JSI’s Yvette Ribaira shares best practices from Madagascar in a new webinar.
On February 6th, JSI population, health, and environment (PHE) expert Dr. Yvette Ribaira shared insights from her experience in Madagascar during a webinar examining the link between PHE programs and high-impact practices (HIPs) drawn from family planning activities.
Watch the webinar here: https://bit.ly/2SKbuvG
Dr. Ribaira, a medical doctor, has spent her career in public health strengthening the Madagascar’s health system, with a specific focus on community health in the last decade. She currently leads the JSI’s USAID Community Capacity for Health Program in Madagascar, locally known as Mahefa Miaraka, which implements the Population Health and Environment (PHE) Activity, funded by Advancing Partners and Communities.
The webinar was hosted by the PACE (https://thepaceproject.org/) (Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health) project and included presenters from the Population Reference Bureau and USAID.
Read more about JSI’s work on population, health, and environment, as well as family planning, in Madagascar and around the world at www.jsi.com
The MoPH, Donors and the NGOs Partnership and its Impact on Maternal and Child Health in Afghanistan
Nadera Hayat Burhani, MD, Specialized in Ob/Gyn, MPH, MPPM (Fellow, Melbourne University)
Melbourne
7May 2015
This document provides an introduction and overview of implementing Vision 2023 in the Eastern Mediterranean Region. It includes progress updates on SDG 3 targets and coverage of critical interventions. Charts and data are presented on physician density, disease elimination, immunization coverage, and humanitarian needs in the region from 2000 to 2023.
The document summarizes the development process and timeline for the 14th WHO General Programme of Work (GPW 14) covering 2025-2028. It outlines the rationale for a new global health strategy given a dramatically changing world. The goal is to promote, provide, and protect health for all. Six strategic objectives are proposed to achieve this: achieve transformative action on climate and health; ensure health is central to policies driving determinants; address inequities in essential health services and interventions; reverse trends in catastrophic health spending; rapidly respond to acute crises and ensure essential services in protracted crises; and ensure all countries are prepared to prevent and mitigate health risks. The next steps outlined are to define WHO's major cross
More Related Content
Similar to Rc66 strenghthening nursing workforce-english
Career progression and a new role to support registered nurses and health car...Jo Moriarty
The document discusses the introduction of the nursing associate role in England to address nursing shortages and lack of career progression for healthcare support workers. It provides background on workforce numbers and notes nursing shortages are a global issue. The nursing associate role requires a two-year qualification and allows healthcare support workers to gain registered status while remaining employed. It is hoped this will help retain staff, free up nurses' time, and provide a career pathway. An ongoing study is evaluating the impact of the role on career progression, quality of care, and the workforce.
This document discusses scaling up family practice to progress towards universal health care coverage in the WHO Eastern Mediterranean Region. It outlines the characteristics of family practice and assessments showing gaps in family physicians across countries in the region. WHO strategies to increase the number of family physicians include increasing production of family medicine specialists and a bridging program to train general practitioners. A framework is proposed with actions around governance, financing, service delivery, quality, and community empowerment to advance family practice. The conclusion calls for incorporating family practice in national health policies, strengthening family medicine training and universal essential services, improving primary care quality, and public-private partnerships in service delivery.
The document discusses Wisconsin's efforts to collect nursing workforce data through a survey of registered nurses and forecast nursing supply and demand. It notes that over 77,000 nurses responded to the survey. Preliminary analysis of the data looks at the nursing workforce breakdown by demographics, education levels, practice settings, and hours worked. Future work will use the data to develop a statewide nursing supply model and generate nursing demand projections to estimate any gaps between supply and demand. Regional forums will review the data and make recommendations for nursing education and practice policies.
Operational guidelines for maternal newborn healthAjay Halder
The document provides operational guidelines on maternal and newborn health in India. It outlines the principles that (1) every woman should have access to a skilled birth attendant for safe delivery, (2) efforts should be made for institutional delivery to manage potential complications, and (3) postnatal care for mothers and newborns up to 42 days is critical. The guidelines specify service packages, quality standards, and human resource and infrastructure requirements to reduce maternal and newborn mortality based on international best practices and the Indian context. Districts are to use these guidelines to develop outcome-based plans and monitor progress towards national health goals.
How can health accounts inform health sector investments? Lessons from countr...HFG Project
Countries must have a firm grasp on their health financing landscape in order to ensure sufficient and effective use of resources. Health Accounts—an internationally standardized methodology that allows a country to understand the source, magnitude, and flow of funds through its health sector—provide a wealth of information on past spending. When combined with macroeconomic, health utilization, and health indicator data, Health Accounts provide powerful insights for health financing policy.
USAID’s Health Finance and Governance (HFG) project supports countries to institutionalize their Health Accounts so that they are produced regularly and efficiently, and are a useful tool for policymakers. In this technical briefing webinar, held June 29, 2016, HFG experts used country examples to demonstrate how Health Accounts have been (and can be) used to inform national health financing decisions. The experts also provided perspectives on the future of Health Accounts.
The India Newborn Action Plan aims to reduce neonatal and stillbirth rates in India. It outlines the current high rates of newborn and child deaths in India. The plan's vision is for every birth to be celebrated and every woman, baby and child to survive and thrive. The goals are to achieve single digit neonatal and stillbirth rates by 2030. Key interventions include care during labor/birth, management of preterm/sick newborns, and community newborn care. Milestones include developing state plans, strengthening monitoring, and a mid-course review in 2017. Challenges include improving infrastructure, human resources, quality of care, governance, and further research.
Guidelines for antenatal care and skilled attendance at birth by ANMs/LHVs/SNsAnil Mishra
Abstract:
Prepared by the MOHFW in 2010 to strengthen and operationalise the 24X7 PHCs and designated FRUs in handling Basic and Comprehensive Obstetric Care including Care at Birth, this guideline reorients the service providers particularly the Auxiliary Nurse Midwives (ANMs), Staff Nurses (SNs), and Lady Health Visitors (LHVs) for providing skilled care during pregnancy and childbirth.
Keywords: Maternal Health, Newborn Child Health, Quality of Care, Health workers, ANC, Obstetric care, Guidelines, Government
Year of Publication: 2010
Source: MoHFW
The document discusses Nepal's National Safe Motherhood Programme, which aims to reduce maternal and neonatal mortality. It does this by addressing the three key delays that can impact obstetric emergencies - delay in seeking care, reaching care, and receiving care. The programme promotes birth preparedness, encourages institutional deliveries, and expands emergency obstetric services. It has made progress through policies, training more skilled birth attendants, and revising plans like the Safe Motherhood and Neonatal Health Long Term Plan. The Aama Programme provides cash incentives for institutional deliveries and antenatal care to increase utilization of maternal health services. Evaluations found the incentives increased institutional delivery rates, though issues like false reporting need to be addressed
The document discusses nursing reforms in India to address the growing demand-supply gap in the nursing sector. It notes that nurses form the largest segment of the healthcare workforce but that India currently faces a significant shortage of trained nurses. The Federation of Indian Chambers of Commerce and Industry has constituted a task force to examine challenges in nursing education, regulation, and career opportunities. The task force aims to develop recommendations to strengthen the nursing sector and empower nurses to better deliver healthcare.
Ey nursing-reforms-paradigm-shift-for-a-bright-futureanshuman0309
This document discusses the growing healthcare needs in India and the demand-supply gap in nursing. It notes that India's population is growing and lifestyle diseases are increasing, placing greater demand on the healthcare system. However, India lags in healthcare spending and availability of infrastructure and qualified workforce. Specifically, there is a significant gap between the demand and supply of nurses. India needs an additional 2.4 million nurses to meet the growing demand. Strengthening nursing education and reforms are needed to close this gap and help India's healthcare sector meet the country's growing needs.
Dr. Poly Begum discusses strategies to reduce maternal mortality in Bangladesh, which include expanding training of midwives. Bangladesh aims to train 3,000 midwives by 2015 to improve maternal and neonatal health outcomes. Doubling the percentage of births attended by skilled health workers is a key goal. Strengthening emergency obstetric care through upgrading facilities and ensuring round-the-clock midwifery services are also part of the strategy. Cooperation across all sectors is needed to further reduce Bangladesh's maternal mortality ratio.
healthcareworkforceindia sabu this is a useful document for healthcaredeepak162
The document discusses the healthcare workforce challenges in India. It notes that India faces a shortage of 7.4 million skilled healthcare workers to provide adequate coverage. Some key workforce shortages include a need for over 2 million doctors by 2030, a shortage of 2.5 million nurses, and a supply/demand gap of 6.5 million allied health workers. The success of India's goal of universal health coverage by 2022 and programs like the National Health Protection Mission will depend on having an adequately trained healthcare workforce. However, India currently lacks reliable national data on the availability and qualifications of healthcare professionals across different fields.
The Positive Impact of Public Health Midwives for Nations Wellbeing through P...ijtsrd
1. Public Health Midwives (PHMs) have played an important role in Sri Lanka's primary healthcare system for over a century, providing maternal and child health services, especially in rural areas where access to healthcare is limited.
2. The study finds that PHMs' performance management in Sri Lanka is inadequately implemented, with deficiencies in setting performance goals and standards, performance reviews, career growth opportunities, and compensation.
3. By strengthening PHM training programs and increasing their numbers through expanded public funding, Sri Lanka can better maintain essential rural healthcare workers and improve national health outcomes like reduced maternal and child mortality.
The document summarizes Bangladesh's national health policy. It outlines the key parts of the health policy including the introduction, background context, objectives, principles and strategies. The policy aims to improve health indicators like reducing maternal and child mortality, and achieving nutrition and Millennium Development goals. It acknowledges achievements in reducing health issues but also current issues like low doctor to population ratios. The strategies adopted to achieve the goals include strengthening primary healthcare, developing human resources, integrating community participation, and encouraging roles of NGOs and private sectors.
The document discusses human resource challenges in Nepal's health sector and proposes strategic planning recommendations. It finds that Nepal faces a critical shortage of health workers, with only 0.67 doctors and nurses per 1,000 people compared to the WHO recommended minimum of 2.3. The public health workforce is concentrated in urban areas. Several factors contribute to these issues, including uncoordinated HRH planning, production, and management between ministries. The document recommends improving HRH data collection and planning, strengthening management and training, increasing retention in rural areas, and enhancing coordination between stakeholders to help Nepal achieve its health goals.
This document provides an overview of Bangladesh's health system. It discusses the key building blocks of the health system including service delivery, human resources, health financing, and challenges. Some of the main points covered are:
- Bangladesh has a pluralistic health system consisting of public, private, NGO, and informal sectors.
- The main challenges include an overall shortage and skill imbalance of human resources, as well as low motivation and absenteeism in rural areas. Initiatives are underway to address these challenges through new training programs and incentives.
- Government health expenditure is about 1% of GDP and 4.45% of the national budget. Out-of-pocket expenses account for 63% of total health spending.
This document summarizes a term paper on critically analyzing Nepal's 2006 National Policy on Skilled Birth Attendance. It includes a recommendation letter, approval sheet, acknowledgements, and table of contents sections. The introduction provides background on Nepal's high maternal and neonatal mortality rates and the goal of the policy to increase skilled attendance at birth. It defines skilled birth attendants and outlines the policy's objectives, strategies, and institutional arrangements to strengthen training, deployment, and support for skilled birth attendants to improve health outcomes.
USAID Community Capacity for Health Program (Mahefa Miaraka)JSI
How Can Population, Health, and Environment Projects Learn from Family Planning High Impact Practices?
JSI’s Yvette Ribaira shares best practices from Madagascar in a new webinar.
On February 6th, JSI population, health, and environment (PHE) expert Dr. Yvette Ribaira shared insights from her experience in Madagascar during a webinar examining the link between PHE programs and high-impact practices (HIPs) drawn from family planning activities.
Watch the webinar here: https://bit.ly/2SKbuvG
Dr. Ribaira, a medical doctor, has spent her career in public health strengthening the Madagascar’s health system, with a specific focus on community health in the last decade. She currently leads the JSI’s USAID Community Capacity for Health Program in Madagascar, locally known as Mahefa Miaraka, which implements the Population Health and Environment (PHE) Activity, funded by Advancing Partners and Communities.
The webinar was hosted by the PACE (https://thepaceproject.org/) (Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health) project and included presenters from the Population Reference Bureau and USAID.
Read more about JSI’s work on population, health, and environment, as well as family planning, in Madagascar and around the world at www.jsi.com
The MoPH, Donors and the NGOs Partnership and its Impact on Maternal and Child Health in Afghanistan
Nadera Hayat Burhani, MD, Specialized in Ob/Gyn, MPH, MPPM (Fellow, Melbourne University)
Melbourne
7May 2015
Similar to Rc66 strenghthening nursing workforce-english (20)
This document provides an introduction and overview of implementing Vision 2023 in the Eastern Mediterranean Region. It includes progress updates on SDG 3 targets and coverage of critical interventions. Charts and data are presented on physician density, disease elimination, immunization coverage, and humanitarian needs in the region from 2000 to 2023.
The document summarizes the development process and timeline for the 14th WHO General Programme of Work (GPW 14) covering 2025-2028. It outlines the rationale for a new global health strategy given a dramatically changing world. The goal is to promote, provide, and protect health for all. Six strategic objectives are proposed to achieve this: achieve transformative action on climate and health; ensure health is central to policies driving determinants; address inequities in essential health services and interventions; reverse trends in catastrophic health spending; rapidly respond to acute crises and ensure essential services in protracted crises; and ensure all countries are prepared to prevent and mitigate health risks. The next steps outlined are to define WHO's major cross
The document summarizes updates on WHO's regional transformation efforts. It discusses the creation of an Action for Results Group to develop a regional action plan focused on empowering country offices. This includes ensuring effective ways of working, sufficient resources and capacities, and delegation of authority. Major results include developing cooperation strategies between countries and accelerating working groups. Next steps are continuing implementation to drive impact, scaling capacities, engaging member states, and strengthening WHO's leadership role.
The document summarizes the agenda items for the 154th session of the WHO Executive Board to be held from 22 January to 27 February 2024. It will address 26 agenda items under the four pillars of the GPW13: (1) universal health coverage, (2) health emergencies, (3) health and well-being, and (4) effective and efficient WHO support to countries. It also lists additional agenda items proposed by Iraq, Morocco, Qatar, and Somalia. The session will be held in-person in Geneva and will include adoption of the agenda, reports from the Director-General and regional committees, and matters relating to budgets, management, and future World Health Assembly sessions.
Resolutions and decisions of regional interest adopted by the Seventy-sixth World Health Assembly and the Executive Board at its 152nd and 153rd sessions
The document discusses WHO's proposed approach for its first Investment Round in late 2024. It notes that the Investment Round is a key step in WHO's transformation towards sustainable financing. It provides a timeline of recent events leading up to the Investment Round, including the approval of a new resource mobilization strategy and decisions by the World Health Assembly and Executive Board. It outlines objectives for the Investment Round such as improving WHO's sustainable financing, broadening its donor base, and increasing fundraising efficiency. The document proposes a roadmap and approach for planning the Investment Round that emphasizes co-creation with Member States and bringing together global health partners to rally support around WHO's 14th General Programme of Work and turn the tide on achieving SDG 3 of ensuring
This document proposes a collaborative, integrated approach to preventing, controlling, and eliminating vector-borne diseases in the Eastern Mediterranean region. It notes the increasing burden of these diseases, driven by factors like climate change, conflict, and urbanization. It advocates addressing the three main vector-borne disease groups - caused by Anopheles, Aedes, and other vectors - together rather than separately. This integrated approach would leverage existing programmatic strengths while consolidating resources for more efficient and effective surveillance, control, and response efforts against all vector-borne diseases in the region.
The document discusses WHO's proposed approach for its first Investment Round in late 2024. It notes that the Investment Round is a key step in WHO's transformation towards sustainable financing. It provides a timeline of recent events leading up to the Investment Round, including the approval of a new resource mobilization strategy and decisions by the World Health Assembly and Executive Board. It outlines objectives for the Investment Round such as improving WHO's sustainable financing, broadening its donor base, and increasing fundraising efficiency. The document proposes a roadmap and approach for planning the Investment Round that emphasizes co-creation with Member States and bringing together global health partners to rally support around WHO's 14th General Programme of Work and turn the tide on achieving SDG 3 of ensuring
The document proposes a new regional framework for action on climate change, health, and the environment from 2023-2029. The previous framework from 2017-2021 had unfinished goals. If adopted, the new framework would help countries implement the WHO COP26 Health Programme and build on other recent regional initiatives. It outlines objectives like building climate-resilient health systems and prioritizing health in climate policies. Targeted changes include integrating health into climate negotiations and developing evidence on the health impacts of climate mitigation and adaptation. The framework provides examples of strategic country actions and requests that member states designate focal points, implement plans of action, and commit resources to strengthen climate resilience in health systems.
The document discusses the health workforce challenges in the Eastern Mediterranean region. It notes that 90% of countries faced disruptions to essential health services due to COVID-19, with 66% attributing the disruptions to health workforce issues. The region will face a shortage of over 2 million health workers by 2030. It outlines strategic objectives and calls for accelerated action to enhance and scale up a fit-for-purpose health workforce through mobilizing investments, transforming education, strengthening primary care and emergency response capabilities, and addressing issues like international mobility and retention.
This document discusses strengthening public health readiness for mass gatherings in the Eastern Mediterranean Region. It begins by defining mass gatherings and the obligations under the International Health Regulations. It then outlines some of the public health threats that can arise from mass gatherings, including infectious diseases, non-communicable diseases, injuries, and psychological impacts. However, it also notes that mass gatherings can create opportunities to enhance health systems and increase disease prevention awareness. The document discusses examples of WHO's support for mass gatherings in the region. It proposes a regional framework to guide countries in establishing arrangements and capacities to safely host mass gatherings. The framework focuses on risk assessment, health system strengthening, multisectoral coordination, partnerships, planning, and
This document proposes a regional framework for addressing noncommunicable diseases (NCDs) in emergencies. It notes that almost half of countries in the region face emergencies like conflicts, natural disasters, or financial crises. People with NCDs are more vulnerable during emergencies due to disrupted health services, competing priorities, and insecurity. The framework establishes guidelines for integrating NCD care into emergency response, including continuity of services through emergency kits, and adapting delivery models across preparedness, response, and recovery phases. It calls on member states to invest in NCDs and strengthen data collection, and for WHO to support NCD integration and partnerships. The overall aim is to balance priorities and ensure NCD care
This document discusses efforts to end polio transmission by the end of 2023. It summarizes the status of wild poliovirus and vaccine-derived poliovirus outbreaks in various countries. While the goal of stopping wild poliovirus transmission in Afghanistan and Pakistan by mid-2024 is now considered "off track", interruption of transmission is still possible within the next six months. However, stopping global transmission of circulating vaccine-derived poliovirus type 2 will likely be missed. The document requests that regional and national commitments be sustained to stop endemic polio and help chart a pathway to protect children in Yemen.
This document discusses emergency response challenges and opportunities in the Eastern Mediterranean region. It notes that the number of people in need of humanitarian assistance has increased 117-110% since 2015 and outlines the top countries burdened by fragility, conflict, and refugee crises. While COVID-19 response increased some capacities, preparedness remains a challenge. The document highlights some response successes but also areas needing improvement like operational readiness and fragmentation. It concludes by emphasizing opportunities to sustain COVID gains through resilience-building, and priorities around preparedness, high-threat pathogens, protracted crises, and supply chain management.
This document discusses the importance of national clinical practice guideline programs. It notes that while evidence-based medicine has been emphasized since the 1990s, 70% of countries in the WHO Eastern Mediterranean Region still lack formal guideline development and implementation programs. The document outlines the benefits of national programs, including increasing quality of care, efficiency, and health outcomes. It also analyzes challenges faced by many countries, such as limited resources and capacity. The document describes WHO initiatives to support countries in establishing their own programs, using Egypt as an example. It emphasizes the need for high-level commitment, stakeholder engagement, and expanded national capacities to effectively develop and implement evidence-informed clinical guidelines.
This document discusses the public health burden of trauma in humanitarian emergencies in the Eastern Mediterranean Region (EMR). It notes that many countries in the region experience conflicts, violence, natural disasters and fragile situations that result in trauma. Trauma outcomes are often worse in low-income countries due to limited pre-hospital and hospital trauma care services. The document proposes a regional initiative to minimize trauma morbidity and mortality through coordinated leadership, workforce training programs, and support to priority fragile countries to strengthen pre-hospital services, train hospital staff in mass casualty management, and develop accredited trauma training courses. It provides some examples of initial progress made through this initiative.
This document proposes a regional approach to minimizing trauma-related morbidity and mortality in humanitarian emergencies. It notes the high public health burden of trauma in conflict-affected countries in the region like Afghanistan, Iraq, Syria, and Yemen. Prehospital care is limited, over 60% of trauma deaths occur before reaching the hospital, and fatality rates are triple those in high-income countries. The proposal calls for member states to support a Regional Trauma Initiative that coordinates partners, invests in prehospital care and the health care workforce through dedicated training programs, and utilizes regional expertise to build emergency care systems and support fragile contexts.
Resolutions and decisions of regional interest adopted by the Seventy-fifth World Health Assembly and the Executive Board at its 150th and 151st sessions
More from WHO Regional Office for the Eastern Mediterranean (20)
Food safety, prepare for the unexpected - So what can be done in order to be ready to address food safety, food Consumers, food producers and manufacturers, food transporters, food businesses, food retailers can ...
Bharat Mata - History of Indian culture.pdfBharat Mata
Bharat Mata Channel is an initiative towards keeping the culture of this country alive. Our effort is to spread the knowledge of Indian history, culture, religion and Vedas to the masses.
karnataka housing board schemes . all schemesnarinav14
The Karnataka government, along with the central government’s Pradhan Mantri Awas Yojana (PMAY), offers various housing schemes to cater to the diverse needs of citizens across the state. This article provides a comprehensive overview of the major housing schemes available in the Karnataka housing board for both urban and rural areas in 2024.
The Antyodaya Saral Haryana Portal is a pioneering initiative by the Government of Haryana aimed at providing citizens with seamless access to a wide range of government services
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
This report explores the significance of border towns and spaces for strengthening responses to young people on the move. In particular it explores the linkages of young people to local service centres with the aim of further developing service, protection, and support strategies for migrant children in border areas across the region. The report is based on a small-scale fieldwork study in the border towns of Chipata and Katete in Zambia conducted in July 2023. Border towns and spaces provide a rich source of information about issues related to the informal or irregular movement of young people across borders, including smuggling and trafficking. They can help build a picture of the nature and scope of the type of movement young migrants undertake and also the forms of protection available to them. Border towns and spaces also provide a lens through which we can better understand the vulnerabilities of young people on the move and, critically, the strategies they use to navigate challenges and access support.
The findings in this report highlight some of the key factors shaping the experiences and vulnerabilities of young people on the move – particularly their proximity to border spaces and how this affects the risks that they face. The report describes strategies that young people on the move employ to remain below the radar of visibility to state and non-state actors due to fear of arrest, detention, and deportation while also trying to keep themselves safe and access support in border towns. These strategies of (in)visibility provide a way to protect themselves yet at the same time also heighten some of the risks young people face as their vulnerabilities are not always recognised by those who could offer support.
In this report we show that the realities and challenges of life and migration in this region and in Zambia need to be better understood for support to be strengthened and tuned to meet the specific needs of young people on the move. This includes understanding the role of state and non-state stakeholders, the impact of laws and policies and, critically, the experiences of the young people themselves. We provide recommendations for immediate action, recommendations for programming to support young people on the move in the two towns that would reduce risk for young people in this area, and recommendations for longer term policy advocacy.
United Nations World Oceans Day 2024; June 8th " Awaken new dephts".Christina Parmionova
The program will expand our perspectives and appreciation for our blue planet, build new foundations for our relationship to the ocean, and ignite a wave of action toward necessary change.
Contributi dei parlamentari del PD - Contributi L. 3/2019Partito democratico
DI SEGUITO SONO PUBBLICATI, AI SENSI DELL'ART. 11 DELLA LEGGE N. 3/2019, GLI IMPORTI RICEVUTI DALL'ENTRATA IN VIGORE DELLA SUDDETTA NORMA (31/01/2019) E FINO AL MESE SOLARE ANTECEDENTE QUELLO DELLA PUBBLICAZIONE SUL PRESENTE SITO
Contributi dei parlamentari del PD - Contributi L. 3/2019
Rc66 strenghthening nursing workforce-english
1. Tehran,
Islamic Republic of Iran
14 –17 October 2019
Agenda Item 3(b)
Dr Arwa Oweis, Regional Adviser,
Nursing, Midwifery and Allied
Health Personnel
Strengthening the nursing workforce to advance
universal health coverage in the Eastern
Mediterranean Region
2. 2
No universal health coverage without nurses
Nurses make up
more than 50% of
the health
workforce
Nurses provide
care
all day, every day,
everywhere.
3. 3
Shortage
Skill mix imbalance
Limitations in
access to quality
nursing services
Situation of the nursing workforce in the
Region
4. 0
10
20
30
40
50
60
70
80
Density of nurses and midwives per 10 000 (2007) Density of nurses and midwives per 10 000 (2017)
4
Global average = 31
Density of nurses and midwives (20072017)
Has not improved and has decreased in 11 countries
4
5. 0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
Ratio of nurses and midwives to doctors (2007) Ratio of nurses and midwives to doctors (2017)
OECD countries
Skill mix imbalance (20072017)
Ratio of nurses to doctors is low, has not improved, and has decreased
in 9 countries
5
6. 0
2
4
6
8
10
12
14
16
Egypt Islamic
Republic of
Iran
Iraq Jordan Kuwait Oman Qatar Saudi Arabia United Arab
Emirates
2016 Nurses & Midwives 2016 Physicians
6
Higher density of medical graduates
than nursing graduates in some countries (2016)
7. 7
Underutilization
80% of nurses in the Region work in urban
hospitals
Poor working
conditions
Insufficient investment
Recruiting, training, retention
Migration and brain drain
Limitations in access to quality nursing
services in the Region
8. 8
Higher patient morbidity and
mortality rates
More medical errors
Burnout and increased attrition
complicating the shortage
Risks achieving UHC and
SDGs
Burnout
Nursing
turnover
Nursing
shortageInadequate
staffing
Job
dissatisfaction
BURNOUT
CYCLE
Consequences of
nursing workforce challenges
9. Framework
for action
Strengthening
nursing and
midwifery in
Region
66th
Regional
Committee
Resolution to
strengthen
nursing workforce
in Region
Global strategic
directions
For strengthening
nursing and midwifery
20162020
2008 2011 2016 2017 2019 2020
WHA
resolution
RC55
resolution
Framework
for action
Health workforce
development in
Region
Year
of the
Nurse
NURSING NOW
CAMPAIGN
Global and regional momentum
to strengthen nursing
9
10. Country efforts to strengthen nursing
1
0
Policy on nursing information and
data (Doha)
Implications of the global
health agenda on nursing
(Jordan)
2019 declared Year of Nursing in
Pakistan
Discussing role of nurses in
refugee health (Lebanon)
STRATEGIES
AND
POLICIES
11. Learning needs assessment of
primary care nurses (Libya)
Efforts to strengthen nursing
education and training (Egypt)
Efforts to strengthen nursing
education and training (Sudan)
Mental health nursing training
(Syrian Arab Republic)
More needs to be done…
11
EDUCATION
AND
TRAINING
12. Strengthening competencies of
nurses (Iraq)
Discussing scope of nursing
practice (Somalia)
Supporting nursing
development in (Islamic
Republic of Iran)
Discussing role of nurses in
refugee health (Lebanon)
NURSING
PRACTICE
AND
SERVICES
1
2
More needs to be done…
13. 1
3
2020 is a year to celebrate
nurses and will create
opportunities to accelerate
efforts to strengthen
nursing in
the Region
2020
International Year of the Nurse and the
Midwife
14. Network and engage in partnerships and policy dialogue
Invest in education, employment and retention
Galvanize governance and regulation
Strengthen and maintain accurate data
Nurture an enabling work environment
Recruit and attract youth to the profession
Utilize nurses and expand their scope of practice
1
4
16. 1
6
Conclusion
The Regional Committee is invited
to endorse the resolution on
strengthening the nursing
workforce to advance UHC in the
Eastern Mediterranean Region
It is critical to accelerate action to
strengthen nursing….
Inaction will leave the status quo
in place, hinder improvements in
the health system, and risk the
achievement of UHC and the
well-being of the population