The document discusses data harmonization efforts between three public health organization profiles - ASTHO, NACCHO, and NALBOH. Each organization previously conducted its own survey of state/local public health agencies, but are now aligning questions to allow for easier comparison. The surveys each have three parts - Part A collects standard geographic/demographic data, Part B focuses on each organization's unique topics, and Part C includes shared cross-cutting questions. Harmonizing the surveys has improved consistency while still addressing each group's needs.
Kigozi mental health service delivery in africajasonharlow
Mental health services in Sub-Saharan Africa face significant challenges due to high levels of poverty and limited resources. Poverty exacerbates the effects of mental illness and hinders treatment due to lack of access and stigma. Key issues include inadequate policies, low prioritization and funding of mental health, lack of infrastructure and human resources, and poor integration into primary health care. Moving forward will require policy reforms, capacity building, improved community care, fighting stigma, and multi-sectoral collaboration.
Development finance and ODA in Nepal : A Fin4Dev Projectbpm_729
Nepal relies heavily on foreign aids, and donors coordinate development aids through Nepal Development Forum, whose members include donor countries, international financial institutions, and inter-governmental organizations. My digital artifact entitled “Development Finance and ODA in Nepal” is targeted to anyone interested in understanding general context and status of development finance and ODA in Nepal. Despite rises in ODA, its effectiveness in Nepal is questionable. Hence, there is a need to make general public aware of development finance and ODA‘s status & effectiveness in Nepal, thereby emphasizing domestic resource generation and mobilization for sustainable development.
Promoting Multi Stakeholder Process in Local Economic Governance and Develop...Dr. Astia Dendi
This document discusses the concept and prospects of multi-stakeholder forums as a local governance instrument to pursue pro-poor local economic development in Nusa Tenggara Barat, Indonesia. It examines how the forums evolved in the region, defined priorities for collaborative actions, and played a role in making local governance and markets work for the poor. The study found that the multi-stakeholder forums in Nusa Tenggara Barat were a prospective model for pursuing pro-poor objectives. It also identified factors critical to sustaining the forums, such as political will and capacity building.
This document discusses financing health programs for AIDS, tuberculosis, and malaria in Africa. It outlines the large disease burden from these illnesses, especially in southern and central Africa. While international funding has helped control epidemics, resources are uncertain and domestic financing must increase. The document recommends that countries invest at least 15% of budgets in health as pledged. It also suggests innovative domestic financing strategies and emphasizing health's economic benefits to policymakers. Overall, more data and political will are needed to establish sustainable, long-term health funding mixes of domestic and international support tailored to each country.
The document summarizes Eurasian Harm Reduction Network's (EHRN) work in developing a regional initiative on HIV and harm reduction in Eastern Europe and Central Asia in response to an invitation from the Global Fund. Key activities included initiating a regional dialogue process through online consultations and meetings, establishing governance structures like a Regional Technical Advisory Group, and developing a concept note for a $6 million grant over 3 years. Lessons learned included the need for more time and support for community engagement, improved epidemiological data, and ensuring technical partners are able to fully support the process. The initiative aims to improve health and rights for people who use drugs in the region.
The HCT programme in South Africa aims to test 15 million people for HIV by June 2011 through a large-scale campaign. Nerve centres were established to coordinate the national, provincial, and local response but have faced challenges in monitoring and evaluation due to limited funding. The campaign employs multiple sectors and over 10,000 testing sites but uncertainty remains around actual results due to inconsistent data collection and reporting across sectors.
Kigozi mental health service delivery in africajasonharlow
Mental health services in Sub-Saharan Africa face significant challenges due to high levels of poverty and limited resources. Poverty exacerbates the effects of mental illness and hinders treatment due to lack of access and stigma. Key issues include inadequate policies, low prioritization and funding of mental health, lack of infrastructure and human resources, and poor integration into primary health care. Moving forward will require policy reforms, capacity building, improved community care, fighting stigma, and multi-sectoral collaboration.
Development finance and ODA in Nepal : A Fin4Dev Projectbpm_729
Nepal relies heavily on foreign aids, and donors coordinate development aids through Nepal Development Forum, whose members include donor countries, international financial institutions, and inter-governmental organizations. My digital artifact entitled “Development Finance and ODA in Nepal” is targeted to anyone interested in understanding general context and status of development finance and ODA in Nepal. Despite rises in ODA, its effectiveness in Nepal is questionable. Hence, there is a need to make general public aware of development finance and ODA‘s status & effectiveness in Nepal, thereby emphasizing domestic resource generation and mobilization for sustainable development.
Promoting Multi Stakeholder Process in Local Economic Governance and Develop...Dr. Astia Dendi
This document discusses the concept and prospects of multi-stakeholder forums as a local governance instrument to pursue pro-poor local economic development in Nusa Tenggara Barat, Indonesia. It examines how the forums evolved in the region, defined priorities for collaborative actions, and played a role in making local governance and markets work for the poor. The study found that the multi-stakeholder forums in Nusa Tenggara Barat were a prospective model for pursuing pro-poor objectives. It also identified factors critical to sustaining the forums, such as political will and capacity building.
This document discusses financing health programs for AIDS, tuberculosis, and malaria in Africa. It outlines the large disease burden from these illnesses, especially in southern and central Africa. While international funding has helped control epidemics, resources are uncertain and domestic financing must increase. The document recommends that countries invest at least 15% of budgets in health as pledged. It also suggests innovative domestic financing strategies and emphasizing health's economic benefits to policymakers. Overall, more data and political will are needed to establish sustainable, long-term health funding mixes of domestic and international support tailored to each country.
The document summarizes Eurasian Harm Reduction Network's (EHRN) work in developing a regional initiative on HIV and harm reduction in Eastern Europe and Central Asia in response to an invitation from the Global Fund. Key activities included initiating a regional dialogue process through online consultations and meetings, establishing governance structures like a Regional Technical Advisory Group, and developing a concept note for a $6 million grant over 3 years. Lessons learned included the need for more time and support for community engagement, improved epidemiological data, and ensuring technical partners are able to fully support the process. The initiative aims to improve health and rights for people who use drugs in the region.
The HCT programme in South Africa aims to test 15 million people for HIV by June 2011 through a large-scale campaign. Nerve centres were established to coordinate the national, provincial, and local response but have faced challenges in monitoring and evaluation due to limited funding. The campaign employs multiple sectors and over 10,000 testing sites but uncertainty remains around actual results due to inconsistent data collection and reporting across sectors.
This document provides an overview and introduction to the Development Bank of Southern Africa's 2011 Development Report on South Africa's future prospects. It outlines that while South Africa has made progress since 1994 in building institutions and reducing poverty, many challenges remain, such as high inequality and unemployment. It also notes that both internal trends and external forces like climate change will influence South Africa's ability to achieve inclusive, sustainable development. The report aims to identify interventions needed to change South Africa's development trajectory by examining current challenges, future implications, driving forces, and scenarios for the country's future.
Bhutan has adopted a development philosophy called Gross National Happiness that values non-economic well-being equally with economic factors. The GNH is measured using a GNH Index that assesses nine domains including sustainable development, environmental conservation, and good governance. While Bhutan's GNH has increased overall in recent years, some groups like women and rural residents reported less growth in happiness, indicating areas for Bhutan's sustainable development goals to target for more equal increases in national well-being.
The document summarizes key points from a World Bank policy research report on the twin goals of ending extreme poverty by 2030 and boosting shared prosperity. It finds that business as usual will not achieve ending poverty, and growth alone must be inclusive to benefit the poorest 40% in each country. It also notes challenges like climate change that could hamper progress, and limitations in measurement due to data availability and quality.
Even It Up - Time to End Extreme Inequality: Comments by Dean JolliffeWB_Research
Comments prepared for launch event of “Even it Up: Time to End Extreme Poverty”
IMF, October 31, 2014.
The views represented in these comments are those of the author and do not necessarily reflect the views of the World Bank.
This document discusses developing a Local Human Development Index (LHDI) for Poland based on the principles of the UN's Human Development Index. It proposes measuring the LHDI at the local administrative unit (LAU1) level to better inform domestic policymaking. The LHDI would include indicators to measure the economic, educational and health dimensions of human development as both outcomes of policies and inputs like funding. Additional contextual measures may also be included. Computation of the LHDI would aim to unveil differences within Poland and link levels of human development to policy decisions and inputs. Subjective well-being indicators could potentially complement the objective LHDI in the future.
The document evaluates financial inclusion in India by analyzing trends such as the spatial distribution of banking services, number of deposit and credit accounts, population coverage by region, agricultural credit coverage, and coverage of farmer households by social group and land holding. It finds that while the number of bank branches has increased across regions, the rise in credit accounts per population has not been significant. Coverage of farmer households and small/marginal farmers also remains low. The study recommends increasing priority on financial inclusion policies to better cover the poor through strategic credit provision, cooperative use, procedural changes, and government/technology initiatives.
This document summarizes findings from a World Bank report on poverty reduction in South Asia. It finds that while poorer countries and regions have seen greater absolute reductions in poverty, they have not seen proportional reductions that allow them to catch up to richer countries and regions. Specifically for South Asia:
- More than 70% of the poor in South Asia live in lagging regions (states with below average income) rather than leading regions.
- Lagging regions have experienced slower economic growth and poverty reduction compared to leading regions, and have not seen proportionally greater reductions that would allow them to close the gap.
- While fiscal decentralization aims to redistribute resources to poorer regions, the degree to which this actually promotes equity varies between countries
Ontario's current "plan" to balance the budgettimhudak
This document analyzes Ontario's lack of a clear plan to balance its budget. It notes that significant restraint has been put off until future years and plugging realistic growth rates into spending categories shows the government would need to cut many programs by 50% or eliminate ministries entirely, which has not been disclosed. The conclusion is that the government has no real plan and has not been honest about the magnitude of reductions needed.
Help for the elderly (hf e) class projectHENRY NEONDO
The document outlines a strategy by Help for the Elderly (HfE) to advocate for improved support and care of elderly persons in Kenya. It notes that while the government has established a cash transfer program, only 6% of elderly people are currently covered and the amount provided has not increased despite rising costs of living. The strategy aims to register all 2.5 million needy elderly Kenyans and advocate for increasing the cash transfer budget. It details objectives, targets, allies, messaging, approaches, resources and governance structure to achieve this over 3 years at a cost of 94 million Kenyan shillings. Risks are also identified and mitigation measures outlined.
BWPI Executive Director David Hulme keynote address, 'Can social protection contribute to growth in sub-Saharan Africa?’, to Ministry of Foreign Affairs of the Netherlands and the Knowledge Platform (Development Policies) Scoping Conference on Social Inclusion and Sustainable Growth in Africa, The Hague
This document discusses strategies taken to promote women's inclusion in South Sudan's 2011 International Engagement Conference (IEC). A working group of South Sudanese women's organizations, government officials, and international partners planned consultations in advance of the conference to discuss development priorities. They advocated for access to the conference documents and provided feedback. The document provides guidance on planning pre-conference gender symposia and checklists for conference organization to promote women's meaningful participation in post-conflict development planning.
Accountability in local government revenue managementAlexander Decker
This document discusses accountability in local government revenue management in Ghana. It focuses specifically on understanding the roles and responsibilities of different actors involved in the financial management process at the local level. The study found that core staff and assembly members at the Asante Akim South District Assembly had incomplete understanding of each other's financial roles and responsibilities. It concludes that improving understanding of financial responsibility charting among assembly members is important for transparency and accountability in local government financial administration.
The community intervention project aimed to address depression in the Narhman community in Ghana. The objectives were to identify factors causing depression, help people make adjustments using cognitive behavioral therapy, and refer severe cases to specialists. Through one-on-one sessions, some participants were found to have mild depression, low self-esteem, or anxiety. Severe cases were referred to nurses. While funding limitations reduced the project scope, the objectives were achieved and lessons learned will strengthen future projects. Addressing mental health in Ghana requires more research, funding, and infrastructure development.
The Affordable Care Act (ACA) may impact the public health workforce in several ways. It could increase demand for certain public health services and workers due to a focus on prevention. However, it may decrease demand for clinical public health services as more people gain private insurance. The overall impact is uncertain and may vary between states. Accurately enumerating and tracking the size and composition of the public health workforce over time will be important to understand these impacts and ensure an adequate workforce. Academic public health programs will also likely be impacted through changes in needed competencies, training areas, and program enrollments.
AHP's an integral part of the public health workforce - Linda HindleSHUAHP
Allied health professionals (AHPs) have the potential to contribute significantly to public health priorities due to their role in assessing lifestyles and behaviors. However, AHPs need more recognition from commissioners and educators as integral parts of the public health workforce. This document outlines the health challenges facing the UK population, including rising chronic diseases and health inequalities. It argues that AHPs are well-positioned to address these challenges through prevention-focused work, but more needs to be done to increase their public health focus in practice, research, and education. National and local priorities for AHP involvement in public health are identified.
The document discusses public health workforce development in the UK. It outlines the roles in the UK public health workforce including chief medical officer, regional director of public health, director of public health, consultants, practitioners, and the wider workforce. It notes the public health functions of health protection, health improvement, and healthcare public health. It prompts the reader to consider who will access new public health modules, the skills they will need to develop public health locally, and how the modules can prepare the workforce for future challenges.
A new public health services and systems research agenda is being developed through a collaborative process involving the Robert Wood Johnson Foundation, CDC, and the National Coordinating Center for Public Health Services and Systems Research. The agenda will focus on four key areas: the public health workforce, organization and structure of public health systems, public health finance, and technologies, data and methods. Feedback is being gathered from researchers and practitioners to finalize the agenda and identify action steps. The final agenda will help guide future research to better understand and improve public health systems and services.
This document outlines the development of a new Public Health Services and Systems Research (PHSSR) research agenda. It discusses conducting a systematic review of existing PHSSR research agendas and literature in key areas. A series of webinars were held to draft the research agenda and identify priority research questions. The draft agenda will be vetted at several conferences and online to gain feedback from researchers and practitioners. The finalized agenda will be disseminated widely to help guide future PHSSR.
The document describes the COACH 4 DM project which aims to evaluate how quality improvement strategies can influence the adoption of evidence-based diabetes self-management education. It involves working with six local health departments designated as Diabetes Centers of Excellence to facilitate a quality improvement project to improve delivery of diabetes education services. The goals are to assess current practice, establish improved service delivery processes, and evaluate the new system. Preliminary findings show participants have high knowledge of quality improvement methods generally but less knowledge and comfort using specific tools like PDSA cycles. Perceived engagement in quality improvement by health departments is high but perceived effectiveness is moderate.
Strengthening India’s Public Health Workforce: A Landscape Analysis of Initia...HFG Project
Resource Type: Analysis/Report
Authors: Amit Paliwal, Marc Luoma and Carlos Avila
Published: July 31, 2014
Resource Description:
For India’s public health system to deliver effectively, it is imperative that policymakers place strategic focus on tackling persistent HRH issues such as chronic shortage of health workers, unbalanced skill mix in the existing health workforce, and inequitable urban-rural distribution of health workers. Taking optimal health care to the farthest corners of the country is critical to the vision of the Ministry of Health and Family Welfare for comprehensive and integrated health services. The National Rural Health Mission (NRHM) has made substantive efforts to place doctors and other health workers in rural and remote areas through a vast network of health sub-centers, and primary and community health centers. However, persistent shortage and maldistribution of qualified health providers continue to adversely affect the quality and efficiency of public health services, especially in rural areas.
The document discusses key issues around data security and privacy in health IT, noting that while privacy has always been important, the ability to breach privacy is significantly higher today due to the digital nature of information storage and transmission. It emphasizes the need to implement reasonable security measures that balance individual privacy interests with practical and cost considerations.
This document provides an overview and introduction to the Development Bank of Southern Africa's 2011 Development Report on South Africa's future prospects. It outlines that while South Africa has made progress since 1994 in building institutions and reducing poverty, many challenges remain, such as high inequality and unemployment. It also notes that both internal trends and external forces like climate change will influence South Africa's ability to achieve inclusive, sustainable development. The report aims to identify interventions needed to change South Africa's development trajectory by examining current challenges, future implications, driving forces, and scenarios for the country's future.
Bhutan has adopted a development philosophy called Gross National Happiness that values non-economic well-being equally with economic factors. The GNH is measured using a GNH Index that assesses nine domains including sustainable development, environmental conservation, and good governance. While Bhutan's GNH has increased overall in recent years, some groups like women and rural residents reported less growth in happiness, indicating areas for Bhutan's sustainable development goals to target for more equal increases in national well-being.
The document summarizes key points from a World Bank policy research report on the twin goals of ending extreme poverty by 2030 and boosting shared prosperity. It finds that business as usual will not achieve ending poverty, and growth alone must be inclusive to benefit the poorest 40% in each country. It also notes challenges like climate change that could hamper progress, and limitations in measurement due to data availability and quality.
Even It Up - Time to End Extreme Inequality: Comments by Dean JolliffeWB_Research
Comments prepared for launch event of “Even it Up: Time to End Extreme Poverty”
IMF, October 31, 2014.
The views represented in these comments are those of the author and do not necessarily reflect the views of the World Bank.
This document discusses developing a Local Human Development Index (LHDI) for Poland based on the principles of the UN's Human Development Index. It proposes measuring the LHDI at the local administrative unit (LAU1) level to better inform domestic policymaking. The LHDI would include indicators to measure the economic, educational and health dimensions of human development as both outcomes of policies and inputs like funding. Additional contextual measures may also be included. Computation of the LHDI would aim to unveil differences within Poland and link levels of human development to policy decisions and inputs. Subjective well-being indicators could potentially complement the objective LHDI in the future.
The document evaluates financial inclusion in India by analyzing trends such as the spatial distribution of banking services, number of deposit and credit accounts, population coverage by region, agricultural credit coverage, and coverage of farmer households by social group and land holding. It finds that while the number of bank branches has increased across regions, the rise in credit accounts per population has not been significant. Coverage of farmer households and small/marginal farmers also remains low. The study recommends increasing priority on financial inclusion policies to better cover the poor through strategic credit provision, cooperative use, procedural changes, and government/technology initiatives.
This document summarizes findings from a World Bank report on poverty reduction in South Asia. It finds that while poorer countries and regions have seen greater absolute reductions in poverty, they have not seen proportional reductions that allow them to catch up to richer countries and regions. Specifically for South Asia:
- More than 70% of the poor in South Asia live in lagging regions (states with below average income) rather than leading regions.
- Lagging regions have experienced slower economic growth and poverty reduction compared to leading regions, and have not seen proportionally greater reductions that would allow them to close the gap.
- While fiscal decentralization aims to redistribute resources to poorer regions, the degree to which this actually promotes equity varies between countries
Ontario's current "plan" to balance the budgettimhudak
This document analyzes Ontario's lack of a clear plan to balance its budget. It notes that significant restraint has been put off until future years and plugging realistic growth rates into spending categories shows the government would need to cut many programs by 50% or eliminate ministries entirely, which has not been disclosed. The conclusion is that the government has no real plan and has not been honest about the magnitude of reductions needed.
Help for the elderly (hf e) class projectHENRY NEONDO
The document outlines a strategy by Help for the Elderly (HfE) to advocate for improved support and care of elderly persons in Kenya. It notes that while the government has established a cash transfer program, only 6% of elderly people are currently covered and the amount provided has not increased despite rising costs of living. The strategy aims to register all 2.5 million needy elderly Kenyans and advocate for increasing the cash transfer budget. It details objectives, targets, allies, messaging, approaches, resources and governance structure to achieve this over 3 years at a cost of 94 million Kenyan shillings. Risks are also identified and mitigation measures outlined.
BWPI Executive Director David Hulme keynote address, 'Can social protection contribute to growth in sub-Saharan Africa?’, to Ministry of Foreign Affairs of the Netherlands and the Knowledge Platform (Development Policies) Scoping Conference on Social Inclusion and Sustainable Growth in Africa, The Hague
This document discusses strategies taken to promote women's inclusion in South Sudan's 2011 International Engagement Conference (IEC). A working group of South Sudanese women's organizations, government officials, and international partners planned consultations in advance of the conference to discuss development priorities. They advocated for access to the conference documents and provided feedback. The document provides guidance on planning pre-conference gender symposia and checklists for conference organization to promote women's meaningful participation in post-conflict development planning.
Accountability in local government revenue managementAlexander Decker
This document discusses accountability in local government revenue management in Ghana. It focuses specifically on understanding the roles and responsibilities of different actors involved in the financial management process at the local level. The study found that core staff and assembly members at the Asante Akim South District Assembly had incomplete understanding of each other's financial roles and responsibilities. It concludes that improving understanding of financial responsibility charting among assembly members is important for transparency and accountability in local government financial administration.
The community intervention project aimed to address depression in the Narhman community in Ghana. The objectives were to identify factors causing depression, help people make adjustments using cognitive behavioral therapy, and refer severe cases to specialists. Through one-on-one sessions, some participants were found to have mild depression, low self-esteem, or anxiety. Severe cases were referred to nurses. While funding limitations reduced the project scope, the objectives were achieved and lessons learned will strengthen future projects. Addressing mental health in Ghana requires more research, funding, and infrastructure development.
The Affordable Care Act (ACA) may impact the public health workforce in several ways. It could increase demand for certain public health services and workers due to a focus on prevention. However, it may decrease demand for clinical public health services as more people gain private insurance. The overall impact is uncertain and may vary between states. Accurately enumerating and tracking the size and composition of the public health workforce over time will be important to understand these impacts and ensure an adequate workforce. Academic public health programs will also likely be impacted through changes in needed competencies, training areas, and program enrollments.
AHP's an integral part of the public health workforce - Linda HindleSHUAHP
Allied health professionals (AHPs) have the potential to contribute significantly to public health priorities due to their role in assessing lifestyles and behaviors. However, AHPs need more recognition from commissioners and educators as integral parts of the public health workforce. This document outlines the health challenges facing the UK population, including rising chronic diseases and health inequalities. It argues that AHPs are well-positioned to address these challenges through prevention-focused work, but more needs to be done to increase their public health focus in practice, research, and education. National and local priorities for AHP involvement in public health are identified.
The document discusses public health workforce development in the UK. It outlines the roles in the UK public health workforce including chief medical officer, regional director of public health, director of public health, consultants, practitioners, and the wider workforce. It notes the public health functions of health protection, health improvement, and healthcare public health. It prompts the reader to consider who will access new public health modules, the skills they will need to develop public health locally, and how the modules can prepare the workforce for future challenges.
A new public health services and systems research agenda is being developed through a collaborative process involving the Robert Wood Johnson Foundation, CDC, and the National Coordinating Center for Public Health Services and Systems Research. The agenda will focus on four key areas: the public health workforce, organization and structure of public health systems, public health finance, and technologies, data and methods. Feedback is being gathered from researchers and practitioners to finalize the agenda and identify action steps. The final agenda will help guide future research to better understand and improve public health systems and services.
This document outlines the development of a new Public Health Services and Systems Research (PHSSR) research agenda. It discusses conducting a systematic review of existing PHSSR research agendas and literature in key areas. A series of webinars were held to draft the research agenda and identify priority research questions. The draft agenda will be vetted at several conferences and online to gain feedback from researchers and practitioners. The finalized agenda will be disseminated widely to help guide future PHSSR.
The document describes the COACH 4 DM project which aims to evaluate how quality improvement strategies can influence the adoption of evidence-based diabetes self-management education. It involves working with six local health departments designated as Diabetes Centers of Excellence to facilitate a quality improvement project to improve delivery of diabetes education services. The goals are to assess current practice, establish improved service delivery processes, and evaluate the new system. Preliminary findings show participants have high knowledge of quality improvement methods generally but less knowledge and comfort using specific tools like PDSA cycles. Perceived engagement in quality improvement by health departments is high but perceived effectiveness is moderate.
Strengthening India’s Public Health Workforce: A Landscape Analysis of Initia...HFG Project
Resource Type: Analysis/Report
Authors: Amit Paliwal, Marc Luoma and Carlos Avila
Published: July 31, 2014
Resource Description:
For India’s public health system to deliver effectively, it is imperative that policymakers place strategic focus on tackling persistent HRH issues such as chronic shortage of health workers, unbalanced skill mix in the existing health workforce, and inequitable urban-rural distribution of health workers. Taking optimal health care to the farthest corners of the country is critical to the vision of the Ministry of Health and Family Welfare for comprehensive and integrated health services. The National Rural Health Mission (NRHM) has made substantive efforts to place doctors and other health workers in rural and remote areas through a vast network of health sub-centers, and primary and community health centers. However, persistent shortage and maldistribution of qualified health providers continue to adversely affect the quality and efficiency of public health services, especially in rural areas.
The document discusses key issues around data security and privacy in health IT, noting that while privacy has always been important, the ability to breach privacy is significantly higher today due to the digital nature of information storage and transmission. It emphasizes the need to implement reasonable security measures that balance individual privacy interests with practical and cost considerations.
Recruiting & Retaining Public Health Workers: Results from the Public Health ...PublicHealthFoundation
The survey of over 11,000 public health workers found differences in factors influencing recruitment and retention across generations:
- Younger workers placed more importance on flexibility, telework options, and career advancement opportunities.
- Older workers were more motivated by mission and helping their communities.
- All groups highly valued job security, benefits, and work-life balance factors like schedule flexibility.
The results suggest tailoring recruitment and retention strategies to different generations' priorities to strengthen the public health workforce.
Public health and Community medicine as a professional career; awareness & op...Dr. Shatanik Mondal
Public health and community medicine is an enormously diverse and dynamic field enthralling with so many sub-specialities. It has grown from infection prevention to chronic diseases, mental health, environmental health, bioterrorism, demography and many more. Public health is still at its infancy in India, but there is a huge potential in the next 10-15 years. MBBS students in India find it very difficult to digest community medicine as a subject in their curriculum in general till now. This presentation will show the importance of the subject and how they can think community medicine as their future career, all its job prospects and opportunities.
Health workforce Statistics: Current Needs and Requirements
Introduction
Trained healthcare workforce is an important determinant of efficiency and outcomes of any health system as devised by WHO health systems approach. India one of the most populous country of the world has always felt a dire need of healthcare workforce even having one of the largest medical education and capacity building system. On the other hand we have a variety of health cadre namely from an ASHA to super specialized doctors. In our presentation we have critically analyzed the distribution of health workforce in India and its impacts on health and healthcare delivery for the mass of our society.
The Health Workforce in Nutshell
India faces an acute shortage of trained health workforce. India has a large basket of interventions to improve the healthcare but they are adversely effected by shortage of trained, motivated and supported health workforce. The shortages and misdistribution of health workforce have a large contribution to inequities in health outcomes. India’s health workforce is a combination of both registered, formal health-care providers and informal medical practitioners. We have a very unique health system with a large public health system and a blanket of juxtaposed private health care system. Similar situation is also present in training and education of health workforce. There is also a lack of data on the exact number of health care providers.
Issues
Quite a percentage of Indian population is spread in the rural areas but on the other hand the concentration of health care is in the urban system. The health care providers are highly concentrated in the urban area. Health worker densities are very low in rural settings when compared with urban areas. The next issue is lack of support to the health care providers practicing in the rural area and attraction of high income, support and provisions in the urban settings for the highly specialized workforce which includes doctors, dentist etc. At the national level, the aggregate density of doctors, nurses and midwives was 2.08 per 1000 population, which was lower than WHO’s critical shortage threshold of 2.28 .
Conclusion
In a concluding remark the production of health workforce has increased too many folds which has cost increased privatization of health education. On the other hand the public medical education system has not expanded at the required level. There is need to tap the potential in the private players with keep in mind stringent control of quality and cost. The increase in production is not going to resolve the issues of health worker availability and distribution. The need of the hour is to find sustainable measures to target the acute shortfall in the trained health workforce in India.
The document outlines an agenda and proposed next steps for the Information Exchange Workgroup. Key points include:
- Establishing two task forces focused on provider directories and public health transactions.
- Developing work plans and timelines for each task force to assess current issues, identify barriers, and make recommendations.
- Prioritizing initial areas like laboratory results, electronic prescribing, and patient summary exchange in relation to Meaningful Use.
- Coordinating activities with the HIT Policy Committee and ensuring alignment with other national health IT initiatives.
The workgroup aims to address specific challenges to information exchange and make policy recommendations to facilitate interoperability goals.
The document discusses the future of Franklin County Public Health in Ohio. It outlines the value of public health in preventing disease and promoting community health. Trends driving change include national public health issues requiring specialized responses and reports recommending regionalization and consolidation. The meeting goals were to discuss the value of public health, financial challenges, and a vision for the future with community input. Next steps include an electronic survey and planning session to secure more resources to accomplish the public health mission.
Clinical Implications Of A Shift In A Health Care Organizationquintind02
This document discusses shifting an organization's culture to improve performance. It outlines signs of a dysfunctional work culture, such as poor communication and lack of feedback. The presentation argues that diversity, inclusion, and leadership are needed to change culture. An unconventional action plan over 5 years establishes committees, integrates management, implements shifts, and measures outcomes like equity, satisfaction and retention. Shifting culture through diversity, inclusion and leadership can decrease errors and waste while improving care coordination and the community image.
Community Health Center Growth & Sustainability: State Profiles from the Northeastern and Mid-Atlantic United States analyzes key factors related to community health center (CHC) growth and sustainability in 13 states and DC. It finds that in 2012 CHCs collectively served over 5.3 million people, with a median annual growth rate of 4.2% from 2010-2012. CHCs typically served 1 in 5 Medicaid enrollees and 1 in 6 low-income residents. The document also examines CHC financial status using data from 2009-2011, finding mixed results with some states exceeding benchmarks for days cash on hand while others fell below. Revenue sources also varied between states.
Presentation is about the uniqueness of Implementation Research and Role of the Government, specially in Indian context of health programme implementation.
The document discusses a project aimed at improving consideration of women's health needs in local government health planning in Australia's Loddon Mallee region. The project's goals were to increase the number of municipal public health plans that prioritize women's gender-specific needs and to provide local governments with a resource on women's health issues. The resource was developed after consulting each of the 10 local governments and incorporated their feedback. Early results found the resource raised awareness of how to incorporate women's social determinants of health into planning and increased gender-sensitive planning knowledge amongst council staff. The organizers plan to further analyze and improve upon the resource.
Health Equity Workshop - Promising PracticesASI_HSC
This document summarizes strategies and evidence for advancing health equity. It discusses 10 promising practices including intersectoral action, targeting universal policies, purposeful reporting, social marketing, and community engagement. For each practice, the document provides examples from public health organizations and literature reviews on the impact and how to effectively implement the strategies. It emphasizes assessing health inequities, modifying interventions to reduce inequities, and partnering with other organizations to improve health outcomes for marginalized groups.
4 wed allen 2011 hiv prevention conferenceCDC NPIN
The document discusses health equity and how to incorporate it into public health programs and policies. It defines key terms like health disparities, health inequalities, and health equity. It emphasizes the importance of understanding social determinants of health and having a "syndemic orientation" to address the connections between health problems. The document also provides examples of how to map social determinants of health data to specific populations and geographic areas in order to develop more effective health interventions and policies to reduce health inequities.
Using Kingston's JSNA data to meet local needSuperhighways
Kingston Council's Public Health team shared how a comprehensive picture of the assessment of current and future health & social care needs of the local population can help communities in Kingston at the Kingston Data Hack day in June 2018.
Reflections on the National Summary of Patient Activity Data for Adult Specia...Irish Hospice Foundation
IHF reflections on MDS data in relation to specialist palliative care services. Reflections offered on SPC beds, access to SPC services. This presentation highlights inequities that exist.
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1. ASTHO and NACCHO Profiles
Feb. 11 2010
CPH 950
F.D. Scutchfield, M.D.
Peter P. Bosomworth Professor of
Health Services Research and Policy
University of Kentucky
Center for Public Health Systems & Services Research
2. Association of State and Territorial
Health Officials (ASTHO)
• ASTHO Profile of State Public Health, Volume One
(2009) (pdf)
• With support from the Robert Wood Johnson
Foundation and the Centers for Disease Control
and Prevention, ASTHO surveyed state and
territorial health agencies about their
responsibilities, organization and structure,
planning and quality improvement activities,
workforce, and much more. All 50 states and the
District of Columbia completed the survey.
3. ASTHO – Vision and Mission
VISION:
• Healthy people thriving in a nation free of
preventable illness and Injury
MISSION:
• To transform public health within states and
territories to help members dramatically
improve health and wellness
4. State public health is the focal point for
population health activities in states, public
health system oversight, management of
federal funds targeted to unmet needs, state
health surveillance, and is the final arbiter of
health policy in states.
5. 4 Main Sections of ASTHO Profile
1. Public Health Responsibilities
2. Organization and Structure
3. State Health Planning and Quality
Improvement
4. State Health Agency Workforce
6. 1. Public Health Responsibilities
• Wellness
• Policy Development
• Vital Statistics
• Prevention Services
• Immunization Services
• Preparedness
• Access to Care
• Registry Maintenance
• Maternal and Child Health Services
• Epidemiology and Surveillance
• Regulation, Inspection and Licensing
• Environmental Health
• Professional Licensing
7. State Health Agency (SHA) Top Activities
• Leadership development
• Adoption of National Public Health
• Performance Standards
• Implementation of the Public Health
• Improvement Project
• Workforce development / core
competencies
• Coordination with partners in the
public health system
• Support for local public health
agencies
• Data driven management.
8. 2. Organization and Structure
This section looks at issues
such as the influence of
state legislatures on
SHAs and the
relationships between
SHAs and other entities,
such as local public
health agencies and
private organizations.
9. 3. State Health Planning and Quality
Improvement
To varying degrees, SHAs have drawn from several tools
developed to help them achieve higher standards in their
organizations and programs. Among the most prominent:
• Turning Point, a network of 23 state partners and five
National Excellence Collaboratives initiated by the Robert
Wood Johnson Foundation to strengthen the public health
system in the U.S.
• National Public Health Performance Standards Program
(NPHPSP), a CDC National Partnership initiative that sets
forth standards for state and local public health systems.
11. 4. State Health Agency Workforce
Although a majority of state health officials hold a medical doctor
degree, others have earned degrees in a variety of disciplines.
About a third hold a master’s in public health degree.
12. State Health Agency Staff
Number of Full-time Equivalents (FTEs) Number and Type of SHA Employees
Employed by SHAs
13.
14. National Association of County and
City Health Officials (NACCHO)
NACCHO is the national organization
representing local health departments.
NACCHO support efforts that protect and
improve the health of all people and all
communities by promoting national policy,
developing resources and programs, seeking
health equity, and supporting effective local
public health practice and systems.
15. Purpose of National Profile of LHDs
To advance and support the development of a database
for LHDs to describe and understand their structure,
function, and capacities.
18. Total Number of LHDs in Study
Population, Number of LHDs
Completing
Questionnaire, and Response Rates,
for All LHDs and by State
19. Main Sections of NACCHO Profile
1. Jurisdiction and Governance
2. Financing
3. LHD Leaders
4. LHD Workforce
5. Emergency Preparedness
6. LHD Activies
7. Community Health and Health Disparities
8. Quality Improvement and Accreditation
9. Information Technology and Management
21. Local Boards of Health Functions
• adopting public health
regulations,
• setting and imposing fees,
• approving the LHD budget
• hiring or firing the top
agency administrator
• requesting a public health
levy
22. 2. Financing
• What Were LHD Total Annual
Expenditures?
• What Were the Average Expenditures
of LHDs?
• What Were per Capita Expenditures
for LHDs?
• Did LHD per Capita Expenditures
Differ by State?
• What Were the Sources of LHD
Revenues?
• Did Revenue Sources Vary by the Size
of the Population Served
• by the LHD?
• What Were the LHD Revenue Sources
for Each State?
23. LHD Total Annual Expenditures
Forty-two percent had
expenditures of less than
$1 million, 30 percent had
expenditures of $1 to
$4.9 million, and 17
percent had expenditures
of $5 million or more.
Data on this item were
unreported for 11 percent
of LHDs.
24. 3. LHD Leaders
• What Were the Demographic
Characteristics of LHD
• Top Agency Executives?
• Did Characteristics of Top
Executives Change Between
2005 and 2008?
• How Old Were Most LHD Top
Executives?
• What Was the Education Level
of LHD Top Executives?
• How Long Have Top Executives
Worked at LHDs?
• Were New Top Executives
Different from Experienced Top
Executives?
25. Percentage of Top Agency Distribution of Top Agency Executives,
Executives by Selected Characteristics by Highest Degree Obtained
26. 4. LHD Workforce
• How Many FTE Positions Were
Employed by LHDs?
• Did the Average Numbers of
Employees and FTEs Vary by Size
• of the Population Served by the
LHD?
• What Were the Demographic
Characteristics of LHD Staff?
• What Kinds of Job Functions
Were Most Often Included at
LHDs?
27. LHD Workforce
• Did Occupations at the LHD
Vary by the Size of the
Population Served?
• What Were the Average
Numbers of Staff Persons at
LHDs?
• What Were the Typical
Staffing Patterns of LHDs?
• Has the Workforce Size and
Composition Changed
Between 2005 and 2008?
• What Was the Overall
Distribution of the LHD
Workforce?
28. Distribution of FTE Positions at Distribution of Occupations in
LHDs the LHD Workforce
30. 5. Emergency Preparedness
• What Kinds of Centers for Disease Control and Prevention (CDC) Funding
• Did LHDs Receive for Emergency Preparedness Activities?
• Did Funding Vary by the Size of the Population Served by the LHD?
• What Was the Funding per Capita for Emergency Preparedness Activities
• in LHD Jurisdictions?
• What Were the per Capita Levels of CDC Funding to LHDs for Emergency
• Preparedness by State?
• How Many LHDs Had Staff Salaries Paid with Emergency
• Preparedness Funding?
• What Kinds of Emergency Preparedness Planning Activities Were
• Conducted by LHDs?
• What Were the Reasons for Activating an Emergency Operations
• Center (EOC)?
• What Percentage of LHDs Responded to Specific Emergency Events?
31. Kinds of Emergency Preparedness Planning
Activities Were Conducted by LHDs
32. 6. LHD Activities
10 Most Frequent Activities
and Services Available
Through LHDs Directly
33. 7. Community Health and Health
Disparities • Did LHDs Participate in Community Health
Planning Activities?
• What Roles Did LHDs Have in the
Development of Community
• Health Assessments?
• Did Community Health Assessments and
Community Health Improvement
• Planning Activities Differ According to the
Size of the Population Served
• by the LHD?
• What Resources Did LHDs Use for CHAs and
CHIP?
34. Community Health and Health
Disparities • What Were LHD Activities Related to
Health Disparities?
• Did Activities to Address Health
Disparities Differ by the Size of
• the Population Served by the LHD?
• What Kinds of Collaborations Were
Conducted by LHDs?
• How Did LHDs Relate to Academic
Institutions?
• What Were LHD Activities Regarding
Public Health Policy?
• What Were LHD Activities Regarding
Access to Healthcare Services?
35. Community Health Assessments (CHAs)
• More than 60 percent of
respondents reported that a
CHA had been completed in
the last three years
• A lower proportion (49%)
reported that community
health improvement
planning had been
conducted in the last three
years; within this group,
more than 90 percent of all
CHIPs were based on
community health
assessments.
36. 8. Quality Improvement and
Accreditation • Did LHDs Participate in Formal Quality or
Performance Improvement Activities?
• What Were the Focus Areas for LHD
Performance Improvement Activities?
• Did LHDs Have Management with Training
in Quality Improvement?
• What Strategies or Approaches Did LHDs
Use for Quality Improvement?
• How Was the Operational Definition Used
at LHDs?
• Were Respondents Aware of the
Developing Voluntary National
• Accreditation Program?
• What Was the Interest Level in LHD
Accreditation?
• Did Interest in a Voluntary National
Accreditation Program Differ by the Size
• of the Population Served by the LHD?
37. Percentage of LHDs with Participation in a Formal Performance Improvement
Activity, for All LHDs and by Size of Population Served
38. Percentage of LHDs, by Level of Agreement with Statements on Seeking
Voluntary National Accreditation in Unspecified Time, by Size of Population
Served
39. 9. Information Technology and
Management • What Kinds of Information
Technology Did LHDs Use?
• How Were Records Kept in
Specific LHD Programs?
• What Types of Information Were
Available to LHDs?
• Did Most LHDs Have Web Sites?
• What Types of Information Were
Available on LHD Web Sites?
• What Kinds of Promotional
Strategies Were Used by LHDs?
• Did LHDs Share Resources with
Other LHDs?
• In What Types of Programs Were
LHD Resources Shared?
40. Percentage of LHDs, by Level of Implementation of Selected Information
Technologies
42. Data Harmonization
• The Robert Wood Johnson Foundation
(Princeton, NJ) –Data Harmonization
• U.S. Centers for Disease Control and
Prevention –Profiles (ASTHO and NACCHO)
43. The Profiles
• ASTHO: Association of State & Territorial
Health Officials (DC)
• NACCHO: National Association of City &
County Health Officials (DC)
• NALBOH: National Association of Local Boards
of Health (Bowling Green, OH)
44. Data Harmonization Outcome: Part A
Each of the three Profiles surveys are using the
same Geographic and Demographic questions
(what we are calling Part A)
45. Data Harmonization Outcome: Part B
Each of the three Profiles surveys, however, focus on
different topics. Each survey has a distinct, different
Part B with questions of interest for each organization.
Even in these individualized Part Bs, however, there has
been a concerted effort to align questions on similar
topics by using shared or parallel language in the
questions.
Knowing what the other surveys are gathering,
associations have been able to shorten their surveys
somewhat.
46. Data Harmonization Outcome: Part C
Each of the three Profiles surveys are using the
similar cross-thematic questions addressing
key areas of focus for RWJF initiatives (what
we are calling Part C)
47. Teamwork
• Interactive colleagues in parallel positions at
all three associations
• Profiles Work Groups at all three associations
• ASTHO and NACCHO gathering information
on local boards of health to assist NALBOH
48. References:
• ASTHO - Profile of State Public Health Vol. 1
http://www.astho.org/Display/AssetDisplay.aspx?id=2882
• NACCHO – National Profile of Local Health
Departments
• The Data Harmonization Project – Jeff Jones,
PhD. Keeneland Conference, 2010
49. For more information contact:
121 Washington Avenue, Suite 212
Lexington, KY 40517
859-257-5678
www.publichealthsystems.org