Development of a roadmap for the post-2015 health SDGs 15-16 January, 2015Glion-sur-Montreux

1. Towards a Health Workforce science
Session 3: What systems are needed to monitor the SDG
health goals?
Development of a roadmap for the post-2015 health SDGs
15-16 January, 2015
Glion-sur-Montreux
Jim Campbell
Director, Health Workforce, WHO
Executive Director, Global Health Workforce Alliance

2. Quick Context: Health Workforce 2030
What are the health
workforce implications
of UHC & post-2015?

3. Health workforce: 2014-2016
2014 2015 2016
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
May2016
69th World
Health
Assembly:
Global
Strategy on
HRH
UNGA High-
Level
Meeting:
Post-2015
development
agenda
adopted
WHO/WB/USAID
Measurement
Summit on post-
2015
Sept-Oct2015
WHO Regional
Committees:
Member States
review of
national/regional
progress
Sep2015
GHWA Board:
Adopts
recommendations
on Global Strategy
HRH
Feb2015
Jan2015
Global Strategy on HRH :
Draft strategy developed
Code of Practice – National reporting
Designated National Authorities
Health Professional Education
National assessments and reporting
Nursing and Midwifery
National reporting
Jan2016
WHO Executive
Board:
Global Strategy on
HRH
WHO Code of
Practice ,
Progress reports
WHA64.7,
WHA66.23
WHO Executive Board:
Code of Practice –
“relevance" and
“effectiveness”
68th World Health
Assembly:
Code of Practice –
“relevance" and
“effectiveness” WHO
Global
GHWA
synthesis
paper
reflecting
outcome of
Global
Consultation
Nov2014–Jan2015

4. Population
coverage
Financial
protection
People-centred, integrated
health services
(AAAQ / right to health)
wealth quintiles
“UHC”
UHC: The health workforce implications….
A
B
B1
B2
B3

5. Population
coverage
Financial
protection
People-centred, integrated
health services
(AAAQ / right to health)
wealth quintiles
“UHC”
UHC: The health workforce implications….
A
B
B1
B2
B3

6. Post-2015: The Health Workforce implications….
Goal 3: Ensure healthy lives and promote well-being for all at all
ages
• Reduce maternal mortality and end preventable deaths of newborns and U5
children and ensure universal access to SRH care services
• End the epidemics AIDS, tuberculosis, malaria, and NTDs and combat hepatitis,
water-borne diseases, and other CDs
• Reduce by 1/3 premature mortality from NCDs through prevention and
treatment, and promote mental health and wellbeing
• Strengthen prevention and treatment of substance abuse, including narcotic drug
abuse and harmful use of alcohol
• Halve global deaths and injuries from RTAs
• Achieve UHC, including financial risk protection, access to quality essential health
care services, and access to safe, effective, quality, and affordable essential
medicines and vaccines for all
• Reduce the number of deaths and illnesses from hazardous chemicals and air,
water, and soil pollution and contamination

7. Post-2015: ‘zero’ targets…
• …..reduce maternal mortality...(70 per 100,000 live births)…
• …..end preventable deaths of newborns….
• …..end preventable deaths of U5 children…..
• …..ensure universal access to SRH care services…..
• …..end the epidemics AIDS, tuberculosis, malaria, and NTDs

8. Post-2015: ‘zero’ targets…but weak on ‘how?’
• …..reduce maternal mortality...(70 per 100,000 live births)…
• …..end preventable deaths of newborns….
• …..end preventable deaths of U5 children…..
• …..ensure universal access to SRH care services…..
• …..end the epidemics AIDS, tuberculosis, malaria, and NTDs
• increase substantially …..the recruitment, development and training
and retention of the health workforce……

9. The health workforce implications ……
Sexual &
Reproductive
Maternal/Newborn
Child
Health
CDs
NCDs
Mental
Health
Trauma
Public Health & Global
Health Security
BUT the HEALTH & SOCIAL CARE WORKFORCE has impact beyond Goal 3.
They are AGENTS OF SUSTAINABLE DEVELOPMENT

10. GHWA: 8 Thematic papers
http://www.who.int/workforcealliance/media/news/2014/consultation_globstrat_hrh/en/
# 1: The drivers of change in health labour markets;
# 2: The role of transformative education;
# 3: Data and measurement of HRH availability, accessibility, acceptability and quality;
# 4: Accountability and alignment for post-2015: the roles and responsibilities of state and non-state
actors; Paper for consultation (will be available shortly);
# 5: Leadership, governance and policy alignment in public/ private health systems;
# 6: The drivers of change in Fragile States;
# 7: Improving health worker productivity and performance in the context of universal health coverage:
the roles of standards, quality improvement, and regulation;
# 8: Building on human capability beyond the health sector;
Supplementary: REF # A: What are the health workforce and service implications of the Global
Framework for Public Health?

11. Data & measurement of HRH
http://www.who.int/workforcealliance/media/news/2014/consultation_globstrat_hrh/en/
2013 2014 2015 2016
Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Recife Conferencex
Thematic Paper – Data & Measurementx
WHO Global Strategy on HRH
(DRAFT)x
Measurement & Accountability
Summitx
GHWA Synthesis document and Board Statementx
UNGA Post-2015x
OWG SDGs – goals/ targetsx

12. HRH: What do we need to measure?
Source: Sousa, Boerma et al, 2013.

13. HRH: What indicators are being used?
• from existing literature?

14. HRH: What is being measured and reported?

15. HRH: So, what next?
Goal 3c:
increase substantially …..the recruitment, development and
training and retention of the health workforce……
“increase” -> requires a baseline and progress over time
-> increase numbers (but not density/pop)
-> increase numbers (but more of the same)
-> increase density (but not equity)
-> increase density (but not effective coverage)
“substantially” -> vs. need?
-> vs. demand?

16. HRH: So, what next?
Goal 3c:
increase substantially …..the recruitment, development and
training and retention of the health workforce……
ASSUMING NO CHANGE:
-> Baseline, Baseline, Baseline
-> “2 x 10 x 100”
-> Create demand for data
-> Create demand for workforce science
2: Who/where are they? What education?
10: Minimum Data Set
100: National Health Workforce Account

17. MDS and National Health Workforce Account
M1
M2
M3
M4
National Health Workforce Account
Modular: from MDS to HLM
Stocks / Flows
Education

18. MDS – 10 key fields

19. MDS – standardized metadata

20. MDS…
Minimum Data Set Data Elements
Identification Number Unique Identification Number, Date of Issue, Date of Expiration, Place
of Issue
Full Name First name, last name, middle name, maiden name, other names
Birth History Date of Birth, Sex at Birth, Place of Birth, father's name and mother's
name, photograph
Citizenship, Country of Residence,
and Language
Citizenship at birth, citizenship at present, country of residence, ability
in spoken and written languages
Address Physical address
Contact Information Telephone number, email address, emergency contact name
Professional License and
Certification
License and certification name, issuing institution, date of issue and
date of expiration, photograph
Employment Status Employment status, employment title and occupational category
Employment Address Full address of current employer
Data Submission Institution Name of the institution submitting data; date and time of submission

21. HW data sources….
Medical
Council
MoH
Payroll,
Retirement
National
University
Ministry
of Defense
Immigration
Xpat Online
Private
Hospital
Board of Health
Sciences
Nursing
Council
Civil
Service
Commission
An example: Multiple data sources

22. The HW Registry - concept
Medical
Council
MoH
Payroll,
Retirement
National
University
Ministry
of Defense
Immigration
Xpat Online
Private
Hospital
Board of Health
Sciences
Nursing
Council
Civil
Service
Commission
Health
Workforce
Registry
Need for
Unique Person
ID system
(NCIT)
*using Minimum Data Set

23. Creating a workforce science: “National HW Account”
National Health
Workforce Accounts
(NHWA)
National
capacity
building
Improved
national
reporting
GHO
Improved
national
planning

24. Overview
Campbell J, Dussault G, Buchan J, Pozo-Martin F, Guerra Arias M, Leone C, Siyam A,
Cometto G.
A universal truth: no health without a workforce.
Forum Report, Third Global Forum on Human Resources for Health, Recife, Brazil.
Geneva, Global Health Workforce Alliance and World Health Organization, 2013.
Campbell J, Dussault G, Buchan J, Pozo-Martin F, Guerra
Arias M, Leone C, Siyam A, Cometto G. A universal truth: no
health without a workforce. Global Health Workforce
Alliance and World Health Organization, 2013.
A universal truth….

25. THANK YOU!
- who.int/workforcealliance
- @GHWAlliance #hrhstrategy
- facebook.com/healthworkforce