the global health care workforce (laura hoemeke)
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Health Workers Save Lives
National Press FoundationWashington, DC June 9, 2011
Laura Hoemeke, MPHDirector of Strategic Communications,IntraHealth International
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Click
here
http://www.youtube.com/watch?v=tCSmIYmPOi4&playnext=1&list=PL9E05FB16305D0BF0 -
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(Source: Global Health Workforce Alliance, Imagine, 2011.)
people lack access to basic healthcare
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Lives in the balance
Lives in the balance
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In 2006 the WHO identified 57 countries with a health workforcecrisis.
Critical shortage of healthservice providers
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Five years later
all 57 countries remain incrisis.
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(Source: WHO, World Health Report, 2006.)
but only 4% of theworlds health workers.
Sub-Saharan
Africa has 25% of the global burdenof disease
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The crisis in East Africa
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0.5
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1.5
2
2.5
D o c t o r s / n u r s e s / m i d w i v e s p e r 1 , 0 0 0 p o p u l a t i o n
(Source: WHO, Global Atlas of the Health Workforce, 2011.)
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lo, the beleaguered health worker
Inequitablydistributed
Too
few
Poorlysupported
Too few
Inadequatelyeducated
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Health workers save lives.
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More health workers, better healthoutcomes
(Source: WHO, World Health Report, 2006.)
1% increase in health professionalsassociated with an almost 5% increasein maternal survival and an over 2%increase in both infant and childsurvival
each additional health worker in population of
1000 = 10 to 15 5 decline in burden of infectiousdisease
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Rural populations have less access tohealth workers
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Ethiopia Rwanda Kenya Uganda
(Source: World Bank, Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa, 2010.)
Docto rsper 1,000
popula tion
Amha
ra
Addis
Gikong oro
Kigali
Turkana
Nairob i
Kamu
li
Kampa la
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0102030405060708090
Ethiopia Kenya Rwanda Uganda
% o f b i r t h s
Percentage of births attended by a health professional
Rural Urban
(Source: Demographic and Health Surveys: Ethiopia 2005; Kenya 2008-09; Rwanda 2007-08; Uganda 2008.)
which affects health outcomes
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05
101520253035404550
Ethiopia Kenya Rwanda Uganda
% o f M W R A
Rural Urban
which affects health outcomes
Modern method contraceptive prevalence
(Source: Demographic and Health Surveys: Ethiopia 2005; Kenya 2008-09; Rwanda 2007-08; Uganda 2008.)
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Projected impact of increasing healthworker density on maternal mortality
Health worker density
(Sources: 83 country sample: Anand and Barnighuasen, Human Resources and Health Outcomes: Cross-Country Econometric Study,Lancet 2004; 364:1603-1609. Health worker density for Ethiopia: WHO, Global Atlas of the Health Workforce. Maternal mortality forEthiopia: Maternal Mortality for 181 Countries, 1980-2008: A Systematic Analysis of Progress Towards Millennium Development Goal5, Lancet 2010; 375. )
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Practical solutions
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Solutions to the health workercrisis
Expandeducation
Mobilizeleaders
Strengthenmanagem
ent
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Mobilizing leadersUgandaHuman Resources for Health TechnicalWorking GroupEngaging ministries, donors, partners, health workers
Malawi
Emergency HR Program53% increase in public sectorhealth workforce, 2004 to2009; use of key servicesincreased; more than 13,000lives saved
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Solutions to the health workercrisis
Expandeducation
Mobilizeleaders
Deploywhere
needed
Strengthenmanagem
ent
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Educating health workers
EthiopiaMassive expansion of healthextension workers34,000 health extension workers
dispatched to 15,000 health posts
Mali
The right health workertrained in the right placeGao Nursing School in ruralnorth
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Solutions to the healthworker crisis
Expandeducation
Mobilizeleaders
Deploywhere
needed
Strengthenmanagem
ent
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Deploying health workers
RwandaCommunity health workersdeploying 60,000 health workers; dramaticimprovements in child survival, maternal health anduse of family planning
Uganda
Rural health workerattraction and retentionusing discrete choice
experiment to figure outwhat motivates health
workers
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Solutions to the healthworker crisis
Expandeducation
Mobilizeleaders
Deploywhere
needed
Strengthenmanagement
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Managing health workers
Tanzania
Productivity improvementmaking health facilitiesmoreclient-friendly and morehealth worker-friendly
KenyaEmergency Hiring Plan
830 nurses hired andplaced in 200 healthfacilities in six months
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Solutions to the health workercrisis
Expandeducation
Mobilizeleaders
Deploywhere
needed
Strengthenmanagement
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Agenda for actionAdvocacy|Assets |Accountability
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www.intrahealth.org
Laura Hoemeke, Director of Strategic Communications,
Visit us at Booth 416 during GHC