52 nd meeting of pihoa guam, june 2012 most photos courtesy of flickr who investments in northern...
TRANSCRIPT
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
WHO investments in Northern Pacific
Jane WallaceDivision for Pacific Technical Support
WHO investments in Northern Pacific
Jane WallaceDivision for Pacific Technical Support
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
OutlineOutline
Priorities: How we decide what to do
Operations: What we are actually doing
How we know we have achieved our objectives
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
A word about WHO A word about WHOMember State organization
Core functions– Providing leadership– Shaping research agenda– Setting norms and standards– Articulating policy options– Providing technical support, capacity
building– Monitoring health trends
HQ, 6 regional offices and about 145 country offices
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
80 staff in 7 offices DPS (Division for Pacific Technical Support)
22 Countries and areas
Background – Pacific focus
Country office for N Pacific in FMS(CNMI, FSM, Palau,RMI)
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Implcountry
Pacific approaches
Refined for regional context
Global public health agenda set and reviewed
Background - how WHO worksBackground - how WHO works
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Implcountry
Pacific approaches
Refined for regional context
Global public health agenda set and reviewed
World Health Assembly
Priorities: deciding what to doPriorities: deciding what to do
Country Coop Framework, Pacific Ministers Meeting
and othersRegional Committee
County Coop Framework
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Priorities: Pacific Ministers MeetingsPriorities: Pacific Ministers Meetings
Healthy Islands vision
NCDs
Top 4 additional priorities– Mental health: PIMHnet (I: island) – Health information: PHIN (I:
information)– HR: PHRHA, POLHN– Social determinants of health:
CROP
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Priorities: country cooperation strategyPriorities: country cooperation strategy
National development plansUN Development Assistance
Framework (UNDAF)
National health plans Multicountry CCS
WHO country workplan
Pacific strategic framework
Country strategy
Goals, outcome
sGoals,
outcomes
WHO’s support
to countries
Output
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Priorities: WHO and Pacific countriesPriorities: WHO and Pacific countriesOutline of Framework for WHO’s Multicountry Cooperation Strategy in the Pacific (2013-17)
MISSION Improving and protecting the health of Pacific island people through collective and collaborative efforts: Healthy Islands approach involving whole-of-society response
Global Priorities
Maternal and child health
Communicable diseases
Noncommunicable diseases
Emerging diseases and climate change
Health system development
Goals
1. Reduced maternal and child morbidity and mortality
2. Reduced morbidity and mortality from HIV, TB, malaria and NTDs
3. Reduced morbidity, deaths and disabilities from noncommunicable diseases
4. Reduced mortality due to epidemics, disasters and health impacts of environmental threats
5. Equitable access to quality, affordable primary health care services
Main Outcomes
Equitable access by all women to safe delivery, reproductive health services and family planning
Improved child health achieved through increased vaccination coverage
Equitable access to early case detection and treatment of malaria, TB, HIV and STIs
Reduced impact of dengue
Yaws, LF and Leprosy reduced to elimination levels
Reduced prevalence of known NCD risk factors in PICs
Increased access to NCD preventive and control services
Reduced barriers to effective mental health services
Prevention, timely detection and investigation, response to outbreaks, foodborne, and emerging infectious diseases in line with IHR
Health risks and vulnerabilities reduced from disasters, hazards and climate change
Evidence-based community health systems and policies
Effective and responsive workforce to population and service needs
Robust data generation, analysis and use
Efficient access to quality-assured essential medicines and health technologies
1 Country-focused, accelerated actions to achieve the MDG-related targets in which the Pacific is lagging behind
2 Universal access to primary health care and integrated community-based services 3 Demand-driven access to non-communicable disease (NCD) prevention and control at the point of care 4 Achieving national & collective capacity in the Pacific for prevention, risk reduction and response to health security threats & disasters 5 Addressing the wider social determinants of heath and gender disparities to improve equity in health
Pacific Strategic
Approaches
6 Strong public health leadership for sector-wide coordination, multi-sectoral approaches and aid effectiveness WHO Core Functions
Providing leadership Shaping the research agenda
Setting norms and standards Articulating policy options
Providing technical support and building capacity
Monitoring and Health trends
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Priorities: WHO and Pacific countriesPriorities: WHO and Pacific countriesOutline of Framework for WHO’s Multicountry Cooperation Strategy in the Pacific (2013-17)
MISSION Improving and protecting the health of Pacific island people through collective and collaborative efforts: Healthy Islands approach involving whole-of-society response
Global Priorities
Maternal and child health
Communicable diseases
Noncommunicable diseases
Emerging diseases and climate change
Health system development
Goals
1. Reduced maternal and child morbidity and mortality
2. Reduced morbidity and mortality from HIV, TB, malaria and NTDs
3. Reduced morbidity, deaths and disabilities from noncommunicable diseases
4. Reduced mortality due to epidemics, disasters and health impacts of environmental threats
5. Equitable access to quality, affordable primary health care services
Main Outcomes
Equitable access by all women to safe delivery, reproductive health services and family planning
Improved child health achieved through increased vaccination coverage
Equitable access to early case detection and treatment of malaria, TB, HIV and STIs
Reduced impact of dengue
Yaws, LF and Leprosy reduced to elimination levels
Reduced prevalence of known NCD risk factors in PICs
Increased access to NCD preventive and control services
Reduced barriers to effective mental health services
Prevention, timely detection and investigation, response to outbreaks, foodborne, and emerging infectious diseases in line with IHR
Health risks and vulnerabilities reduced from disasters, hazards and climate change
Evidence-based community health systems and policies
Effective and responsive workforce to population and service needs
Robust data generation, analysis and use
Efficient access to quality-assured essential medicines and health technologies
1 Country-focused, accelerated actions to achieve the MDG-related targets in which the Pacific is lagging behind
2 Universal access to primary health care and integrated community-based services 3 Demand-driven access to non-communicable disease (NCD) prevention and control at the point of care 4 Achieving national & collective capacity in the Pacific for prevention, risk reduction and response to health security threats & disasters 5 Addressing the wider social determinants of heath and gender disparities to improve equity in health
Pacific Strategic
Approaches
6 Strong public health leadership for sector-wide coordination, multi-sectoral approaches and aid effectiveness WHO Core Functions
Providing leadership Shaping the research agenda
Setting norms and standards Articulating policy options
Providing technical support and building capacity
Monitoring and Health trends
Mission
Global priorities
Main outcomesPacific strategies
WHO core functions
Mission
Global priorities
Main outcomesPacific strategies
WHO core functions
Mission
Global priorities
Main outcomes
Pacific strategies
WHO core functions
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Priorities: country profiles in CCS Priorities: country profiles in CCS
Country summary– Summary of national health policy– Strategic priorities from WHO
Joint document, prepared together (MoH, WHO)
Multi-year, not operational
Aligning Pacific-wide approaches and country implementation
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
END-POINTSIschemic Heart Dis.StrokePeripheral Vasc. Dis.CancerChronic Lung Dis.
NCD END-POINTSHeart Disease (incl Hypertension & Stroke)Diabetes & complicationsCancerChronic Respiratory Disease
INTERMEDIATE RISK FACTORSHypertensionBlood lipidsDiabetesObesity
INTERMEDIATE RISK FACTORSRaised Blood PressureAbnormal Blood lipidsRaised blood sugarObesity
BEHAVIORAL Tobacco Diet Physical
Activity AlcoholENVIRONMENTAL Socio-cultural Policy Economic PhysicalNON-MODIFIABLE Age, Sex,
Genes
BEHAVIORAL Tobacco Diet Physical
Activity AlcoholENVIRONMENT
AL Socio-cultural Policy Economic PhysicalNON-
MODIFIABLE Age, Sex,
Genes
Operations: NCDsOperations: NCDs
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Operations: NCDsOperations: NCDs
Not available Exists or achieved, but weak
Strong/achieved No data
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Operations: POLHN work in FSMOperations: POLHN work in FSM
POLHN: online courses, course materials for health professionals in the Pacific
One centre in each state in FSM
Student enrolment:– 2010: 5 students
– 2011:15 students taking 30 courses
– 2012: 70 students taking 90 courses
Many partners to develop courses; WHO set up and MoH runs the centers
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Operations: Dengue outbreak RMIOperations: Dengue outbreak RMI
Outbreak in 2011– Training for case management– Improve and utilize surveillance– Identify virus(es) responsible– Vector production sites and
control strategies
Main partners: RMI MoH, WHO, CDC
Dengue Ward (before)
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Resources investedResources investedHuman resources are main
investment– Establishment of DPS office– Subsequent strengthening
through increased HR– Establishment of CLO for
Northern Pacific
Can draw on additional technical expertise
– Regional office in Manila– HQ in Geneva
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Achieving our objectivesAchieving our objectives
Financial and indicator reporting
Annual progress report on the entire Western Pacific region
Ad hoc reports, reviews, surveys, surveillance
Coordination and other meetings
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Moving forwardMoving forwardFocus more on outcomes not
outputs
Look at cross cutting impact on public health
Requires a broader view than just health
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
WHO Office for Northern MicronesiaWHO Office for Northern Micronesia
Your “One-Stop Shop” for working with WHO
Officially covers FSM, RMI and Palau
– Unofficial facilitation of WHO work with CNMI and Guam
Contact info:– [email protected] ,
[email protected] , or [email protected]; +691-320-2619 (office)
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Thank youThank you
Questions or comments?
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Analysis of 4 key steps/areas (in particular 4 priorities)
Analysis of 4 key steps/areas (in particular 4 priorities)
HRHealth information
Mental healthSocial determinant
Priority setting
N & S
(policy, strategy, tools)
Capacity building (Implementation)
M & E
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
How we know we have achieved our objectivesHow we know we have achieved our objectives Reporting options
– Financial and indicator reporting through enterprise-wide system
– Annual progress report on the entire Western Pacific region
– Ad hoc reports, reviews, surveys
Issues and challenges– Focus more on outcomes not
outputs– Look at cross cutting impact on
public health– Requires a broader view than just
health
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
With Which Office Do I Work?With Which Office Do I Work? WHO Headquarters (“HQ”) (Geneva)
– Rarely interacts directly with countries (except for global meetings)
– May occasionally provide direct technical assistance
WHO Regional Office for the Western Pacific (“WPRO”) (Manila)– Has technical expertise in all WHO work areas
– Often sponsors regional workshops
WHO Division of Pacific Technical Support (“DPS”) (Suva, Fiji)– Focused on the needs of the Pacific
– Technical expertise in most WHO work areas
WHO Country Liaison Office for Northern Micronesia (“CLO”) (Pohnpei, FSM)
– See next slide
52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr
Priorities: deciding what to doPriorities: deciding what to do
Our Member States tell us!
World Health Assembly
Regional Committee meetings
Healthy Islands - Pacific Ministers Meeting
Country Cooperation Strategy (CCS)