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GOVERNMENTAL HUMAN RESOURCE POLICIES, CIVIL SOCIETY AND PUBLIC HEALTH TRAINING IN AFRICA IN THE CONTEXT OF A GLOBAL CRISIS IN HEALTH CARE INEQUITY.

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Presentation on theme: "GOVERNMENTAL HUMAN RESOURCE POLICIES, CIVIL SOCIETY AND PUBLIC HEALTH TRAINING IN AFRICA IN THE CONTEXT OF A GLOBAL CRISIS IN HEALTH CARE INEQUITY."— Presentation transcript:

1 GOVERNMENTAL HUMAN RESOURCE POLICIES, CIVIL SOCIETY AND PUBLIC HEALTH TRAINING IN AFRICA IN THE CONTEXT OF A GLOBAL CRISIS IN HEALTH CARE INEQUITY

2 INTRODUCTION  Heavy disease burden  Very high IMR  Very high MMR  Tens of millions suffer from Malaria, TB and HIV/AIDS/STD

3 CONDITIONS OF IMPROVED HEALTH  A strong political commitment to improve health  An intersectoral perspective in planning and operating systems of health care  An appropriate organizational framework and managerial process

4 CONDITIONS OF IMPROVED HEALTH  An equitable distribution of health resources  Community involvement at all levels

5 CHARACTERISTICS OF NATIONAL HEALTH CARE SYSTEMS  Undersupply as well as under-use of human resource  The contrast is more in public health care systems  Low wages, morale and motivation is common  Lack of standard managerial procedures  Practical training in supervisory skills is lacking

6 CHARACTERISTICS OF NATIONAL HEALTH CARE SYSTEMS  Poor transportation and communication facilities  Curricula of training institutions advocate primary health care but in practice emphasize clinical care  Result is a mismatch between content of training and actual health needs  Great need for trained persons in policy analysis, planning and budgeting

7 THE PHILOSOPHY OF PUBLIC HEALTH TRAINING IN AFRICA  Prevent, monitor, respond and control priority disease threats  Strengthen the major public health sectors within the system  Improve the quality, availability, exchange and dissemination of information  Rocker Feller Foundation, WHO, CDC and USAID have been supporting the four SPH to develop compency- based epidemiology training

8 THE PHILOSOPHY OF PUBLIC HEALTH TRAINING IN AFRICA  These training programs belong to the International Training Programs in Epidemiology and Public Health Intervention Network (TEPHINET)

9 Proportion of Health Workers who intend to migrate, 2002

10 REASONS FOR MASSIVE BRAIN DRAIN  Unsatisfactory work environment  Low remuneration and poor benefit package  Lack of opportunities for upgrading skill and career  Poor infrastructure and facilities  Lack of schools for dependent children  Poor housing and other social amenities

11 FACTORS AFFECTING HEALTH WORKFORCE PERFORMANCE IN AFRICA  Education and Training (Pre-service and continuing professional development)  Motivation  Human Resource Planning Management

12 THE OBJECTIVES OF THE REGIONAL PROGRAMME  Strengthen Public Health Capacity  Enhance national surveillance  Strengthen monitoring and evaluation  Develop Centers of Excellence


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