Peter B. Bloland, DVM, MPVM Director Division of Public Health Systems and Workforce Development Global Health Leadership Forum November 10, 2011 National Public Health Institutes Core Attributes Center for Global Health Division of Public Health Systems and Workforce Development

NATIONAL PUBLIC HEALTH INSTITUTIONS Defining

National Public Health Institutes Definition: “Science-based organization or network of organizations that provides national leadership and expertise to efforts to achieve substantive, long-term improvements in the public’s health” From: IANPHI Europe (2011) National Public Health Institutes – European Perspective, Report 40/2011, Helsinki

NATIONAL PUBLIC HEALTH INSTITUTIONS (IANPHI 2007) Core Attributes of

Core Attributes of NPHIs National Scope of Influence National vision, national visibility Operational relationships at sub-national levels Ability to implement critical public health programs throughout country  National Impact From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs National Scope of Influence National Recognition Public institution with explicit mandate & authorities from government Support of government for operations, including emergency powers, as needed Supports government as resource for data & evidence for policy development From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs National Scope of Influence National Recognition Limitations on Political Influence Prioritizes evidence-based decision making, as free from political influence as possible Maintains public trust as unbiased source of health information and advice From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Uses best available scientific data upon which to base guidelines, recommendations, policies, programs Recognized, respected, & primary source of public health information From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Increasingly able to address all major public health challenges affecting nation’s public: Infectious diseases Non-communicable diseases Injuries Environmental health Occupational health From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Dedicated budget Predictable funding base commensurate with responsibilities Adequately sized and appropriately skilled workforce, including managerial, scientific, technical From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Adequate Infrastructural Support Reliable power, water Access to scientific literature Reliable communications, including internet, phone Laboratories capable of meeting international GLP and QA standards From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Core Attributes of NPHIs Functional relationships & partnerships within government and with non- governmental organizations, private sector International, national, sub- national, community levels From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1. National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Adequate Infrastructural Support Linkages & Networks

Core Attributes of NPHIs National Scope of Influence National Recognition Limitations on Political Influence Scientific Basis for Programs and Policies Focus on the Major Public Health Problems Adequate Human and Financial Resources Adequate Infrastructural Support Linkages & Networks Accountability In accordance with building and maintaining public trust, is accountable to public: Transparent operations Strategic plan Expenditures Impact From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

NATIONAL PUBLIC HEALTH INSTITUTIONS Core Functions of

Core Functions Evaluation and analysis of health status Public health surveillance, problem evaluation, control of risks and threats Prevention programs & health promotion Social participation in health Planning and management Regulation & enforcement* Evaluation and promotion of coverage & access to health services Human resource development & training Quality assurance n personal and population health services Public health research Reduction of impact of emergencies and disasters From: IANPHI (2007) Framework for the creation and development of National Public Health Institutes, Series of Technical and Policy Briefs, Number 1.

Why NPHIs? Why Now? Especially in times of economic challenges: –Need for greater accountability, stewardship of public/ donor funds –Need for greater coordination between programs –Need for greater impact, proof of return on investment –Need for better leadership From CDC perspective, NPHIs offer: –logical institutional home and “center of gravity” for many of the various public health programs for which CDC provides technical assistance –logical partner in government-to-government relationship –most sustainable model for strengthening public health systems and achieving lasting positive impact on public’s health