1. EMR Consultation, HRH Observatory, Tunis, 21-24 September 2010
05/06/2018
MEETING OF AFRICAN MINISTERS OF HEALTH
OF SMALL ISLAND DEVELOPING STATES
Moroni, Comoros, 9 – 11 March 2011
Human Resources for Health: statement and problematic
for SIDS
Dr AVOCKSOUMA Djona , Human Resource for Health
Programme Manager
WHO, Regional Office for Africa
Brazzaville, Congo

2. Outline HRH situation in the region HRH and Attainment of MDGs
Situational Analysis in each SIDS country
Regional & National Observatory
Way forward

3. Introduction
Given the current trends, most of the countries in the African Region will not achieve the health MDGs unless urgent action is taken;
Minimum density threshold of 2.3 per 1000 of professional health workforce required to at least offer meaningful health service delivery.
Whole African region:1.6/1000 well below the recommended minimum and the average is only 0.8/1000 for the 36/57 countries in HRH crisis.
The 59th World Health Assembly adopted Resolution WHA59.23 called for the use of innovative strategies to maximize health professionals’ contributions.

4. HRH situation in Africa

5. Number and densities per 1000 population of Physicians and, Nurses and Midwives in Cape Verde, comoros, Mauritius , Sao Tome & Principe and Seychelles
Country
Population
Year
Category
Number
Density
/1000 pop
Cape Verde
2010
Physicians
274
0,54
Nurses and midwives
533
1,05
Comoros
2009
121
0,16
451
0,60
Mauritius  
2005
1303
1,057
4604
3,734
Sao Tome & Principe
2008 39
0,26
372
2,44
Seychelles
80 000 
1,513
634
7,925

6. DENSITIES OF PHYSICIANS, NURSES AND MIDWIVES in Cape Verde, Comoros, Mauritius, Sao Tome & Principe and, Seychelles ( )
Country
Cape Verde
1,60
Comoros
0,83
Mauritius
4,79
Sao Tome & Principe
2,52
Seychelles
9,44
Average Africa
1,6
LIMIT
2,3

7. HRH Status Documents
Situation analysis
Available
Cape Verde
80%
Comoros
Mauritius
Seychelles
In process
Sao Tome & Principe
20%
HRH policy Status
Not available
60%

8. HRH strategic plan Status
Available
Cape Verde
40%
Comoros
In process
Mauritius
Seychelles
Not available
Sao Tome & Principe
20%
HRH Observatory Status
Planned
60%

9. Availability of Country Profile Document
Status
Cape Verde
Drafte
Comoros
Drafted with Analysis Situation
Sao Tome & Principe
Draft available to HQ
Mauritius
Not available
Seychelles

10. Effective approach to build HRH development

11. Advocacy for the AHWO
Officially Launched in 2007, the Africa HW Observatory is a component of African Health Observatory (AHO);
AHWO is a vehicle for building knowledge, disseminating accurate information in HRH, and facilitating dialogue and consensus for evidence-based policy development and monitoring
AHWO at regional level is a cooperative network initiative participated in by the countries, training institutions and partners ;
The network comprising national observatories ( bringing together stakeholders at country level), partners and regional secretariat in AFRo;
The national observatories are not perceived as administrative structures but as mechanisms based on linkages.

12. What is the role of AHWO?
The AHWO is to support actions that address HRH challenges at regional and country level through :
Promoting, developing and sustaining a firm knowledge base
Keeping track of progress and fostering HRH actions
Supporting and Improving HRH policy dialogue based on evidence
Sharing information and country experiences & practices.

13. Roles of HRH National Observatories
A National Observatory is seen as :
A national resource for HRH information
A Platform for stakeholders and partners for sharing information and policy dialogue
A Networking for joint planning, research, and tracking trends that have an impact on HRH policy. .
The HRH Observatories strategy was in advocacy to place the Human Resources issues within the national and regional agendas, as well as strengthening the steering roles of the Ministries of Health; then, the fundamental role of the HRH Observatories should be supporting the countries in the implementation of Strategic Planning of Human Resources for Health, through knowledge management and information, with the view of negotiating human resources in health policies, towards universal coverage and the development of health systems based on primary health care (PHC).

14. Pillars of the National HW Observatory
PLATFORM OF STAKEHOLDERS
To support actions that address HRH challenges in the country
RESOURCE OF INFORMATION
NETWORKING & SHARING
1414

15. Contribution of HRH Observatories
Improve availability, access and use of evidence for HRH policy making, planning, stakeholder involvement & contribution
Monitor impact of policy decisions (e.g. PHC renewal; scaling-up education, migration)
Provide evidence through research, reviews, assessment, policy debates, roundtables, commission reports.
Link national to regional and global agenda
fill the gap on HRH information and knowledge in the country
1515

16. Way forward
scaling up training for newly emerging and priority diseases;
improving retention of qualified health workers in countries which suffer losses due to emigration;
improving the capacity of educational institutions to enable them to produce more health workers in a quality manner;
improving human resources for health governance capacity, in order to plan, regulate and manage the workforce more effectively at national level;

17. Way forward monitoring HRH trends;
steering HRH agenda and aligning it with other national health system development policies;
engaging all relevant sectors (Finance, Education, Labour and public services) as well as civil society and the private sector;
integrating HRH plans to address specific disease or priority health programmes with the overall HRH plans of health ministries;
resources mobilization for HRH and strategic investments;
harmonizing and building synergies in HRH across programmes and global health initiatives.

18. www. hrh-observatory.afro.who.int/
“I would like to put particular emphasis on the health situation analysis and trends to provide required evidence for the best policy options; the development and enforcement of WHO norms and standards; the promotion of health research and the technical support to Member States.”
Extract from RD’s Speech at the 126th Session of the WHO Executive Board, January 2010
 END 
Thank You !
AHWO website
www. hrh-observatory.afro.who.int/