1. Senior Health Leadership and Resource Management Capacity Development Projects Association of State and Territorial Health Officers (ASTHO) and PIHOA

2. Background ASTHO, under their cooperative agreement with CDC, engaged with PIHOA to develop and submit small-grant proposals to address key priority areas in the USAPIs 4 projects were approved focusing on Human Resource for Health (HRH), Lab Quality Management Systems (LQMS), Senior Health Leadership (SHL) development and Resource (Financial) Management (RM) capacity development Implementation commenced in February 2014 3 out of the 4 projects are 1-year projects, while 1 may be continuous beyond 1 year contingent on performance and continued funding

3. Resource Management Capacity Development Resource management (RM) is defined as the proactive planning, mobilization, management, administration and monitoring of external sources that effectively, efficiently and equitably address the healthcare needs and priorities of the USAPIs aligned national/territorial/state plans Overall goal is to increase the knowledge and skills of senior, middle and unit managers in RM with the aim of enabling more strategic, efficient, equitable and effective identification, coordination, allocation, usage, monitoring and reporting of external financial resources

4. Resource Management Capacity Development Objective 1: By end of Year 1, to establish a regional core set of RM competencies based on available evidence and research appropriate to the identified needs of the USAPIs Objective 2: By the end of Year 1, to establish a RM training program through an existing regional training provider that is appropriate and relevant to the stated RM training needs of the USAPIs.

5. Key Activities Develop a regional set of core RM competencies and associated assessment tool based on a desk review of available Pacific-sourced project management data and information; Conduct assessment of at least 2 USAPIs programs using the Core RM Assessment Tool (at least 1 FAS and 1 territory); Based on the findings of the assessments, identify and collate a set of learning resources and training providers appropriate and relevant to the identified resource and training needs of the USAPIs; Work with the Graduate School (or equivalent training provider), who have a proven track record of conducting training programs in the USAPIs, to adapt existing training programs to suit the training/capacity-building needs of the USAPIs; and Run a pilot of the USAPI RM training program for at least 2 USAPIs

6. Potential Package of Training Providers Web-based – PRINCE 2 Graduate School Leadership Development Program for Finance Officers/Managers World Bank Institute – e-courses (short courses) on health financing and management Short courses with Australian university knowledge hubs (Burnet Institute, Nossal Institute, etc.) Fiji National University Centre for Health Information, Policy and Research

7. Senior Health Leadership Development SHL is defined as those in positions of authority and decision-making that have a significant impact on health service planning, delivery, resource mobilization and performance monitoring – i.e. ministers, directors and secretaries of health, hospital and public health administrators and chief nurses Primary aim to establish a community of practice amongst senior health leadership to support and provide opportunities for leadership strengthening and peer mentoring

8. Senior Health Leadership Development Objective 1: By end of Year 1, have established USAPI senior health leadership core competencies/ qualities/indicators, baseline and approaches to senior health leadership development through a process of research, resource-sharing and consensus-building with the senior health officials of the USAPIs Objective 2: By the end of Year 1, have implemented at least 2 senior health leadership training and/or learning opportunities for identified senior health leadership in the USAPIs in adherence to the endorsed “Concept Paper on Senior Health Leadership Development in the USAPIs”

9. Key Activities Understanding the situation of health leadership in the USAPIs Development of core health leadership competencies Desk review of past and existing health leadership efforts and impacts Development of Concept Paper for Senior Health Leadership Development Provision of Formal Training Programs and Learning Opportunities – Identify a package of internationally and/or regionally recognized opportunities for health leadership development, and provide both financial and other support to enable identified leaders to attend these opportunities

10. Potential Package of Training Providers ASTHO-administered State Health Leadership Initiative in association with the Harvard John F. Kennedy School of Government (Leadership for State Health Officials) ASTHO State Health Leadership Initiative for senior health official peer mentoring, coaching and mentoring International Council of Nursing Leadership for Change and Quality Care Training Initiative World Bank Institute Flagship Course on Health Systems Strengthening in association with the University of Melbourne – Nossal Institute for Global Health, WHO and the Harvard School of Public Health World Bank Institute – e-webinars and short-courses on specific health leadership management and administrative competencies Fiji National University – Fiji National University Center for Health Information, Policy and Research Public Health Institute Center for Health Leadership and Practice