DOCSLIB.ORG

A Review of the Workforce Situation and the National Baselines of the 20 Goals for Human Resources for Health

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Review of the Workforce Situation and the National Baselines of the 20 Goals for Human Resources for Health HUMAN RESOURCES FOR HEALTH IN THE CARIBBEAN: A Review of the Workforce Situation and the National Baselines of the 20 Goals for Human Resources for Health 2011 HHUUMMAANN RREESSOOUURRCCEESS FFOORR HHEEAALLTTHH IINN TTHHEE CCAARRIIBBBBEEAANN:: AA RReevviieeww ooff tthhee WWoorrkkffoorrccee SSiittuuaattiioonn aanndd tthhee NNaattiioonnaall BBaasseelliinneess ooff tthhee 2200 GGooaallss ffoorr HHuummaann RReessoouurrcceess ffoorr HHeeaalltthh 2011 Pan American Health Organization “Human resources for health in the Caribbean: a review of the workforce situation and the national baselines of the 20 goals for human resources for health ‐ 2011” Washington, D.C.: PAHO, © 2011 © Pan American Health Organization, 2011 All rights reserved. Requests for this publication should be directed to the Area of Health Systems based on Primary Health Care, Project on Human Resources for Health, Pan American Health Organization / World Health Organization, 525 23rd St., NW, Washington, D.C., USA [phone: +(202) 974 ‐3296; e‐mail: [email protected]]. The names used in this publication and the presentation of its content do not imply any opinion on the part of the Pan American Health Organizaton about the legal status of countries, territories, cities, or zones or their authorities or about the placement of their borders or boundaries. The mention of certain commercial enterprises or the trade names of certain products does not imply their endorsement or recommendation by the Organization in preference to others of a similar nature. Save through error or omission, the first letter of the names of patented products is capitalized. The Pan American Health Organization has taken all reasonable precautions to verify the information contained in this publication. However, the published material is distributed with no guarantee of any type, explicit or implicit. The reader is responsible for the interpretation and use made of this material, and in no case shall the Pan American Health Organization be considered for any harm caused by its use. Table of Contents Acknowledgements ............................................................................................................................. v Authors.............................................................................................................................................. vii Glossary.............................................................................................................................................. ix Executive summary.............................................................................................................................. 1 Profile of the Caribbean Region ........................................................................................................... 3 Chapter One: Introduction ................................................................................................................ 11 1.1 Background and Context.................................................................................................................11 1.2 Global Focus on the Importance of Human Resources for Health .................................................11 1.3 Regional Focus ................................................................................................................................12 1.4 The Caribbean .................................................................................................................................14 1.5 Purpose and Objectives of Measuring and Monitoring HRH in the Caribbean ..............................16 1.6 The Approach: Collection, Management, and Evaluation of HRH Data to Develop a Core Data Set and Establish the Baseline percentages for the 20 Goals...............................................................16 Chapter Two: Profile of the Caribbean Region................................................................................... 19 2.1 Country Profiles (Appendix A).........................................................................................................19 2.2 Demography (Appendix C)..............................................................................................................24 2.3 Population Health (Appendix C)......................................................................................................26 2.4 Health Systems (Appendix C)..........................................................................................................28 Chapter Three: Human Resources for Health..................................................................................... 31 3.1 Historical Trends (Appendix D) .......................................................................................................31 3.2 Migration of Health Workforce.......................................................................................................32 3.3 Current Supply (Appendices B & D) ................................................................................................32 3.4 Workforce Shortages ...................................................................................................................... 34 3.5 Health Education.............................................................................................................................34 Chapter Four: Tracking Regional Goals for HRH ................................................................................. 37 4.1 Introduction ....................................................................................................................................37 4.2 Challenge One: Define Long Term Policies and Plans to adapt the workforce to meet the projected changes in the health systems .......................................................................................37 4.3 Challenge Two: Put the right people in the right places in order to achieve an equitable distribution according to the health needs of the population .......................................................41 4.4 Challenge Three: Promote national and international initiatives that help countries affected by migration to retain their health workers and to avoid gaps in staffing..........................................45 4.5 Challenge Four: Generate healthy work environments that foster agreement with the institutional mission of ensuring the provision of health services of good quality for the entire population.......................................................................................................................................48 4.6 Challenge Five: Create mechanisms of cooperation between educational institutions and health services to produce health care professionals who are responsive and qualified to meet the national health system’s needs. .....................................................................................................51 iii Chapter Five: Summary and Conclusions ........................................................................................... 55 Bibliography ...................................................................................................................................... 59 Appendix A: Health Sector Overview and Population Trends............................................................ 61 Appendix B: Caribbean Human Resources for Health and Training Programs.................................... 71 Appendix C: Historical Caribbean Population Health Trends.............................................................. 75 Appendix D: Human Resources for Health in the Caribbean .............................................................. 79 Appendix E: Caribbean Regional Goals HRH Baseline Indicators ........................................................ 81 Appendix F: Summary Caribbean Region Baseline Indicators.......................................................... 111 Appendix G: Health Human Resources Planning............................................................................... 113 Appendix H: Map of the Caribbean Region....................................................................................... 119 iv Acknowledgements The Pan American Health Organization / World Health Organization (PAHO/WHO) acknowledges the leadership of the Ministries of Health of CARICOM in guiding the research and collaboration that produced the health workforce information on which this publication is based. The health authorities of the participating countries contributed significant resources from their offices and recruited national and local stakeholders to complete the referenced Human Resources in Health (HRH) studies. In addition, PAHO/WHO wants to express its appreciation of the valuable contributions of those institutions and individuals who assisted with the preparation of the material and compilation of the data for the respective human resources country reports. The participation of the many health professionals, educators, managers and program administrators has been and will remain essential to the ongoing planning of human resources for health. This publication aims to summarize the findings and information from the HRH data research and the baseline measurement of the 20 Regional Goals for HRH in order to provide an overall view of the situation across a number of Caribbean countries. It is not intended as a ranking or judgment of the countries’ performance. The information provided should be reviewed as “food for thought” in assessing the areas that may or may not need
Load more

Recommended publications
  • CBD Fifth National Report
    i ii GUYANA’S FIFTH NATIONAL REPORT TO THE CONVENTION ON BIOLOGICAL DIVERSITY Approved by the Cabinet of the Government of Guyana May 2015 Funded by the Global Environment Facility Environmental Protection Agency Ministry of Natural Resources and the Environment Georgetown September 2014 i ii Table of Contents ACKNOWLEDGEMENT ........................................................................................................................................ V ACRONYMS ....................................................................................................................................................... VI EXECUTIVE SUMMARY ......................................................................................................................................... I 1. INTRODUCTION .............................................................................................................................................. 1 1.1 DESCRIPTION OF GUYANA .......................................................................................................................................... 1 1.2 RATIFICATION AND NATIONAL REPORTING TO THE UNCBD .............................................................................................. 2 1.3 BRIEF DESCRIPTION OF GUYANA’S BIOLOGICAL DIVERSITY ................................................................................................. 3 SECTION I: STATUS, TRENDS, THREATS AND IMPLICATIONS FOR HUMAN WELL‐BEING ...................................... 12 2. IMPORTANCE OF BIODIVERSITY
    [Show full text]
  • Green State Development Strategy: Vision 2040
    Diversified, Resilient, Low-carbon, People-centred VOLUME I POLICY RECOMMENDATIONS, FINANCIAL MECHANISM & IMPLEMENTATION An inclusive and prosperous Guyana that provides a good quality of life for all its citizens “ based on sound education and social protection, low-carbon resilient development, new economic opportunities, justice, and political empowerment. ” Executive Summary Background The Green State Development Strategy: Vision 2040 is Guyana’s twenty-year, national development policy that reflects the guiding vision and principles of the ‘green agenda’: “An inclusive and prosperous Guyana that provides a good quality of life for all its citizens based on sound education and social protection, low-carbon and resilient development, providing new economic opportunities, justice and political empowerment.” The central objective is development that provides a better quality of life for all Guyanese derived from the country’s natural wealth – its diversity of people and abundant natural resources (land, water, forests, mineral and aggregates, biodiversity). The vision of the ‘green agenda’ is centred on principles of a green economy defined by sustainable, low-carbon and resilient development that uses its resources efficiently, and sustained over generations. The development philosophy emphasises the importance of a more cohesive society based on principles of equity and tolerance between ethnic groups – recognising that diversity of culture and heritage is the underlying strength of the country’s human capital. Development objectives therefore seek to improve the health, education and overall well-being of Guyanese citizens, to lift people out of poverty through an economy that generates decent jobs and that provides opportunities for sustaining livelihoods over the long term. For decades, geopolitical events, natural disasters and global commodity price swings have weighed upon Guyana’s development.
    [Show full text]
  • Preparation for the National Vision on the Amazon Basin €“ Republic Of
    Department for Sustainable Amazon Cooperation Treaty Development Global Environment Organization United Nations Environment Organization of American States Fund Program INTEGRATED AND SUSTAINABLE MANAGEMENT OF TRANSBOUNDARY WATER RESOURCES IN THE AMAZON RIVER BASIN GEF AMAZONAS PROJECT - ACTO/GEF/UNEP/OAS Bolivia, Brazil, Colombia, Ecuador, Guyana, Peru, Suriname, Venezuela Activity 1.1 Vision for the Basin and Transboundary Diagnostic Analysis Final Report NATIONAL VISION DOCUMENT Hydrometeorological Service, Ministry of Agriculture Georgetown - Cooperative Republic of Guyana INTEGRATED AND SUSTAINABLE MANAGEMENT OF TRANSBOUNDARY WATER RESOURCES IN THE AMAZON RIVER BASIN ACTO/GEF/UNEP/OAS Activity 1.1 Vision for the Basin and Transboundary Diagnostic Analysis Final Report NATIONAL VISION DOCUMENT Coordinated by: Hydrometeorological Service Ministry of Agriculture Consultant Anthony R. Cummings Contract CPR/OAS no. 97084 November 2006 EXECUTIVE SUMMARY INTRODUCTION: VISION AND OBJECTIVES The Amazon Cooperation Treaty Organisation (ACTO) was established in 1978 by the Governments of Bolivia, Brazil, Colombia, Ecuador, Guyana, Peru, Suriname and Venezuela. Its goal was WRSODQIRUWKHVXVWDLQDEOHGHYHORSPHQWRIWKHUHJLRQ¶VUHVRXUFHVDQG people, and in 2004, a strategic plan for the years 2004-2012 was published. The plan defines a number of areas or themes for development; including the sustainable management of the region¶s water and soil resources. The project Integrated and Sustainable Management of Transboundary Water Resources in the Amazon River Basin was prepared by the countries that are signatories to the Amazon Cooperation Treaty (ACTO): Bolivia, Brazil, Colombia, Ecuador, Guyana, Peru, Suriname, and Venezuela. The goal of this project was to strengthen the institutional framework for planning and executing, in a coordinated and coherent manner, activities for the protection and sustainable management of the land and water resources of the Amazon River Basin.
    [Show full text]
  • Technical Assistance Programme for Sustainable Energy in the Caribbean (TAPSEC)
    Annex I to the Delegation Agreement CRIS No. [FED/2017/387-448] Description of the Action Technical Assistance Programme for Sustainable Energy in the Caribbean (TAPSEC) Table of Contents List of Abbreviations .......................................................................................................... 3 1 INTRODUCTION ....................................................................................................... 7 2 CONTEXT .................................................................................................................. 9 2.1 Regional Sector context ....................................................................................... 9 3 LOGIC OF THE ACTION ...........................................................................................15 3.1 Objectives and Results ........................................................................................15 3.2 Indicative fields of activities .................................................................................16 4 DESIGN OF THE ACTION / METHODOLOGICAL APPROACH ...............................19 4.1 Methods of implementation and rationale ..........................................................19 4.2 Main Stakeholders, Target Beneficiaries .............................................................19 4.3 Risks and Assumptions .......................................................................................20 4.4 Complementarity, Synergy and other relevant Actions ........................................22 4.5 Cross-cutting
    [Show full text]
  • Climate Risk Profile
    FACT SHEET CLIMATE RISK PROFILE EASTERN AND SOUTHERN CARIBBEAN REGION OVERVIEW USAID’s development assistance in the Eastern and Southern Caribbean region extends to 10 countries: Antigua and Barbuda, Dominica, Grenada, St. Lucia, St. Vincent and the Grenadines, St. Kitts and Nevis, Barbados, Trinidad and Tobago, Suriname, and Guyana. The high vulnerability to, and potential for, climate impacts throughout the region often drives direct integration of climate risk management into country and regional planning and processes. However, development and capacity levels vary throughout the region, as do the industries central to each economy. Rates of poverty range from as low as 9% in Barbados to as high as 70% in Suriname. For most of the island countries, tourism is the largest industry, though exports most heavily drive EASTERN AND SOUTHERN CARIBBEAN ECOSYSTEMS gross domestic product (GDP) in Trinidad and Tobago (oil and gas; 40%), Guyana (sugar, gold, bauxite, shrimp, timber, and rice; 60%), and Suriname (oil and gold; 65%). Despite varied topography throughout the region, with some islands small and flat and others mountainous, the countries share many climate vulnerabilities and risks. Population and key infrastructure are typically in coastal areas, facing increased risk from tropical storms and sea level rise. Quantity and quality of both surface- and groundwater may be compromised by changing rainfall patterns and sea level rise. Ocean warming and acidification threaten coastal ecosystems, such as coral reefs and mangroves. The smaller island countries are most vulnerable to sea level rise and salt water intrusion, and the region’s northern islands are frequently affected by hurricanes and tropical storms, with three significant hurricanes and one tropical storm hitting the region in 2017.
    [Show full text]
  • Pdf | 363.52 Kb
    CIVIL DEFENCE COMMISSION Thomas Road, Thomas Lands, Georgetown, Guyana. Phone: (592)226-1114, 226-8815, 225-5847, 226-1027; Fax: 592-225-0486 Website: http://www.cdc.gy; E-mail: [email protected] SITUATION REPORT # 3 as of 1000 hours, May 9, 2012 SUBJECT: Flooding in several regions of Guyana. EVENT: As a result of heavy and continuous rainfall over the last 60 hours, several areas in all ten (10) Regions of Guyana were reported to be flooded. The water level in the East Demerara Water Conservancy (EDWC) over the last three (3) days fluctuated as follows: Location May 07, 2012 May 08, 2012 May 9, 2012 Rainfall Water Level Rainfall Water Level Rainfall Water Level Lama 19.8mm 56:70 56.75 6.1mm 56.70 Flag Staff 22.3mm 57.00 26.3mm 57.15 4.6 57.10 Land of Canaan 9.4mm 57.05 10.8mm 57.10 1.1 57.10 Mahaica Creek 54.50 54.60 54.70 PROGNOSIS: The Hydrometrological Services predicted cloudy conditions with showers over Regions 2 to 6 and 10. It is expected that the other regions will experience partly cloudy conditions with isolated showers. Rainfall is expected to be between 15.0mm and 25.0mm today, May 09, 2012. IMPACT Total loss and the total number of persons affected to date are yet to be determined. AREAS AFFECTED Region 1 - BARIMA-WAINI: Nothing further to report Region 2 - POMEROON-SUPENAAM: Nothing further to report Region 3 - ESSEQUIBO ISLANDS-WEST DEMERARA The water level in the Boarasirie remains critical at 61.50 GD.
    [Show full text]
  • Journal of Muslim Minority Affairs
    This article was downloaded by:[Chickrie, Raymond S.] On: 13 January 2008 Access Details: [subscription number 789054884] Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK Journal of Muslim Minority Affairs Publication details, including instructions for authors and subscription information: http://www.informaworld.com/smpp/title~content=t713433220 Islamic Organizations in Guyana: Seventy Years of History and Politics, 1936-2006 Raymond S. Chickrie Online Publication Date: 01 December 2007 To cite this Article: Chickrie, Raymond S. (2007) 'Islamic Organizations in Guyana: Seventy Years of History and Politics, 1936-2006', Journal of Muslim Minority Affairs, 27:3, 401 - 428 To link to this article: DOI: 10.1080/13602000701737269 URL: http://dx.doi.org/10.1080/13602000701737269 PLEASE SCROLL DOWN FOR ARTICLE Full terms and conditions of use: http://www.informaworld.com/terms-and-conditions-of-access.pdf This article maybe used for research, teaching and private study purposes. Any substantial or systematic reproduction, re-distribution, re-selling, loan or sub-licensing, systematic supply or distribution in any form to anyone is expressly forbidden. The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.
    [Show full text]
  • GUYANA 200 No. 69 of 1980 ORDER Made
    200 Published on 7th October, 1980 GUYANA No. 69 of 1980 ORDER Made Under THE LOCAL DEMOCRATIC ORGANS ACT 1980 (No. 12 of 1980) IN EXERCISE OF THE POWERS CONFERRED UPON ME BY SECTIONS 4, 5, 12 AND 15 OF THE LOCAL DEMOCRATIC ORGANS ACT 1980 AND BY VIRTUE AND IN EXERCISE OF '.ALL OTHER POWERS ENABLING ME IN THAT BEHALF, I HEREBY MAKE THE FOLLOWING ORDER:- Citation. 1. This Order may be cited as the Local Democratic Organs (Regional Democratic Councils) Order 1980. Establish­ 2. ( 1) Guyana is hereby divided into ten regions which shall be ment of known respectively by the following alternative names - regions. (1) Region No. 1 or the Barima/Waini Region. (2) Region No. 2 or the Pomeroon/Supenaam/Region. (3) Region No. 3 or the Essequibo Islands/West Demerara Re- gion (4) Region No. 4 or the Demerara/Mahaica Region. (5) Region No. 5 or the Mahaica/Berbice Region. (6) Region No. 6 or the East Berbice/Corentyne Region. (7) Region No. 7 or the Cuyuni/Mazaruni Region. (8) region No. 8 or the Potaro/Siparuni Region. (9) Region No. 9 or the Upper Takutu/Upper Essequibo Reg­ ion. (10) Region No. 10 or the Upper Demerara/Berbice Region. (2) The boundaries of the regions are set out in the Schedule. 201 Establi sh­ 3. There is hereby established for each region a lo<:al demo- ment of regional cratic organ to be known as a regional democratic council.! democratic councils. Na meof 4. The names of the regional democratic councils for regions councils.
    [Show full text]
  • Of Education
    Social Studies For Our Children Book6 .••, ~ A GOG/EFA-FTI Project ACKNOWLEDGEMENTS The Ministry of Education wishes to acknowledge the work done by the following persons who were involved in the production of the first edition: Ruth Persico, (team leader) Chery1 Foster Myrtle Fraser Pearl Marks Winifred Toney Marvin Bart Maylene Duncan Franciene Doris The work of the following persons who were involved in the production of the second edition is also acknowledged: Andrew Kartick Philip Kartick Claudette Phoenix * * * * * * * * * * * * * * * * © 2004 Ministry of Education, Georgetown, Guyana. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior pern1ission of the copyright owner. Published by The Ministry of Education Georgetown, Guyana. Printed by VonHoffmann Corporation Revised 2004 ll SOCIAL STUDIES FOR OUR CHILDREN BOOK6 WRlTlNG TEA11: Ruth Persico [team leaderl Cheryl Foster Myrtle Fraser Pearl Marks Winifred Toney SUBJECT SPECIALIST: Marvin Bart ILLUSTRATOR: l\llaylene Duncan DESIGN TYPIST: Franciene Doris GRAPHICS PLACED BY: Franciene Doris COVER DESIGN BY: ivfaylene Duncan Marvin Bart A GOG/EFA-FTI Project Easy Path Series NOT FOR SALE PRINTED FOR THE l\illNISTRY OF EDUCATION GOVERNMENT OF GUYANA. iii FOREWORD One welcomes the publication of this series of textbooks as parl of the Primary Education Improve1nent Project funded by the Tnter-A1ncrican Development Bank and the Government of Guyana. This selies of texts has been long in planning, writing and producing. In the process however, many Guyanese have developed skills in textbook writing and publication. This will serve Education well in the future.
    [Show full text]
  • The Safety, Legal Protections, and Social Inclusion of LGBTQ People in the Caribbean in 2018
    The Safety, Legal Protections, and Social Inclusion of LGBTQ People in the Caribbean in 2018 Arcus commissioned this report in the context of strategic planning of its Social Justice Program. The report was commissioned as part of an effort to learn about LGBTQ communities in Arcus’ focus geographic regions and countries, where the foundation aims to increase safety, legal protections, and acceptance and inclusion. The following information reflects the opinions of its authors and not necessarily those of Arcus. Arcus uses some but not all of the findings to guide grantmaking decisions. Table of Contents I. Introduction ....................................................................................1 II. Geographical Scope .......................................................................2 III. Methodology ..................................................................................3 IV. The Caribbean Region ....................................................................4 1. Overview Of The Region .............................................................4 1.1. Litigation against legislation criminalizing sexuality and gender expression............4 1.2. Recent social and political changes .........................................................5 1.3. The role of religion in the Caribbean ........................................................6 1.4. Civil society organizations in the Caribbean................................................7 2. Funding Landscape ....................................................................7
    [Show full text]
  • Government of the Republic of Guyana
    GUYANA NATIONAL REPORT THE TWENTY-FIFTH ANNIVERSARY OF THE FOURTH WORLD CONFERENCE ON WOMEN AND ADOPTION OF THE BEIJING DECLARATION AND PLATFORM FOR ACTION (1995) Government of the Republic of Guyana Table of Contents INTRODUCTION ....................................................................................................................................... 3 GENERAL CONTEXT ............................................................................................................................... 5 Demographics ......................................................................................................................................... 5 Economy .................................................................................................................................................. 6 Political Setting ....................................................................................................................................... 6 Main Legal Gender Constraints ........................................................................................................... 7 Institutional Framework ....................................................................................................................... 8 SECTION ONE ........................................................................................................................................... 9 OVERVIEW OF ACHIEVEMENTS AND CHALLENGES SINCE 2014 .............................................. 9 Most Significant Achievements ...........................................................................................................
    [Show full text]
  • Amphibia: Anura: Leptodactylidae)
    Smithsonian Institution Scholarly Press smithsonian contributions to zoology • number 635 Smithsonian Institution Scholarly Press Variation,A Chronology Systematics, of and MiddleRelationships Missouri of Plainsthe Leptodactylus bolivianus ComplexVillage (Amphibia: Sites Anura: Leptodactylidae) By Craig M. Johnson W. Ronaldwith Heyer contributions and Rafael by O. de Sá Stanley A. Ahler, Herbert Haas, and Georges Bonani SERIES PUBLICATIONS OF THE SMITHSONIAN INSTITUTION Emphasis upon publication as a means of “diffusing knowledge” was expressed by the first Secretary of the Smithsonian. In his formal plan for the Institution, Joseph Henry outlined a program that included the following statement: “It is proposed to publish a series of reports, giving an account of the new discoveries in science, and of the changes made from year to year in all branches of knowledge.” This theme of basic research has been adhered to through the years by thousands of titles issued in series publications under the Smithsonian imprint, com- mencing with Smithsonian Contributions to Knowledge in 1848 and continuing with the following active series: Smithsonian Contributions to Anthropology Smithsonian Contributions to Botany Smithsonian Contributions to History and Technology Smithsonian Contributions to the Marine Sciences Smithsonian Contributions to Museum Conservation Smithsonian Contributions to Paleobiology Smithsonian Contributions to Zoology In these series, the Institution publishes small papers and full-scale monographs that report on the research and collections of its various museums and bureaus. The Smithsonian Contributions Series are distributed via mailing lists to libraries, universities, and similar institu- tions throughout the world. Manuscripts submitted for series publication are received by the Smithsonian Institution Scholarly Press from authors with direct affilia- tion with the various Smithsonian museums or bureaus and are subject to peer review and review for compliance with manuscript preparation guidelines.
    [Show full text]