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Strengthening 21St Century Global Health Systems: Investing Strategically in the Health Care Workforce

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Strengthening 21St Century Global Health Systems: Investing Strategically in the Health Care Workforce Strengthening 21st Century Global Health Systems: Investing Strategically in the Health Care Workforce Summit Co-Chairs: Ann E. Kurth, PhD, CNM, FAAN and Marilyn A. DeLuca, PhD, RN Welcome Dear Honorable Ministers of Health, Honored Guests, Colleagues and Partners, Our warm, most earnest welcome. The Global Summit on Strengthening 21st Century Global Health Systems: Investing Strategically in the Health Care Workforce could not be more timely. Two weeks ago, many of us here today had the opportunity to participate in special sessions at the United Nations on non-communicable diseases (NCDs). The same week 1,200 individuals, including 50 heads of state, 450 business leaders and representatives from 500 non-governmental organizations from across the globe attended the weeklong Clinton Global Initiative (CGI). In both settings, the same message echoed: the time has come for all constituencies to step up and build adequate numbers of educated, competent health workers, working within strong and efficient health systems. We need to strategically increase the number of all health cadres, from community volunteers up through health care professionals including nurses, midwives, and physicians. A root-cause of the lack of appropriate health care, be it for attended birth or dignified end of life, is the lack of health care providers. This message is not new. In recent years, some have worked to develop health care workforce programs that have been accompanied by relatively minimal amounts of funding. Yet, today we remain far from reaching the minimum target of 2.3 health workers per 1,000 people in the 57 highest need countries. Importantly, we must strengthen global health systems and workforce in an era of continued economic challenge. Therefore our investments must be strategic, and we must share lessons about best practices. You are here today to help take on this challenge. The solutions will be neither quick nor easy, as this is a complex problem with many facets. But it is one that can be addressed and improved. Over the course of the day you will hear from thought leaders, providers, and implementers on the ground. They will share their best insights regarding successes as well as strategies that failed. Their job is to help each of you better understand how you can help tackle this problem. We are encouraged by your commitment to contribute to the improvement of world health. Thank you for taking this issue to heart and then into action. We will only improve the health of individuals and populations across the globe through our strategic investment of resources, political will, collaborations, and tenacity. Robert Berne Charles N. Bertolami Judith Haber Executive VP for Health Dean, College of Dentistry Interim Dean, College of Nursing Ann E. Kurth Marilyn A. DeLuca Co-Chair, Global Summit Co-Chair, Global Summit S TRENGTHENING 21ST C E N T U R Y G L O B A L H E A L T H S YSTEMS | 1 Overview Global health depends on strong health system provides hands on care and promotes healthy performance including the availability of an behaviors. Historically, global funding for health educated, skilled, and motivated health care has targeted specific, primarily infectious, workforce. Deep disparities exist in the number, diseases. Currently, the growing burden of non- competencies and outcomes of health care communicable disease (NCDs) and increased life professionals and community health workers spans compound the already high demand for globally. Worldwide, the gap between the health workers across the globe. Yet, economic supply of health care workers and the growing pressures and fiscal regulatory constraints demand for health services prompted the WHO confound attempts by national and local governments to grow and Global health depends on strong health system retain their health care performance including the availability of an educated, workforce. Philanthropy and skilled, and motivated health care workforce. public funding for global health have typically not targeted to name this as the Decade of Health Care workforce development as part of health Workers. The WHO (2006) estimates that 4.3 system strengthening. In 2008, international million nurses, midwives, doctors and public funding by US foundations tallied $6.2 billion2 health workers are needed to meet the needs- with little directed at workforce development. based minimal target of 2.3 health workers per In recent years, several initiatives and reports 1,000 people in 57 under-served countries. have urged action in this arena.3, 4, 5 The recent Several million additional workers are required report, Health Professionals for a New Century: if we are to move beyond the minimal ratio of Transforming Education to Strengthen Health 2.3 workers needed just to adequately provide Systems in an Interdependent World, outlines infant and child immunizations and to attend strategies to redesign post secondary education women during childbirth. 1 An estimated for nurses, physicians, and public health 620,000 nurses and midwives are needed in professionals in order to impact health sub-Saharan Africa alone. outcomes.6 This report, like others before it, can Health care professionals and community guide well-targeted investments in educating workers constitute the backbone of health the health care workforce. Many funders, both systems in the public and private sectors. private and public, have not yet deeply invested They are the essential infrastructure that in human resources. Reluctance among funders 2 | S TRENGTHENING 21ST C E N T U R Y G L O B A L H E A L T H S YSTEMS Overview springs, in large part, from the complex issues 3. Strengthen partnerships and scale up related to human resources for health including collaborations and commitments among funders and other organizations that can how can we most effectively educate, deploy effectuate health workforce strengthening and retain health care professionals, particularly nurses and other non-physicians STRATEGIES: who deliver the bulk of primary care? 1. Convene leaders of foundations, funders, The Summit, Strengthening 21st Century Global and select public and private organizations Health Systems: Investing Strategically in the Health Care Workforce will focus on these 2. Draw on lessons learned from health care questions. Its goal is to bring the 21st century workforce initiatives health system strengthening through health 3. Build lasting partnerships care workforce center-stage into the conversation on global health philanthropy. 4. Encourage collaborations around regional, The Summit will serve as a platform for active national or focused initiatives exchange among participants to identify 5. Catalyze implementation of strategic workable strategies to strengthen human health care workforce initiative resources for health and to spark investment and action by interested funders, foundations, and institutions. OBJECTIVES: 1. Articulate a range of strategic investments that have the potential to efficiently strengthen the global health care workforce 2. Present, discuss, and learn from evidence- based strategies for health workforce development © Save the Children, Community Health Worker, Mali, 2010 S TRENGTHENING 21ST C E N T U R Y G L O B A L H E A L T H S YSTEMS | 3 Summit Program OCTOBER 13, 2011 Location: McKinsey & Company Executive Conference Center, 21st Floor 55 East 52nd Street, New York, NY 10022 Registration 11:15 – 11:45 am: 2nd Floor Atrium Reception Area 21st Floor Summit Welcome Desk Session I Session I Chair: Ann E. Kurth, PhD, CNM, FAAN Co-Chair, Strengthening 21st Century Global Health Systems Summit Professor, NYU College of Nursing Executive Director, NYU College of Nursing Global Welcome A Global University in the Public Service 11:45 – 12:00 pm Speaker: Robert Berne, PhD Executive Vice President for Health, New York University LUNCH Executive Conference Rooms A, B, C 12:00 – 1:00 pm Keynote Global Health & Health Workforce 12:00 – 12:30 pm Speaker: Julio Frenk, MD, MPH, PhD Co-Chair, Global Commission Educating Health Professionals for a New Century Dean, Harvard University, School of Public Health 12:30 – 1:00 pm Growing National Human Resources for Health Speaker: Ann Phoya, PhD, RNM Director, SWAp Secretariat, Ministry of Health, Malawi BREAK 1:00 – 1:15 pm 4 | S TRENGTHENING 21ST C E N T U R Y G L O B A L H E A L T H S YSTEMS Summit Program PANEL 1 Focus on Foundations: Strengthening Health Systems via the Health Care Workforce 1:15 – 2:30 pm Moderator: Dr. Mubashar Sheikh Executive Director, Global Health Workforce Alliance (GHWA) Participants: W. Edward Wood President, Clinton Health Access Initiative (CHAI) Case Study: National Approach Dr. Phuong Nhan Le Director, Population Health Programme The Atlantic Philanthropies Case Study: Public Health and Primary Care, Viet Nam Manisha Bhinge, MPA/ID Program Manager, BRAC USA Case Study: Community Workers, Bangladesh Kasia Biezychudek, MBA Chief Financial Officer, Touch Foundation Case Study: Regional Approach, Tanzania Break 2:30 – 2:45 pm © Save the Children, community health worker referring child for hospitalization, Bangladesh S TRENGTHENING 21ST C E N T U R Y G L O B A L H E A L T H S YSTEMS | 5 Summit Program Session II Session II Chair: Marilyn A. DeLuca, PhD, RN Co-Chair, Strengthening 21st Century Global Health Systems Summit Adjunct Associate Professor, NYU College of Nursing Adjunct Assistant Professor, NYU School of Medicine 2:45 – 3:45 pm Conversations with Thought Leaders: Engaging Funders in Human Resources for Health Moderator: Ellen Lambert, MAT, JD Executive Director of Corporate Contributions Executive Vice President, The Merck Company Foundation Participants: Estelle Quain, PhD Team Leader, Health Systems Strengthening, Office of HIV/AIDS United States Agency for International Development (USAID) Growing the Health Workforce: An Era for Public-Private Partnerships Michael J. Bzdak, PhD Director of Corporate Contributions, Johnson & Johnson Enduring Commitments in Social Responsibility Lawrence O. Gostin, JD Professor, Georgetown University Law Center Ethical and Policy Considerations around the Health Worker Shortage Carolyn S.
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