2013-06-10-世界卫生组织-The_Global_Health_Workforce_Alliance_2012_Annual_Report_25页_3mb

Global Health Workforce Alliance Annual Report Summary (2012)

1. Introduction & Vision

• HRH Crisis: A global shortage of health workers impacts access to care, especially in low- and middle-income countries.
• Alliance Vision: To ensure universal health coverage (UHC) by strengthening the health workforce through catalytic advocacy, evidence-based solutions, and country support.
• Guiding Principles: Focus on equitable distribution, training, retention, and collaboration among stakeholders.

2. Key Achievements (2006–2012)

• Advocacy & Policy Dialogue:

  • HRH mainstreamed into global agendas (e.g., Post-2015 development framework, UHC targets).
  • Successful advocacy for The Global Code of Practice on International Recruitment of Health Personnel and resolutions in U.S. Congress.
  • HRH included in key UN resolutions, regional platforms (APHRH, HHA, APHA), and country-level policies.

• Country Support (CCF Approach):

  • Supported 24 countries to develop/nationalize HRH plans, improve deployment, and retain health workers.
  • Notable progress in Indonesia, Pakistan, Uganda, and Mali (e.g., increased training, reduced vacancy rates).

• Evidence-Based Solutions:

  • Evaluated mid-level health workers (MLHWs), showing their role in delivering maternal, child, and NCD services.
  • Developed tools like the PIAT (Policy Impact Assessment Tool) for HRH planning.

• Community Health Workers (CHWs):

  • Advocated for CHWs to bridge service gaps in remote areas.
  • Optimized skills-sharing and training in countries like Ethiopia and India.

• Private Sector Engagement:

  • Launched PSTF Report to integrate private sector HRH initiatives, improving supply chains and workforce retention.

3. Forward-Looking Strategies

• New Strategy (2013–2016):

  • 3 Core Objectives:
    1. Enabling Solutions: Advocate for coherent HRH policies.
    2. Catalyzing Actions: Enhance cross-sectoral coordination.
    3. Ensuring Accountability: Track HRH commitments and progress.

• Key 2013–2016 Initiatives:

  • Host the Third Global Forum on HRH in Brazil to advance UHC and post-2015 agendas.
  • Focus on 57 HRH-priority countries (75% of global maternal/child deaths).
  • Train two million health workers by 2016 to support UHC.

4. Governance & Operations

• Structure: Hosted by WHO, with members including governments, NGOs, academia, and international agencies.
• Funding: Supported by donors like USAID, Bill & Melinda Gates Foundation, DFID, and others.
• Efficiency: Reduced staffing to streamline operations while maintaining effectiveness.

5. Looking Forward

• Challenges: Chronic shortages, inadequate training, poor distribution, and political prioritization of HRH.
• Opportunities: Greater collaboration among stakeholders (governments, private sector, civil society) to achieve UHC and sustainable health systems.

By fostering holistic HRH solutions and amplifying advocacy, the Global Health Workforce Alliance aspires to transform health systems worldwide.