52 nd meeting of pihoa guam, june 2012 most photos courtesy of flickr who investments in northern...

52nd Meeting of PIHOAGuam, June 2012Most photos courtesy of Flickr

WHO investments in Northern Pacific

Jane WallaceDivision for Pacific Technical Support

WHO investments in Northern Pacific

Jane WallaceDivision for Pacific Technical Support


OutlineOutline

Priorities: How we decide what to do

Operations: What we are actually doing

How we know we have achieved our objectives


A word about WHO A word about WHOMember State organization

Core functions– Providing leadership– Shaping research agenda– Setting norms and standards– Articulating policy options– Providing technical support, capacity

building– Monitoring health trends

HQ, 6 regional offices and about 145 country offices


80 staff in 7 offices DPS (Division for Pacific Technical Support)

22 Countries and areas

Background – Pacific focus

Country office for N Pacific in FMS(CNMI, FSM, Palau,RMI)


Implcountry

Pacific approaches

Refined for regional context

Global public health agenda set and reviewed

Background - how WHO worksBackground - how WHO works


Implcountry

Pacific approaches

Refined for regional context

Global public health agenda set and reviewed

World Health Assembly

Priorities: deciding what to doPriorities: deciding what to do

Country Coop Framework, Pacific Ministers Meeting

and othersRegional Committee

County Coop Framework


Priorities: Pacific Ministers MeetingsPriorities: Pacific Ministers Meetings

Healthy Islands vision

NCDs

Top 4 additional priorities– Mental health: PIMHnet (I: island) – Health information: PHIN (I:

information)– HR: PHRHA, POLHN– Social determinants of health:

CROP


Priorities: country cooperation strategyPriorities: country cooperation strategy

National development plansUN Development Assistance

Framework (UNDAF)

National health plans Multicountry CCS

WHO country workplan

Pacific strategic framework

Country strategy

Goals, outcome

sGoals,

outcomes

WHO’s support

to countries

Output


Priorities: WHO and Pacific countriesPriorities: WHO and Pacific countriesOutline of Framework for WHO’s Multicountry Cooperation Strategy in the Pacific (2013-17)

MISSION Improving and protecting the health of Pacific island people through collective and collaborative efforts: Healthy Islands approach involving whole-of-society response

Global Priorities

Maternal and child health

Communicable diseases

Noncommunicable diseases

Emerging diseases and climate change

Health system development

Goals

1. Reduced maternal and child morbidity and mortality

2. Reduced morbidity and mortality from HIV, TB, malaria and NTDs

3. Reduced morbidity, deaths and disabilities from noncommunicable diseases

4. Reduced mortality due to epidemics, disasters and health impacts of environmental threats

5. Equitable access to quality, affordable primary health care services

Main Outcomes

Equitable access by all women to safe delivery, reproductive health services and family planning

Improved child health achieved through increased vaccination coverage

Equitable access to early case detection and treatment of malaria, TB, HIV and STIs

Reduced impact of dengue

Yaws, LF and Leprosy reduced to elimination levels

Reduced prevalence of known NCD risk factors in PICs

Increased access to NCD preventive and control services

Reduced barriers to effective mental health services

Prevention, timely detection and investigation, response to outbreaks, foodborne, and emerging infectious diseases in line with IHR

Health risks and vulnerabilities reduced from disasters, hazards and climate change

Evidence-based community health systems and policies

Effective and responsive workforce to population and service needs

Robust data generation, analysis and use

Efficient access to quality-assured essential medicines and health technologies

1 Country-focused, accelerated actions to achieve the MDG-related targets in which the Pacific is lagging behind

2 Universal access to primary health care and integrated community-based services 3 Demand-driven access to non-communicable disease (NCD) prevention and control at the point of care 4 Achieving national & collective capacity in the Pacific for prevention, risk reduction and response to health security threats & disasters 5 Addressing the wider social determinants of heath and gender disparities to improve equity in health

Pacific Strategic

Approaches

6 Strong public health leadership for sector-wide coordination, multi-sectoral approaches and aid effectiveness WHO Core Functions

Providing leadership Shaping the research agenda

Setting norms and standards Articulating policy options

Providing technical support and building capacity

Monitoring and Health trends


Priorities: WHO and Pacific countriesPriorities: WHO and Pacific countriesOutline of Framework for WHO’s Multicountry Cooperation Strategy in the Pacific (2013-17)

MISSION Improving and protecting the health of Pacific island people through collective and collaborative efforts: Healthy Islands approach involving whole-of-society response

Global Priorities

Maternal and child health

Communicable diseases

Noncommunicable diseases

Emerging diseases and climate change

Health system development

Goals

1. Reduced maternal and child morbidity and mortality

2. Reduced morbidity and mortality from HIV, TB, malaria and NTDs

3. Reduced morbidity, deaths and disabilities from noncommunicable diseases

4. Reduced mortality due to epidemics, disasters and health impacts of environmental threats

5. Equitable access to quality, affordable primary health care services

Main Outcomes

Equitable access by all women to safe delivery, reproductive health services and family planning

Improved child health achieved through increased vaccination coverage

Equitable access to early case detection and treatment of malaria, TB, HIV and STIs

Reduced impact of dengue

Yaws, LF and Leprosy reduced to elimination levels

Reduced prevalence of known NCD risk factors in PICs

Increased access to NCD preventive and control services

Reduced barriers to effective mental health services

Prevention, timely detection and investigation, response to outbreaks, foodborne, and emerging infectious diseases in line with IHR

Health risks and vulnerabilities reduced from disasters, hazards and climate change

Evidence-based community health systems and policies

Effective and responsive workforce to population and service needs

Robust data generation, analysis and use

Efficient access to quality-assured essential medicines and health technologies

1 Country-focused, accelerated actions to achieve the MDG-related targets in which the Pacific is lagging behind

2 Universal access to primary health care and integrated community-based services 3 Demand-driven access to non-communicable disease (NCD) prevention and control at the point of care 4 Achieving national & collective capacity in the Pacific for prevention, risk reduction and response to health security threats & disasters 5 Addressing the wider social determinants of heath and gender disparities to improve equity in health

Pacific Strategic

Approaches

6 Strong public health leadership for sector-wide coordination, multi-sectoral approaches and aid effectiveness WHO Core Functions

Providing leadership Shaping the research agenda

Setting norms and standards Articulating policy options

Providing technical support and building capacity

Monitoring and Health trends

Mission

Global priorities

Main outcomesPacific strategies

WHO core functions

Mission

Global priorities

Main outcomesPacific strategies

WHO core functions

Mission

Global priorities

Main outcomes

Pacific strategies

WHO core functions


Priorities: country profiles in CCS Priorities: country profiles in CCS

Country summary– Summary of national health policy– Strategic priorities from WHO

Joint document, prepared together (MoH, WHO)

Multi-year, not operational

Aligning Pacific-wide approaches and country implementation


END-POINTSIschemic Heart Dis.StrokePeripheral Vasc. Dis.CancerChronic Lung Dis.

NCD END-POINTSHeart Disease (incl Hypertension & Stroke)Diabetes & complicationsCancerChronic Respiratory Disease

INTERMEDIATE RISK FACTORSHypertensionBlood lipidsDiabetesObesity

INTERMEDIATE RISK FACTORSRaised Blood PressureAbnormal Blood lipidsRaised blood sugarObesity

BEHAVIORAL Tobacco Diet Physical

Activity AlcoholENVIRONMENTAL Socio-cultural Policy Economic PhysicalNON-MODIFIABLE Age, Sex,

Genes

BEHAVIORAL Tobacco Diet Physical

Activity AlcoholENVIRONMENT

AL Socio-cultural Policy Economic PhysicalNON-

MODIFIABLE Age, Sex,

Genes

Operations: NCDsOperations: NCDs


Operations: NCDsOperations: NCDs

Not available Exists or achieved, but weak

Strong/achieved No data


Operations: POLHN work in FSMOperations: POLHN work in FSM

POLHN: online courses, course materials for health professionals in the Pacific

One centre in each state in FSM

Student enrolment:– 2010: 5 students

– 2011:15 students taking 30 courses

– 2012: 70 students taking 90 courses

Many partners to develop courses; WHO set up and MoH runs the centers


Operations: Dengue outbreak RMIOperations: Dengue outbreak RMI

Outbreak in 2011– Training for case management– Improve and utilize surveillance– Identify virus(es) responsible– Vector production sites and

control strategies

Main partners: RMI MoH, WHO, CDC

Dengue Ward (before)


Resources investedResources investedHuman resources are main

investment– Establishment of DPS office– Subsequent strengthening

through increased HR– Establishment of CLO for

Northern Pacific

Can draw on additional technical expertise

– Regional office in Manila– HQ in Geneva


Achieving our objectivesAchieving our objectives

Financial and indicator reporting

Annual progress report on the entire Western Pacific region

Ad hoc reports, reviews, surveys, surveillance

Coordination and other meetings


Moving forwardMoving forwardFocus more on outcomes not

outputs

Look at cross cutting impact on public health

Requires a broader view than just health


WHO Office for Northern MicronesiaWHO Office for Northern Micronesia

Your “One-Stop Shop” for working with WHO

Officially covers FSM, RMI and Palau

– Unofficial facilitation of WHO work with CNMI and Guam

Contact info:– [email protected] ,

[email protected] , or [email protected]; +691-320-2619 (office)


Thank youThank you

Questions or comments?


Analysis of 4 key steps/areas (in particular 4 priorities)

Analysis of 4 key steps/areas (in particular 4 priorities)

HRHealth information

Mental healthSocial determinant

Priority setting

N & S

(policy, strategy, tools)

Capacity building (Implementation)

M & E


How we know we have achieved our objectivesHow we know we have achieved our objectives Reporting options

– Financial and indicator reporting through enterprise-wide system

– Annual progress report on the entire Western Pacific region

– Ad hoc reports, reviews, surveys

Issues and challenges– Focus more on outcomes not

outputs– Look at cross cutting impact on

public health– Requires a broader view than just

health


With Which Office Do I Work?With Which Office Do I Work? WHO Headquarters (“HQ”) (Geneva)

– Rarely interacts directly with countries (except for global meetings)

– May occasionally provide direct technical assistance

WHO Regional Office for the Western Pacific (“WPRO”) (Manila)– Has technical expertise in all WHO work areas

– Often sponsors regional workshops

WHO Division of Pacific Technical Support (“DPS”) (Suva, Fiji)– Focused on the needs of the Pacific

– Technical expertise in most WHO work areas

WHO Country Liaison Office for Northern Micronesia (“CLO”) (Pohnpei, FSM)

– See next slide


Priorities: deciding what to doPriorities: deciding what to do

Our Member States tell us!

World Health Assembly

Regional Committee meetings

Healthy Islands - Pacific Ministers Meeting

Country Cooperation Strategy (CCS)

52 nd meeting of pihoa guam, june 2012 most photos courtesy of flickr who investments in northern...

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