Considerations in Considerations in Developing NPHIsDeveloping NPHIs

Sue Binderwww.ianphi.org

What Are NPHIs?What Are NPHIs?

Mexico INSP INSP

Netherlands RIVM

U.S. CDC

Ethiopia EHNRI EHNRI China CDC

Finland THL

Who is next?Who is next?

What Are NPHIs: The FrameworkWhat Are NPHIs: The Framework Developed in response Developed in response

to the need to have a to the need to have a consistent language for consistent language for ourselves, donors, and ourselves, donors, and partners about what partners about what NPHIs are and what they NPHIs are and what they dodo

IANPHI members worked IANPHI members worked together to create a together to create a consensus document, consensus document, published 2007published 2007

The Framework IncludesThe Framework Includes Background information about NPHIsBackground information about NPHIs Definition of an NPHIDefinition of an NPHI Core NPHI Attributes and FunctionsCore NPHI Attributes and Functions Approaches to creating or enhancing Approaches to creating or enhancing

an NPHIan NPHI

Examples of Examples of NPHI Core AttributesNPHI Core Attributes

• National scope of influenceNational scope of influence• Focus on major public Focus on major public

health problemshealth problems• Scientific basisScientific basis• Linkages Linkages – sub-national/– sub-national/

national/international; national/international; government/non-government/non-governmentgovernment

Examples of Examples of NPHI Core FunctionsNPHI Core Functions

Population health assessmentPopulation health assessment Surveillance, problem investigation, & Surveillance, problem investigation, &

control of threatscontrol of threats ResearchResearch Prevention programs & health promotionPrevention programs & health promotion Human resources development & Human resources development &

managementmanagement Emergency preparedness & responseEmergency preparedness & response

Which Core Functions Does a Which Core Functions Does a “Typical” NPHI Do?“Typical” NPHI Do?

Many NPHIs become more comprehensive Many NPHIs become more comprehensive over time, e.g., CDCover time, e.g., CDC

Often, a crisis is an impetus to increase Often, a crisis is an impetus to increase comprehensivenesscomprehensiveness• Example: Public Health Agency of Canada created following Example: Public Health Agency of Canada created following

2003 SARS outbreaks 2003 SARS outbreaks Lack of communication between national and sub-nationalLack of communication between national and sub-national Large numbers of people quarantined unnecessarilyLarge numbers of people quarantined unnecessarily Health care system overwhelmed by worried wellHealth care system overwhelmed by worried well Business and tourist travel stoppedBusiness and tourist travel stopped Subsequently, the Parliament legislated the Public Health Subsequently, the Parliament legislated the Public Health

Agency of CanadaAgency of Canada

IANPHI Long-term ProjectsIANPHI Long-term Projects Mostly in low-resource countriesMostly in low-resource countries Project can last several yearsProject can last several years Goal is sustainable increases in NPHI Goal is sustainable increases in NPHI

capacity to conduct Core Functions capacity to conduct Core Functions related to pressing problems in the related to pressing problems in the countrycountry

IANPHI Long-term ProjectsIANPHI Long-term Projects(cont’d)(cont’d)

We aim to be transformativeWe aim to be transformative IANPHI funds are limited, but can serve IANPHI funds are limited, but can serve

as a catalyst – have a multiplier effectas a catalyst – have a multiplier effect• Guinea Bissau: Linkage of formerly disparate groups Guinea Bissau: Linkage of formerly disparate groups a robust NPHIa robust NPHI• Tanzania: Investment in non-communicable disease Tanzania: Investment in non-communicable disease

surveillance and policy work surveillance and policy work as the Ministry as the Ministry expands its NCD efforts, NIMR is playing an important expands its NCD efforts, NIMR is playing an important role in providing a science baserole in providing a science base

Keys to Success of Keys to Success of Long-Term ProjectsLong-Term Projects

A high-level champion in the governmentA high-level champion in the government NPHI Leadership: Critical forNPHI Leadership: Critical for

• Aligning staff and programs with the NPHI’s vision Aligning staff and programs with the NPHI’s vision and missionand mission

• Staff buy-in to organizational change Staff buy-in to organizational change • Deal with barriersDeal with barriers• Garnering additional resourcesGarnering additional resources

Vision for how the IANPHI invest-ments Vision for how the IANPHI invest-ments will lead to transformationwill lead to transformation

Other IANPHI Support for Other IANPHI Support for NPHI DevelopmentNPHI Development

Technical assistanceTechnical assistance• Strategic planningStrategic planning• Meeting with key people (e.g., Ghana)Meeting with key people (e.g., Ghana)

Funding of meetings, e.g., for strategic Funding of meetings, e.g., for strategic planningplanning

TrainingTraining• General leadership and management development, General leadership and management development,

e.g., as part of annual meetingse.g., as part of annual meetings• Targeted: Address specific needsTargeted: Address specific needs

Mentorship programMentorship program

Substantive improvements to public health Substantive improvements to public health systems require a national organizational focus systems require a national organizational focus – an NPHI. IANPHI looks forward to helping you – an NPHI. IANPHI looks forward to helping you

to develop to develop yours.yours.