Health Workforce Registries two examples Dykki Settle Sharon

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Health Workforce Registries two examples Dykki Settle & Sharon Kim 4 th Meeting of

Health Workforce Registries two examples Dykki Settle & Sharon Kim 4 th Meeting of the Health workforce Information Reference Group (HIRG Recife, Brazil – 13 Nov, 2013

Challenges in health workforce information • Many health workforce stakeholders, each with both overlapping

Challenges in health workforce information • Many health workforce stakeholders, each with both overlapping and distinct data and denominators • Larger e/m. Health interoperability problems – Many activities, little interoperability • Data quality, demand use – No single data source or national denominator – No easy way to triangulate using multiple data sources

Many stakeholders, many views Ministry of Health (plus other relevant Ministries: Education, Public Service,

Many stakeholders, many views Ministry of Health (plus other relevant Ministries: Education, Public Service, etc) Public Service HRIS HMIS National Health Workforce Registry Local Government Training Institutions Professional Councils Facilities & Service Providers FBO Assoc NGO Assoc For Profit Assoc HRIS FBO HRIS NGO HRIS FP FBO NGO FP

2012 Uganda e/m. Health moratorium

2012 Uganda e/m. Health moratorium

“Our mission is to improve the health of the underserved through the open, collaborative

“Our mission is to improve the health of the underserved through the open, collaborative development and support of country driven, large scale health information sharing architectures. ”

Provider Registry A Provider Registry is the central authority for unique identities of &

Provider Registry A Provider Registry is the central authority for unique identities of & basic information on all health workers within the country.

Rwanda – October 2012 (Pilot)

Rwanda – October 2012 (Pilot)

Making Connections e. Health systems m. Health systems

Making Connections e. Health systems m. Health systems

Community of Communities • • • Client Registry Facility Registry Provider Registry Terminology Service

Community of Communities • • • Client Registry Facility Registry Provider Registry Terminology Service Shared Health Record Interoperability Layer Join: [email protected] com

Expected Outcomes The Open. HIE Provider Registry… • … can serve as a standards-based

Expected Outcomes The Open. HIE Provider Registry… • … can serve as a standards-based reference implementation of the WHO Minimum Data Set • … will be a unified source of data providing a complete picture of national health workforce • … will support the triangulation and comparison of different health workforce data sources to identify and resolve data quality issues

Community Health Worker Registries

Community Health Worker Registries

Campaign Overview • Focus on CHW scale-up for MDG achievement and Universal Health Coverage

Campaign Overview • Focus on CHW scale-up for MDG achievement and Universal Health Coverage • Operates in 10 countries in 2013 • Phase 1: Mo. H develops a top down financial and operational plan, which specifies policies, training, deployment and management factors, along with financial envelopes that draw upon global and domestic sources • Phase 2: District-led bottom up plan that draws upon implementation partners capable of supporting the Mo. H and directly participating in scale-up activities

CHW Scale-up Strategy Inputs Ministry of Health 1 m. CHW Campaign Secretariat Steering Committee

CHW Scale-up Strategy Inputs Ministry of Health 1 m. CHW Campaign Secretariat Steering Committee and Partners Activities National policy and strategy development led by Ministry of Health Deepening engagement with partners to close the gap between planning and operations Identification of highpriority districts for CHW scale-up activities Outputs Impact Targeted upgrade/expansion of CHWs in high-need subnational units (state/district) Work with GHWA, AFRO, Steering Committee + technical agencies to mobilize formal institutional support for country plans Harmonization of CHW activities Prof Jeffrey Sachs + Political Leaders Group working with Global Fund, GAVI, PEPFAR/USAID, Bilateral funders on CHW specific support Match & amplify existing domestic financing with specific incremental global financing Accelerate achievement of health-related MDGs

Challenges To CHW Scale-up • Most countries do not have Community Health Worker Registries

Challenges To CHW Scale-up • Most countries do not have Community Health Worker Registries • Country-based ownership over collection/reporting mechanism • Harmonization of stakeholders to actively participate in counting and capability-tracking Nigeria Community Health Practitioners Registration Board of Nigeria (CHPRBN) is using i. HRIS Qualify to track community health Liberia workers Recently conducted a Comprehensive Mapping of Community

Community Health Worker Registry Phase 1 Planned Functionalities Promote systematic integration of CHWs into

Community Health Worker Registry Phase 1 Planned Functionalities Promote systematic integration of CHWs into wider health workforce and national health system District by District Counting • District-level counting exercise of CHWs using i. HRIS • Build Capacity: Improve capacity of HRH managers to effectively manage CHWs • National CHW tracking platform for http: //1 millionhealthworkers. org/operations-room-map/ Medic Mobile Demo Dashboard National HRH Analytics Platform workforce analytics (e. g. , # of CHWs, contact info, payment status, training status, etc. ) • Promote Global Standards: Use WHO Minimum Data Set (MDS) as backbone • Real-time monitoring of health workforce Integration with m-/e- Health Systems via mobile phone applications • Enhance Interoperability: Aggregate data from mobile systems + existing country e. Health architectures

Opportunities YOU • Improve capacity of health systems managers to oversee CHW workforce •

Opportunities YOU • Improve capacity of health systems managers to oversee CHW workforce • Allow systematic integration of CHWs into wider health workforce and national HRH framework/health system • Inform development of global and country level CHW information system platforms, policies and protocols At the request of countries, the 1 m. CHW Campaign and Intra. Health will help Mo. H adapt i. HRIS to collect national CHW data in a systematic and methodological way Core Group, 2013

Thank You 1 millionhealthworkers. org/ For questions about the CHW Registry, please contact: Ms.

Thank You 1 millionhealthworkers. org/ For questions about the CHW Registry, please contact: Ms. Sharon Kim [email protected] columbia. edu