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PH Important DayPublic Health

‘Get better with Self-Care’ – International Self-Care Day — July 24

by Public Health Update July 24, 2017
written by Public Health Update
International Self-Care Day (ISD), on 24 July each year, provides a focus and opportunity to raise the profile of healthy lifestyle self-care programmes around the world. ISD is a device developed by the International Self-Care Foundation to promote self-care as a vital foundation of health. 

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IMAGE

The ISD Date
The International Self-Care Day, 24 July, symbolises that the benefits of self-care are experienced 24 hours a day, 7 days a week. In other words, the benefits of self-care are life-long and do not just relate to a single day. ISD on 24 July simply provides a good focus and opportunity to publicise or report on self-care in action programmes. Programme organisers may work around July 24 as convenient, for example in 2014 for practical convenience organising events on the third Sunday of July.
Each year ISF proposes a general theme for International Self-Care Day. For 24 July 2017, the theme is ‘Get better with Self-Care’


WHAT IS SELF-CARE?

The WHO 1998 definition is:

‘Self-Care is what people do for themselves to establish and maintain health, and to prevent and deal with illness. It is a broad concept encompassing hygiene (general and personal), nutrition (type and quality of food eaten), lifestyle (sporting activities, leisure etc), environmental factors (living conditions, social habits, etc.) socio-economic factors (income level, cultural beliefs, etc.) and self-medication.’

ISF proposes a framework for self-care which can conveniently be visualized and organised around seven ‘pillars’ or ‘domains’:
  1. Health literacy – includes: the capacity of individuals to obtain, process and understand basic health information and services needed to make appropriate health decisions
  2. Self-awareness of physical and mental condition – includes: knowing your body mass index (BMI), cholesterol level, blood pressure; engaging in health screening.
  3. Physical activity – practicing moderate intensity physical activity such as walking, cycling, or participating in sports at a desirable frequency.
  4. Healthy eating – includes: having a nutritious, balanced diet with appropriate levels of calorie intake.
  5. Risk avoidance or mitigation – includes: quitting tobacco, limiting alcohol use, getting vaccinated, practicing safe sex, using sunscreens.
  6. Good hygiene – includes: washing hands regularly, brushing teeth, washing food.
  7. Rational and responsible use of products, services, diagnostics and medicines – includes: being aware of dangers, using responsibly when necessary.
Source of information : International Self care Foundation


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PH Important DayPublic Health

Family Planning: Empowering People, Developing Nations – World Population Day 2017

by Public Health Update July 11, 2017
written by Public Health Update

World Population Day, which seeks to focus attention on the urgency and importance of population issues, was established by the then-Governing Council of the United Nations Development Programme in 1989, an outgrowth of the interest generated by the Day of Five Billion, which was observed on 11 July 1987. 

July 11 World Population Day

By resolution 45/216 of December 1990, the United Nations General Assembly decided to continue observing World Population Day to enhance awareness of population issues, including their relations to the environment and development. 


The Day was first marked on 11 July 1990 in more than 90 countries. Since then, a number of a number of UNFPA country offices and other organizations and institutions commemorate World Population Day, in partnership with governments and civil society. 
Family Planning: Empowering People, Developing Nations

Around the world, some 225 million women who want to avoid pregnancy are not using safe and effective family planning methods, for reasons ranging from lack of access to information or services to lack of support from their partners or communities. Most of these women with an unmet demand for contraceptives live in 69 of the poorest countries on earth. 
Access to safe, voluntary family planning is a human right. It is also central to gender equality and women’s empowerment, and is a key factor in reducing poverty. Investments in making family planning available also yields economic and other gains that can propel development forward.
In 2017 World Population Day, 11 July, coincides with the Family Planning Summit, the second meeting of the FP2020–Family Planning 2020–initiative, which aims to expand access to voluntary family planning to 120 million additional women by 2020.
Further Reading:
1. http://www.un.org/en/events/populationday 
2. http://www.unfpa.org/events/world-population-day 
3. https://en.wikipedia.org/wiki/World_Population_Day
MoHP


World Population Day 2017 (Preeti Font) from Sagun Paudel

My Nepali Article : Read Here (Samadhan National Daily dated 11th July 2017)
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National Plan, Policy & GuidelinesResearch & Publication

Population Perspective Plan 2010-2031, Nepal

by Public Health Update July 10, 2017
written by Public Health Update
Population Perspective Plan 2010-2031, Nepal
Population Perspective Plan 2010-2031, Nepal
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National Plan, Policy & GuidelinesResearch & Publication

National Population Policy, Nepal- 2071

by Public Health Update July 10, 2017
written by Public Health Update
Nepal has its first ever National Population Policy endorsed by the Cabinet. The policy saw the day light when world leaders have just agreed to tackle emerging population and development priorities following the successful completion of 20 years of Programme of Action of the International Conference on Population and Development (ICPD), Cairo, 1994.

 

          



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National Plan, Policy & GuidelinesPublic Health ProgramsResearch & Publication

Nepal FP2020 Commitment -2017

by Public Health Update July 10, 2017
written by Public Health Update

Nepal FP2020 Commitment -2017

Nepal FP2020 Commitment 02017: The Government of Nepal updated its commitment at the Family Planning Summit in London, UK on July 11, 2017.
Nepal is committed to maintaining and sustaining the efforts already initiated including through the implementation of the FP2020 commitments made in March 2015, one month before the devastating earthquake. As such, Nepal reiterates that it will continue to increase government budget in Family Planning by 7% each year up to 2020.
Nepal is committed to “leaving no one behind” and “reaching the unreached” to accelerate the progress of increasing the number of additional users of family planning by an estimated 1 million by 2020, provided the proportion of demand satisfied increases to 71% by then. With a special focus on meeting the family planning need of adolescents and youth,
Nepal will strive to increase the method mix with suitable FP methods of their choices.
COMMITMENTS

  • Continue raising financial resources and promoting local-level budgetary allocations for FP that meets on-going policy and programmatic commitments.
  • Continue raising the annual government allocation for FP by 7% each year up to 2020. Furthermore, Nepal will engage with external development partners including donors to raise additional commitments.
  • Identify barriers to accessing FP services among individuals and couples belonging to special groups including adolescents and youth and formulate polices and strategies to address them.
  • Strengthen and gradually scale up adolescent friendly services to cater for the needs of adolescents in all HFs.
  • Improve regulatory framework to promote public-private partnership and expand health service delivery points to increase access to quality FP information and services.
  • Strengthen enabling environment for family planning, including advocacy to mobilize resources from non-health sectors.
  • Strengthen capacity of health institutions and service providers to expand FP service delivery networks, to
    respond to the needs of marginalized, rural residents, migrants, adolescents with special focus during the time of emergencies/humanitarian settings.
  • Increase availability of a broader range of modern contraceptives and improve method mix at different levels of the health care delivery system.
  • Increase health care seeking behavior among populations with high unmet need for modern contraception by raising awareness on the importance of FP through various communication methods and media focusing on special groups like ethnic minorities, marginalized and disadvantaged groups.
  • Strengthen evidence based/informed learnings for effective programme implementation through research and innovations.
  • Introduce eLMIS at the district and gradually to the HFs level by end of 2019
  • Effective procurement functions in place for timely procurement of commodities
  • Proportion of HFs with “no stock out of FP commodities” increased from 70 to 95% by the end of 2020.

The following text is the commitment made by the Government of Nepal in 2015.
POLICY & POLITICAL COMMITMENTS
Nepal pledges to reposition family planning to foster sustainable social and economic development and to execute the Costed Implementation Plan on FP (2015-2020) within the Nepal Health Sector Program III (2015-2020). Nepal commits to identify barriers to accessing family planning services faced by individuals and couples, including adolescents and youth, those living in rural areas, migrants and other vulnerable or marginalized groups. The government also pledges to formulate policies and strategies to address these barriers. Furthermore, Nepal commits to improving the regulatory framework to promote public-private partnerships.
FINANCIAL COMMITMENTS
The government of Nepal commits to raise and invest the financial resources required to meet its policy and programmatic commitments. In particular, it pledges to increase funding for family planning programs by at least 7 percent annually from 2015 to 2020 and engage with external development partners to raise additional resources. In addition, Nepal pledges to strengthen the enabling environment for family planning by engaging in advocacy to mobilize resources from non-health sectors.
PROGRAM & SERVICE DELIVERY COMMITMENTS
The government of Nepal pledges to broaden the range of modern contraceptives available and improve method mix at different levels of the health care system. Nepal commits to engage in a range of communications and media activities to raise awareness of family planning among populations with a high unmet need for modern contraception, focusing particularly on adolescents and young people. Nepal will expand service delivery points to increase access to quality family planning information and services and facilitate family planning by strengthening delivery networks. The government pledges to support mobilizing resources from other, non-health sectors. Nepal commits to strengthening the evidence base for effective program implementation through research and innovation.
http://www.familyplanning2020.org
RELATED TOPICS 

  • Family Planning: Empowering People, Developing Nations – World Population Day 2017
  • National Family Planning Day (18- Sep 2016)
  • Family Planning 2020 (FP2020) Commitment, Nepal
  • National Family Planning Costed Implementation Plan (2015-2020)
  • #National Family Planning Day (18th Sep 2015)
  • National Family Planning Day sep 18th 2014
  • Nepal Demographic and Health Survey 2016 Key Indicators Report
  • Key findings – The 2015 Nepal Health Facility Survey (2015 NHFS)
  • 2016 Health SDG Profile: Nepal
  • Sep 26 Every Year !! World Contraception Day
  • 2011 Nepal Demographic and Health Survey (NDHS)
  • National Female Community Health Volunteers (FCHVs) Program
  • National Family Planning Program, Nepal
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Public Health

Sri Lanka dengue outbreak leaves 225 dead

by Public Health Update July 5, 2017
written by Public Health Update
Sri Lanka is suffering its worst-ever dengue outbreak, with the mosquito-borne virus killing 225 people and infecting more than 76,000 this year. Alarmed by the magnitude of the crisis, the government deployed 400 soldiers and police officers on Tuesday to clear away rotting garbage, stagnant water pools and other potential mosquito-breeding grounds.The number of infections nationwide is already 38 per cent higher than last year, when 55,150 people were diagnosed with dengue and 97 died, according to the Health Ministry. The highest number of cases is in the region around the main city of Colombo, though cases were being reported across the tropical island nation.

In Colombo alone, 25 teams of soldiers, police officers and public health inspectors were knocking on doors at people’s homes, advising them to clear clogged drains and empty outdoor pots that might have filled with rainwater. Health officials were also fumigating public spaces.
CBC NEWS

dengue fever
READ MORE ABOUT DENGUE 



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Public Health

Joint United Nations statement on ending discrimination in health care settings

by Public Health Update June 30, 2017
written by Public Health Update
Joint United Nations statement on ending discrimination in health care settings

Joint WHO/UN statement 



27 June 2017

United Nations entities recall that a central principle of the 2030 Agenda for Sustainable Development is to “ensure that no one is left behind” and to “reach the furthest behind first”. Recognizing that discrimination in health care settings is a major barrier to the achievement of the Sustainable Development Goals (SDGs), United Nations entities commit to working together to support Member States in taking coordinated multisectoral action to eliminate discrimination in health care settings.

Discrimination in health care settings is widespread across the world and takes many forms. It violates the most fundamental human rights protected in international treaties and in national laws and constitutions.

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Discrimination in health care settings is directed towards some of the most marginalized and stigmatized populations – the very populations that States promised to prioritize through the 2030 Agenda, and who are all too often excluded or left behind. Many individuals and groups face discrimination on the basis of their age, sex, race or ethnicity, health status, disability or vulnerability to ill health, sexual orientation or gender identity, nationality, asylum or migration status, or criminal record, often experiencing intersecting or compounding forms of discrimination.


Discrimination affects both users of health care services and health care workers. It serves as a barrier to accessing health services, affects the quality of health services provided, and reinforces exclusion from society for both individuals and groups.
Discrimination in health care settings takes many forms and is often manifested when an individual or group is denied access to health care services that are otherwise available to others. It can also occur through denial of services that are only needed by certain groups, such as women. Examples include specific individuals or groups being subjected to physical and verbal abuse or violence; involuntary treatment; breaches of confidentiality and/or denial of autonomous decision-making, such as the requirement of consent to treatment by parents, spouses or guardians; and lack of free and informed consent.
It is also present in the entrenched gender-based discrimination within the largely female health workforce, as evidenced by physical and sexual violence, wage gaps, irregular salaries, lack of formal employment, and inability to participate in leadership and decision-making.
National laws, policies and practices can also foster and perpetuate discrimination in health care settings, prohibiting or discouraging people from seeking the broad range of health care services they may need. Some laws run counter to established public health evidence and human rights standards. Evidence demonstrates the harmful health and human rights impacts of such laws.
Addressing discrimination in health care settings will contribute to the achievement of many of the SDGs, ensuring that no one is left behind. It is fundamental to securing progress towards SDG 3, Good health and well being, including achieving universal health coverage and ending the AIDS and tuberculosis epidemics; SDG 4, Quality education; SDG 5, Gender equality and women’s empowerment; SDG 8, Decent work and inclusive economic growth; SDG 10, Reduced inequalities; and SDG 16, Peace, justice and strong institutions.
States have an immediate legal obligation to address discrimination. While States bear this primary duty, a multistakeholder and multisectoral response, including a coordinated effort from the United Nations system, is urgently required. Together we must end discrimination in health care settings.


We, the signatory United Nations entities, call upon all stakeholders to join us in committing to taking targeted, coordinated, time-bound, multisectoral actions in the following areas.
Supporting States to put in place guarantees against discrimination in law, policies, and regulations by:
  • Reviewing and strengthening laws to prohibit discrimination in the provision and distribution of health care services, as well as in relation to education and employment in the health sector. Laws and policies must respect the principles of autonomy in health care decision-making; guarantee free and informed consent, privacy and confidentiality; prohibit mandatory HIV testing; prohibit screening procedures that are not of benefit to the individual or the public; and ban involuntary treatment and mandatory third-party authorization and notification requirements. All stakeholders should support the clear dissemination, implementation, and monitoring of adherence to such laws and regulations and their translation into policies and practice.
  • Reviewing and repealing punitive laws that have been proven to have negative health outcomes and that counter established public health evidence. These include laws that criminalize or otherwise prohibit gender expression, same sex conduct, adultery and other sexual behaviours between consenting adults; adult consensual sex work; drug use or possession of drugs for personal use; sexual and reproductive health care services, including information; and overly broad criminalization of HIV non-disclosure, exposure or transmission.
  • Reviewing, strengthening, implementing and monitoring health professional policies, regulations, standards, working conditions and ethics, for the prohibition of discrimination on all grounds in connection to health care settings.
Supporting measures to empower health workers and users of health services through attention to and realization of their rights, roles and responsibilities by:
  • Ensuring that the labour rights and standards of health workers, including in the area of occupational safety and health, are fully respected, protected, and fulfilled, and that health workers are free from discrimina
    tion and violence in the workplace. Particular attention should be paid to the gendered nature of the health workforce, including through ensuring gender-sensitive sectoral and facility-level policies and health professional regulations operationalizing decent work, gender equality, and formal employment of the health workforce. Health workers should be supported in upholding their legal and ethical responsibilities, including with respect to advancing human rights, and their role as human rights defenders should be protected.
  • Providing pre-service and in-service education to the health workforce on their rights, roles, and responsibilities related to addressing discrimination in health care settings. Policies, programmes and budgets need to provide for a diverse workforce, including through strengthening educational admission criteria and promoting health workforce educational and career development opportunities for women, youth and persons from rural and marginalized communities.
  • Empowering users of health care services so that they are aware of and able to demand their rights. This will enable them to hold those responsible accountable for discrimination-free health care settings through rights literacy, patient charters, social accountability monitoring, community support, and other tools.



Supporting accountability and compliance with the principle of non-discrimination in health care settings by:
  • Guaranteeing access to effective mechanisms of redress and accountability. This involves development and implementation of individual, tailor-made remedies and redress procedures for victims of violation, and constructive systems of accountability in health and other sectors to prevent future violations.
  • Strengthening mechanisms for reporting, monitoring and evaluation of discrimination. This can be achieved through support for the building and sharing of the evidence base and ensuring the participation of affected communities and health workers in the development of health policies.
Implementing the United Nations Shared Framework for Action on Combating Inequalities and Discrimination by:
  • Providing sector-specific and joint guidance and practical tools to raise awareness of human rights standards for non-discrimination as they apply to health care settings.
ORIGINAL SOURCE OF INFO (WORLD HEALTH ORGANIZATION)



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International Plan, Policy & GuidelinesPublic Health

WHO Guidelines on Ethical Issues in Public Health Surveillance

by Public Health Update June 26, 2017
written by Public Health Update




The WHO Guidelines on Ethical Issues in Public Health Surveillance is the first international framework of its kind, it fills an important gap. The goal of the guideline development project was to help policymakers and practitioners navigate the ethical issues presented by public health surveillance. This document outlines 17 ethical guidelines that can assist everyone involved in public health surveillance, including officials in government agencies, health workers, NGOs and the private sector. 

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Surveillance, when conducted ethically, is the foundation for programs to promote human well-being at the population level. It can contribute to reducing inequalities: pockets of suffering that are unfair, unjust and preventable cannot be addressed if they are not first made visible. But surveillance is not without risks for participants and sometimes poses ethical dilemmas. Issues about privacy, autonomy, equity, and the common good need to be considered and balanced, and knowing how to do so can be challenging in practice.
17 ethical guidelines



  1. Guideline 1. Countries have an obligation to develop appropriate, feasible, sustainable public health surveillance systems. Surveillance systems should have a clear purpose and a plan for data collection, analysis, use and dissemination based on relevant public health priorities.
  2. Guideline 2. Countries have an obligation to develop appropriate, effective mechanisms to ensure ethical surveillance.
  3. Guideline 3. Surveillance data should be collected only for a legitimate public health purpose.
  4. Guideline 4. Countries have an obligation to ensure that the data collected are of sufficient quality, including being timely, reliable and valid, to achieve public health goals.
  5. Guideline 5. Planning for public health surveillance should be guided by transparent governmental priority-setting. 
  6. Guideline 6. The global community has an obligation to support countries that lack adequate resources to undertake surveillance.
  7. Guideline 7. The values and concerns of communities should be taken into account in planning, implementing and using data from surveillance.
  8. Guideline 8. Those responsible for surveillance should identify, evaluate, minimize and disclose risks for harm before surveillance is conducted. Monitoring for harm should be continuous, and, when any is identified, appropriate action should be taken to mitigate it.
  9. Guideline 9. Surveillance of individuals or groups who are particularly susceptible to disease, harm or injustice is critical and demands careful scrutiny to avoid the imposition of unnecessary additional burdens.
  10. Guideline 10. Governments and others who hold surveillance data must ensure that identifiable data are appropriately secured.
  11. Guideline 11. Under certain circumstances, the collection of names or identifiable data is justified. 
  12. Guideline 12. Individuals have an obligation to contribute to surveillance when reliable, valid, complete data sets are required and relevant protection is in place. Under these circumstances, informed consent is not ethically required.
  13. Guideline 13. Results of surveillance must be effectively communicated to relevant target audiences.
  14. Guideline 14. With appropriate safeguards and justification, those responsible for public health surveillance have an obligation to share data with other national and international public health agencies.
  15. Guideline 15. During a public health emergency, it is imperative that all parties involved in surveillance share data in a timely fashion. 
  16. Guideline 16. With appropriate justification and safeguards, public health agencies may use or share surveillance data for research purposes. 
  17. Guideline 17. Personally identifiable surveillance data should not be shared with agencies that are likely to use them to take action against individuals or for uses unrelated to public health. 
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Source of info :WHO

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PH Important DayPublic Health

International Day against Drug Abuse and Illicit Tracking 2017!! Listen First – Listening to children and youth is the 1st step to help them grow healthy and safe

by Public Health Update June 26, 2017
written by Public Health Update
The International Day against Drug Abuse and Illicit Trafficking is a United Nations International Day against drug abuse and the illegal drug trade. It is observed annually on 26 June. 

Poster

By resolution 42/112 of 7 December 1987, the General Assembly decided to observe 26 June as the International Day against Drug Abuse and Illicit Trafficking as an expression of its determination to strengthen action and cooperation to achieve the goal of an international society free of drug abuse. This resolution recommended further action with regard to the report and conclusions of the 1987 International Conference on Drug Abuse and Illicit Trafficking.



2017 Theme — Listen First
The 2017 International Day against Drug Abuse and Illicit Tracking was observed on 26 June 2017. The day was observed with the theme Listen First – Listening to children and youth is the rst step to help them grow healthy and safe.The theme for the year is an initiative to increase support for prevention of drug use that is based on science and is thus an elective investment in the well-being of children and youth, their families and their communities. 





Source of Information : UN



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International Plan, Policy & GuidelinesPublic Health

WHO Framework on integrated people-centred health services

by Public Health Update June 23, 2017
written by Public Health Update




WHO Framework on integrated people-centred health services
Integrated people-centred health services means putting the comprehensive needs of people and communities, not only diseases, at the centre of health systems, and empowering people to have a more active role in their own health.


Report of the High-Level Commission on Health Employment and Economic Growth
Working for health and growth: investing in the health workforce

cover


The High-Level Commission on Health Employment and Economic Growth was established by United Nations Secretary-General Ban Ki-moon in March 2016. Its task: to make recommendations to stimulate and guide the creation of at least 40 million new jobs in the health and social sectors, and to reduce the projected shortfall of 18 million health workers, primarily in low- and lower-middle-income countries, by 2030. Six months of intensive work and productive discussions, first among the Expert Group and then among the Commissioners, facilitated by ILO, OECD and WHO, have led to this report, which presents the case for more and better investment in the health workforce.


Recommendations of the Commission

The Commission makes ten recommendations that should be read in the context of efforts to strengthen health and social protection systems as well as broader initiatives to implement the 2030 Agenda for Sustainable Development and to meet the targets of the SDGs.

Recommendations to transform the health workforce for the SDGs

job

Job creation

Stimulate investments in creating decent health sector jobs, particularly for women and youth, with the right skills, in the right numbers and in the right places.
gender

Gender equality and rights

Maximize women’s economic participation and foster their empowerment through institutionalizing their leadership, addressing gender biases and inequities in education and the health labour market, and tackling gender concerns in health reform processes.
education 1

Educations, training and competencies

Scale up transformative, high-quality education and lifelong learning so that all health workers have skills that match the health needs of populations and can work to their full potential
org1

Health service delivery and organization

Reform service models concentrated on hospital care and focus instead on prevention and on the efficient provision of high-quality, affordable, integrated, community-based, people-centred primary and ambulatory care, paying special attention to underserved areas
tech1

Technology

Harness the power of cost-effective information and communication technologies to enhance health education, people-centred health services and health information systems.

crises

Crises and humanitarian settings

Ensure investment in the International Health Regulations core capacities, including skills development of national and international health workers in humanitarian settings and public health emergencies, both acute and protracted. Ensure the protection and security of all health workers and health facilities in all settings.

Recommendations to enable change

finacing

Financing and fiscal space

Raise adequate funding from domestic and international sources, public and private where appropriate, and consider broad-based health financing reform where needed, to invest in the right skills, decent working conditions and an appropriate number of health workers.

partnership cooperation

Partnership and cooperation

Promote intersectoral collaboration at national, regional and international levels; engage civil society, unions and other health workers’ organizations and the private sector; and align international cooperation to support investments in the health workforce, as part of national health and education strategies and plans.
migration

International Migration

Advance international recognition of health workers’ qualifications to optimize skills use, increase the benefits from and reduce the negative effects of health worker migration, and safeguard migrants’ rights.
data

Data, Information and Accountability

Undertake robust research and analysis of health labour markets, using harmonized metrics and methodologies, to strengthen evidence, accountability and action.

IMMEDIATE ACTIONS

The Commission calls for urgent action to develop labour market policies to foster the demand for a sustainable health workforce. Government policies are needed to address the systemic issues that result in significant health labour market and public failures.
As the health sector is a growing employer of women, it can greatly contribute to gender equality. Today women are the main providers of care, including in humanitarian crises and conflict settings. Yet gender biases, physical and sexual violence and harassment remain important challenges for health workers.
All countries can do more to prioritize investments in education. Education models should shift away from narrow specializations to focus on lifelong building of locally relevant competencies. Generally, there is a need to relax unnecessary barriers to entry. Addressing geographical inequities is a priority and demographic transitions present opportunities to strengthen youth education for employment in the health sector. Evidence reinforces the effectiveness of community-based health workers, including health professionals as well as other cadres.
Health systems organized around clinical specialities and hospitals will need to shift towards prevention and primary care. There is no prescription for a perfect mix of public and private health-care provision. Governments should adopt policies that cover
the performance of the whole sector. Social business models are emerging as a private-sector, socially oriented solution to serve the unserved. Public policies and regulatory bodies must protect the interests of the public and ensure that professional interests do not dominate.
Rapidly changing technologies are already changing the nature of health services. New cadres of health workers are emerging, enabled by information and communication technologies. Digital technologies also provide opportunities to enhance people’s access to health services, improve the responsiveness of health systems to the needs of individuals and communities, and improve the delivery of a wide range of health services.
Each country should build the capacity of its health workforce and health systems to detect and respond to public health risks and emergencies. In fragile and conflict settings, public health crises also exacerbate countries’ existing shortcomings for providing basic health and social care to their citizens. Furthermore, health workers and facilities have become deliberate targets in conflict settings.
Most countries can secure sustainable health financing, assuming continuing growth in public revenue, with necessary priority to the health workforce. Societal dialogue and political commitment are critical to drive appropriate macroeconomic reforms and health financing policies. Public policies can also attract co-investments by the private sector. But there is likely to be insufficient market demand to create jobs to achieve the SDGs in low-income and fragile countries. The Commission believes collective action on financing should be taken in those countries.
Achieving a fit-for-purpose health workforce requires actions across all sectors involved with the health labour market. These intersectoral processes must engage public and private sectors, civil society, trade unions, health worker associations, nongovernmental organizations, regulatory bodies and training institutions. The Commission believes the role of official development assistance can help operationalize the SDGs and supports national and international accountability mechanisms.
Demand in high- and middle-income countries is likely to continue to drive health worker migration in the years ahead. The Commission recognizes that the international mobility of health workers may bring numerous benefits to source and destination nations and health workers themselves. However, the adverse effects of migration must be mitigated. An updated broader international agreement on health workforce should include provisions to maximize mutuality of benefit.
Institutional capacity to analyse data is needed for labour market analysis and research. The strength of the data architecture depends on the active engag
ement of communities, health workers, employers, training institutions, and professional and regulatory bodies. ILO, OECD and WHO have a key role to play in establishing a set of harmonized metrics to transparently monitor trends of the health labour market.

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