Global Health Initiative

Asking Smart Questions: Where Are Health Workers within Service Integration?

Sara Pacque-MargolisPresident Obama’s Global Health Initiative (GHI) argues that its intended health impacts will be accomplished most effectively through a “smart” integration of services.

In an effort to share the empirical evidence demonstrating different service integration models’ effects on health outcomes, the US Government recently hosted a two-day meeting that brought together researchers, host country and international implementing partners, advocates, and US Government program leaders.

This forum provided many opportunities to discuss what is known about the health workforce as a critical system component of service integration. Read more »

Showing Results in Health Workforce Strengthening

Crystal NgOpportunities to spend time with monitoring and evaluation (M&E) colleagues from other organizations are infrequent, yet they provide a valuable way to share knowledge and ideas. Recently, I attended a meeting of the USAID Bureau of Global Health Cooperating Agencies’ M&E Working Group. The meeting convened two USAID deputy assistant administrators, senior leadership from several Bureau of Global Health offices, and dozens of M&E staff from USAID-funded projects.

The meeting's objectives were to share updates on the Global Health Initiative (GHI) and the GHI’s best practices strategy (BEST) to discuss M&E technical issues. Not only was I impressed with the active participation of USAID leadership and their emphasis on the need for research and evaluation, but I was also interested to hear their views on the role of human resources for health (HRH) and M&E in implementing the GHI. Here’s what I took away from the day. Read more »

Innovation and Exchange at the Global Health Mini-University

Jennifer SolomonLast week, public health professionals, students, and government workers from across the country and abroad filled the George Washington University’s Marvin Center’s third floor to attend USAID’s 10th Annual Global Health Mini-University. The day-long program offered over 80 sessions and poster presentations on topics spanning technology, workforce issues, funding, and diseases.

In an afternoon session, Maurice Middleberg proposed a strategy for the Obama Administration’s Global Health Initiative (GHI) to consider for addressing the current worldwide health worker shortage. “The US should create HRH [human resources for health] strategies that are responsive to national HRH strategies, with country ownership,” said Middleberg. Furthermore, the strategy must also address health workers’ needs. In addition to training and deploying new health workers, the GHI strategy must include retention. “Nobody stops to ask the health worker why she or he is leaving. It turns out that health workers are real human beings with complex needs,” he said. Read more »

Deploying an Integrated Human Resources for Health Approach to Achieving the Millennium Development Goals

Sara Pacque-MargolisThe global health workforce crisis demands a strategic investment in a long-term solution. Given the limited human resources for health (HRH) available in many countries, an integrated, systems-based approach is necessary if countries are to achieve all the health-related Millennium Development Goals.

The Center for Global Development’s (CGD’s) recent report argues that donors must evolve from the emergency approach required to scale up vertical HIV/AIDS programs to a more sustainable approach that plans for, develops, deploys, and retains a health workforce responsive to the population as a whole.

A call to donors
Based on research conducted in Mozambique, Uganda, and Zambia, the CGD report examined how AIDS programs leveraged health workers, their financial and programmatic inputs into health worker training and deployment, and the effects of these actions on health services. Read more »

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