Considerations in Developing NPHIs Sue Binder .
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Transcript of Considerations in Developing NPHIs Sue Binder .
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 NPHIs are and what they dothey do
IANPHI members IANPHI members worked together to worked together to create a consensus create a consensus document, published document, published 20072007
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 A high-level champion in the governmentgovernment
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.