BELICE MINISTERO de SALUD Y SEGURO NACIONAL de SALUD Secretaria Ejecutiva Consejo de Ministros de Salud de Centroamérica y República Dominicana “Core Data” Resultados de Belice Hecho por un Consultado Post/Position Grand Total Auxiliary Nurse 59 Community Health Worker 158 Work Category Medical Medical Midwife Doctor Technician 257 122 42 Nurse Pharmacist 469 112 Public Health Grand Officer Total 60 1279 Prioridades por los “Cinco Metas” de Belice Hecho de Nuestro “Observatoria de Belice” #1 #2 #3 #4 #5 Goal Right People Training Polices Migration Work Place TOTALS % Direction 49 90 26 30 32 227 21% Activities Objectives Indicators 97 33 66 30 25 55 64 33 63 34 12 18 17 14 21 242 117 223 23% 11% 20% Outcomes TOTALS % 66 311 30% 89 289 27% 76 262 24% 19 113 10% 15 99 9% 265 1074 100% 25% 100% 1. METAS Líneas Basales de Belice RHS (2011) 1. 2. Se llevo a cabo un informe del estado de los RHS en Belice en relación con las 20 metas basales e indicadores (2009) A partir de Septiembre del Ano pasado, se avanzada en las siguientes materias: a) Convocacion de Observatorio de Recursos Humanes en Salud en 2007 a) Desarollo de Plan Estrategico en 2010 a) Desarollo de Plan de Operacional 2011 Policy Development & Development Training for HHR Production Regional Health Managers UB - Dr. McKay - Pearl Ellis - Melinda Guerra UWI - Dr. Saunders Belize Medical & Dental Council - Liz Bell Nurses Council Technical Assistance from PAHO MoH - Dr. Majorie Parks Migration Public Service - Justin Palacio Healthy Workplace SSB - Chaundra Cansino Immigration Ministry of Labor Ms. Dana Mas Association of Ms. Radisha Mayors/Town Boards Simpson CSME Unit Foreign Affairs ( Carol Gentle) John Bodden (MOH) Department of Pharmacy Council Nurses Association Environment Belize Medical & Dental Central Building Allied Health Assoc. Authority Pharmacy/MOH - Sharon - Ms. Ebanks/MOH Anderson NHI -Dr. Natalia - Michelle Vanzie - PAHO Representative - Michelle Hoare Put People in the Right Place Joan Flowers KHMH Ms. Christine Tench/MOH Ministry of Finance Dr. Robert Tucker NTUCB Minstry of Foreign Affairs (Scholarships) Public Service - Liasion in Charge Ministry of Education of Training - Luana Moguel Sosa Ministry of Finance Social Work Representative Ministry of Public Service Ministry of Eocnomic Development - Ms Janet Garcia 10 Persons 8 persons 9 Persons 7 Persons 7 Persons 2. PRIORIDADES DE PAÍS Terms of Reference - HRH Observatory Steering Committee The HRH Observatory Steering Committee is chaired by: PAPU Representative, Dr. Robert Tucker It is co-chaired by NHI/SSB Representative as nominated by MOH on October 19th, 2011, Dr. Natalia Rodriquez Technical Expertise (Ex-Officio member) – PAHO/WHO Representative and UNDP Representative The HRH Steering Committee consists of representatives as follows: The 4 Regional Managers : Central, Northern, Southern and Western Representative from the National (1) and Regional University (1) 1 Public Service Representative (Director of Human Resource & Development) 1 Representative Ministry of Education 1 Representative MOFA/CSME 1 Representative M0F 1 Representative Ministry of National Security The HRH Observatory Steering Committee will be tasked with the following deliverables: Liaises with the Ministry of Health, other government, ministries, NGO’s, professional associations, academia, international organizations, and PAHO; among others, to share information, data, research, and expertise toward informing decisions, recommending policy considerations, educating and exchanging best practices. Monitoring and evaluating. Create networking and strategic alliances with institutions and organizations concerning Human resources in Health Monitor and evaluate RHS internal and external migration Conduct and Identify research in the field of training, work, and professional technical practices in health Facilitate relevant information for decision making in the development of human resources in health Coordinate discussion forums on the issue of human resources in health Coordinate guidelines for the design and implementation of systems of incentives and permanent education to guarantee quality and equity in the provision of health care services Develop TOR with budget for a MOH National Human Resource Coordinator responsible for Human Resources within the Health Sector (completed) Annual reporting to provide feedback and updates to the Observatory Plan Operacional ACTIVITY 1.1.2: Implementation of long range guidelines, institutionalization of processes for monitoring and evaluation, and wide dissemination of plans and their evaluations. (LONG RANGE POLICIES & PLANS) MOH - HRH Unit Indicators for: Belize’s Health Workforce Strategic Plan 2010-2014 Ministries Affected disseminated widely by end of 2012 1. Development, sensitization, and publication of the Belize’s Health Workforce Operational Plan 2010-2014 launched in 2012 with the Ministry of Public Service and Ministry of Finance. 2. Sensitization of 80% of the BZ Health Care Workforce before Jan 2013. MOH, MPH, & MOF 3. The Belize Health Workforce Strategic Plan 2011 – 2014 launched in 2012 4. 80% Interaction with the Private Sector ACTIVITY2.1.1: Reviewed and modified job descriptions for various categories of MOH workforce to determine whether it would be useful to have a single job description. (RIGHT PEOPLE in the RIGHT PLACES) MOH - HRH Unit Indicators for: developing appropriate Job Description to insure the Right People in Ministries affected the Right Places by the end of 2011 Workshop to Sensitize MOH, MPS, MOF, and other stakeholders of revised Job Description by August MOH, MPS, & MOF Tasks 2011 Implement the new job descriptions by August 2012, (50% in December 2011 and the remaining 50% by MOH June 2012) MOH, MPS, & MOF Monitor and Evaluate the effectiveness of the new job descriptions. Plan Operacional Activity 3.1.1: Policy developed regarding national self-sufficiency in HRH for Belize. (MIGRATION) MOH - HRH Unit Indicators for: Migration of Human Resources for Health monitored and Ministries affected analyzed - Policy on national self-sufficiency in HRH approved by the end of 2011. 1. Conduct an annual assessment to determine the number of health care personnel produced University of Belize, MPS, MOH Hdqrs, MOH Health Regions, and locally in comparison to the number of health care personnel brought in externally via bilateral aid and/or foreign supported. MOH Technical Units Funded Consultant in collaboration 2. Perform an Impact Analysis on the differences between health personnel produced locally with the MOH HRH Unit versus those brought in externally through foreign assistance. MOH’s HRH Unit, MPS, MOE 3. Develop policy to reduce Belize’s dependency on foreign medical staff/support. HRH Unit, MOH Administrative 4. Develop a utilization policy/strategy for the effective Use of foreign medical brigades, and Officers, and respective foreign foreign medical teams. training institutions. MOH Regional and District Health Centers & KHMH Computer 5. Maximum usage of online training to address the area of needs/priority. Centers, BHIS BHIS 6. Use of virtual library on BHIS for training. 7. Ministry of foreign affairs to secure scholarship to meet the needs of the shortage in the MFA & MOH’s HRH Unit medical field. NEMC, MPS, MOF 8. Institutionalize NEMC standards on Medical Equipment and Maintenance. ACTIVITY 4.1.4: National focal points along ministerial/institutional lines for identification of Occupational Safety and Health Committees. (HEALTHY WORKPLACES) MOH - HRH Unit Indicators for having: At least five focal point individuals representing different Ministries affected ministries/institutions appointed by March of 2011 MOH, MOL, MPS, MOF, MED, MOH and stakeholders (MOL, MPS, MOF, MED, SSB) establishes the OSHA Committee SSB Plano de Operacional ACTIVITY 5.3.1: Strengthened capacity and infrastructure of nursing, midwifery, and allied health education programs in Belize (TRAINING & HEALTH SERVICE INSTITUTIONS) Ministries affected UB, UWI, MOH HECOPAB, UB, MOH UB, MOH, UWI & Licensing Accreditation Bodies (LCBs) MOH - HRH Unit Indicators for: Increased number of Licensed Professional Health Workers in Belize by 2015 1. Establish working Standards with other Latin American and Caribbean Countries in the development of licensing for nursing, midwifery, pharmacy, medical technology, geriatric care, and environmental health sciences. 2. Strengthen the physical and teaching capacity at UB, UWI, and MOE so as to provide quality education for licensing requirements in nursing, midwifery, pharmacy, medical technology, geriatric care, and environmental health areas. 3. Improve other academic resources in terms adequate number of performance based scholarships, increasing library and computer capacity, and other support mechanisms needed for licensing requirements. 4. Work with the GOB/MOE, Allied Health Council, and other public and private healthcare institutions in upgrading, Nursing, Midwifery, Pharmacy, Med Lab, Geriatrics, and Environmental Health to the bachelor´s level. Certified Community Health Workers (CHW) trained. Establish BELIZE Allied Health Council Los Proximos Pasos: Ahorita: a) Belize is laying the foundation for CHANGE, based on verifiable information. b) Belize will be positioning 10-12 new Belizean General Practitioners returning from training in Cuba. c) However now is when the “REAL” work begins – changing the system, with a Reinvigorated Steering Committee. Proceso: a) Call a Belize HRH Observatory Meeting with the objective of informing them of the challenges ahead. b) And, How to best “Politically” change the scenery to implement the following: Priorities: a) Implementing the Operational Plan with Monitoring and Evaluation of OP b) Working with the Belize political machinery c) Recruitment and Retention El Proximo Paso: a) Continuar trabajando con los ministerios de MPS, MOF, MHD, y MED, b) Trabajo con los educational institutions (UB, UWI, y las escuelas profesionales de COMISCA) c) Continuar trajando con nuestro HRH Steering Comite y Observatorio. d) Continuar trajando en mejorando nuestro situacion y nivel de salud en Belice, Centroamerica y Republica Dominicana! BELICE MUCHOS GRACIAS A TODOS Por La CUARTA REUNION COMISION TECHNICA DE DESARROLO DE RECURSOS HUMANOS CENTROAMERICA Y REPUBLICA DOMINICANA