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High Level Meeting on Human Resources for Health in the Caribbean “Public Health” Human Resource Planning Robin Buckland RN MScN, Director Field Service, Training and Response Division Public Health Agency of Canada March 20, 2012 Defining “Public Health” • John M. Last’s Dictionary of Public Health: – Public health is one of the efforts organized by society to protect, promote, and restore the peoples’ health • Functions of public health – – – – – – Population health assessment Health surveillance Health promotion Disease & injury prevention Health protection Emergency preparedness & response Public Health Agency of Canada | Agence de la santé publique du Canada 1 Public Health Agency of Canada | Agence de la santé publique du Canada 2 The Canadian Context • Provincial and territorial responsibility for the delivery of health services • Collaborative approach to pan-Canadian health human resource planning • ACHDHR (F/P/T committee) • Public Health Network – Public Health Infrastructure Steering Committee – Public Health Human Resources Task Group Public Health Agency of Canada | Agence de la santé publique du Canada 3 Framework for PHHR Planning Vision: Through collaborative planning, all jurisdictions in Canada will have a flexible, knowledgeable public health workforce working in safe supportive environments to meet the population's public health needs, & reduce health & social disparities. 4 goals • 19 strategies • 86 activities 4 Public Health Agency of Canada | Agence de la santé publique du Canada 4 Develop accreditation standards/quality control measures Done Identify best practices in education including placements & continuing education Good Progress Started Identify best practices In interprofessional deployment Develop recruitment retention strategies to attract required competencies Develop worker competency assessment tools and incentives Define the public health workforce for planning purposes Develop structures to support interprofessional education (space time, instructors) Align education programs to reflect competencies and interprofessional practice Gather data on the public health workforce Identify best practices in recruitment and retention Deploy workforce in interprofessional models based on their competencies Map the competencies of each discipline against the core and function specific competencies Develop organizational competency assessment tools and incentives Identify core public Identify core health services public health competencies Identify function specific public health competencies 5 Public health needs of the population Public Health Agency of Canada | Agence de la santé publique du Canada 5 PHHR Task Group: Purpose The overarching purpose of the PHHR Task group is to: – Provide strategic analysis and development of public health initiatives requiring a systems perspective and those requiring multiple stakeholder involvement 6 Public Health Agency of Canada | Agence de la santé publique du Canada 6 Core Competencies for Public Health Public Health Agency of Canada | Agence de la santé publique du Canada 7 Enumeration • Naylor Report Recommendation re: PHHR planning • Assessment of public health human resources in Canada - limited by sparse data • Jurisdictions struggling with continued shortages in their respective public health workforces • Overall - supply problems & inequitable distribution Public Health Agency of Canada | Agence de la santé publique du Canada 8 Quality Graduate Education • • • • Revised Master of Public Health (MPH) Program and Practicum Guidelines Survey of Canadian Universities Offering MPH Programs – Assessing Use & Areas for Improvement Emerging network of schools and programs in public health Accreditation 9 Public Health Agency of Canada | Agence de la santé publique du Canada 9 Skills Online • Skills Online is a continuing professional development program for public health professionals • 10, 8-week, online facilitated modules, 2 self-directed modules; English and French • Content mapped to the Core Competencies for Public Health in Canada • Awarded 2011 CSTD silver award for training excellence in e-learning • Cited as a “best practice” by PAHO • Caribbean delivery – Virtual campus Public Health Agency of Canada | Agence de la santé publique du Canada 10 Canadian Field Epidemiology Program Program Mission: To strengthen public health practice in Canada through practical training in applied epidemiology Public Health Agency of Canada | Agence de la santé publique du Canada 11 12 International activities • • • • STOP (Stop Transmission of Polio) Global Outbreak Alert and Response Network (GOARN) requests for assistance Mass gathering surveillance, e.g. – Cricket World Cup 2007 – Vancouver Olympic Games 2010 Surveillance technical assistance, e.g. – PAHO Belize 2011-2012 – PAHO Bahamas 2012 – CAREC 2012 (Trinidad & Tobago) Public Health Agency of Canada | Agence de la santé publique du Canada 12 13 The Canadian Public Health Service Mission: To enhance Canada's public health capacity by placing qualified public health officers in jurisdictions across Canada to respond to both routine and emerging public health needs. Public Health Agency of Canada | Agence de la santé publique du Canada 13 HHR Lessons Learned • Collaborative HHR planning is key • Inter sectorial involvement – Content experts – Government representatives • Clear plan/roadmap/framework endorsed by decision makers • Perseverance – Step by step Public Health Agency of Canada | Agence de la santé publique du Canada 14 Possible Areas for Collaboration • Skills Online • Core Competencies for public health • Field Services Training & Response Field Services Training Institute • PHHR TG – Sharing promising practices Public Health Agency of Canada | Agence de la santé publique du Canada 15 16 Thank you! Public Health Agency of Canada | Agence de la santé publique du Canada 16