Leadership for NCD Programme Managers. Dr Firdosi Rustom Mehta WHO Representative to Sri Lanka

Transcription

1 Leadership for NCD Programme Managers Dr Firdosi Rustom Mehta WHO Representative to Sri Lanka

2 Contents Leadership Political Leadership Policy & Action WHO s Role

3 LEADERSHIP

4 Leadership A complex set of relationships, systems and processes that few fully master

5 Four Types of Leaders Each has unique Challenges and Opportunities Reluctant Leaders Have all the necessary skills to be excellent managers, but can t imagine themselves succeeding in a leadership role Arrogant Leaders Believe they already possess all the leadership skills they need, but lack empathy and humility of effective leaders Unknown Leaders Have the right blend of humility, confidence & leadership skills, but their talents are overlooked Workaholics Most common, put work above all else, spend excessive works at the office, lack both the perspective & personality to inspire others

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7 Leadership vs Management Far from agreement Close to agreement Management Develops plans Creates structures Sets up procedures Develops business processes Controls performance Controls the numbers Leadership Makes connections Promotes diversity Challenges habits and assumptions Fosters innovation Works through conversations Close to certainty Far from certainty

8 POLITICAL LEADERSHIP

9 Roadmap for Developing Countries & Partners

10 Moscow Ministerial Meeting Goals To highlight the magnitude and socioeconomic impact of NCDs To review international experience on NCD prevention and control To provide evidence on the pressing need to strengthen global and national initiatives to prevent NCDs as part of national health plans and frameworks for sustainable development. Held from 27 to 29 April 2011 World Health Organization s (WHO) Director-General Margaret Chan, Russian Prime Minister Vladimir Putin, 90 ministers of health and 300 representatives from diverse civil society groups gathered for two important meetings That represented the first international effort to spotlight the gravity of the epidemic and the steps necessary for prevention, controlling, and responding to NCDs.

11 The UN High-Level Meeting on NCDs in numbers (New York, September 2011) 113 Member States 34 Presidents and Prime-Ministers 3 Vice-Presidents and Deputy Prime-Ministers 51 Ministers of Foreign Affairs and Health 100s of civil society 11Heads of UN Agencies

12 Political commitments: UN High-level Meeting on NCDs (New York, September 2011) Road map: WHO Global Action Plan for the Prevention and Control of NCDs High-level Meeting 113 Member States 34 Presidents and Prime- Ministers 3Vice-Presidents and Deputy Prime-Ministers 51Ministers of Foreign Affairs and Health 11 Heads of UN Agencies 100s of NGOs 2011 Political Declaration Establish multisectoral national plans by 2013 Integrate NCDs into health-planning processes and the national development agenda Promote multisectoral action through health-inall policies and whole-ofgovernment approaches Build national capacity Increase domestic resources Assignments for WHO Develop a global monitoring framework and targets Develop a global implementation plan Provide technical support to developing countries Identify options for partnerships Coordinate work with other UN Agencies Measure results World Health Assembly in May 2013: Global Action Plan for the Prevention and Control of NCDs

13 POLICY & ACTION SRI LANKA

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16 Political Leadership Governance in Sri Lanka Mahinda Chinthana Vision for the future (Presidential Manifesto) The Development policy framework Government of sri Lanka Health Master Plan National NCD Policy & Strategic Framework Good Situational analysis National Authority on Tobacco & Alcohol National NCD Steering Committee NCD Working Group NCD Policy & Strategic Framework Ministry of Health Draft Action Plan for NCDs Ministry of Health

17 2013 was declared the Year of Preventing Non Communicable Diseases

18 MOU with Ministry of Youth, NYSC & Ministry of Health Mobilizing Youth for NCD Prevention Signing of MoU 21 February 2013

19 Organogram of MoH

20 Key Strength in HRH - Middle-Level Managers in Health Gramaniladhari MO/MCH Regional Epidemiologist RDHS District Tobacco Control Cells Regional Medical Officer / AMC D/RMO Womens Committees Youth Committees Samurdhi Officers MO Planning Divisional Pharmacist Sports Clubs Agricultural Research Officers Regional Dental Surgeon Health Education Officer RSPHNO Supervising SDT Supervising PHI (Div.) Food & Drugs Inspector Elders Committees Rural Development Committees Mobilizing of Civil Administration MO/NCD MO/MH PHI/Rabies Control prog BME Unit Mobilizing of Community Structures

21 JAFFNA KILINOCHCHI MULLAITIVU VAVUNIYA MANNAR TRINCOMALEE ANURADHAPURA POLONNARUWA BATTICALOA KALMUNAI AMPARA MONARAGALA BADULLA KURUNEGALA PUTTALAM MATALE RATNAPURA KALUTARA GALLE MATARA HAMBANTHOTA GAMPAHA COLOMBO KEGALLE KANDY NUWARA ELIYA Availability of MO/NCD No Yes Legend N Availability of Medical Officers / NCDs JAFFNA KILINOCHCHI MULLAITIVU VAVUNIYA MANNAR TRINCOMALEE ANURADHAPURA POLONNARUWA BATTICALOA KALMUNAI AMPARA MONARAGALA BADULLA KURUNEGALA PUTTALAM MATALE RATNAPURA KALUTARA GALLE MATARA HAMBANTHOTA GAMPAHA COLOMBO KEGALLE KANDY NUWARA ELIYA

22 EXPANSION OF HEALTHY LIFESTYLE CENTRES JAFFNA 14 JAFFNA 51 JAFFNA 52 KILINOCHCHI KILINOCHCHI KILINOCHCHI MULLAITIVU MULLAITIVU MULLAITIVU Legend Number of Centres MANNAR 3 VAVUNIYA 0 MANNAR 9 VAVUNIYA 14 MANNAR 9 VAVUNIYA ANURADHAPURA 9 TRINCOMALEE 3 ANURADHAPURA 9 TRINCOMALEE 19 ANURADHAPURA 28 TRINCOMALEE 14 PUTTALAM POLONNARUWA 31 8 BATTICALOA 1 KURUNEGALA 89 MATALE 3 AMPARA 1 KANDY 6 KALMUNAI 39 GAMPAHA 2 KEGALLE 11 NUWARA BADULLA 30 COLOMBO ELIYA 6 11 MONARAGALA 10 KALUTARA RATNAPURA 2 13 PUTTALAM 36 POLONNARUWA 32 BATTICALOA 6 KURUNEGALA 124 MATALE 21 AMPARA 7 KANDY 6 KALMUNAI 40 GAMPAHA 6 KEGALLE 43 NUWARA BADULLA COLOMBO ELIYA 0 15 MONARAGALA 10 KALUTARA RATNAPURA PUTTALAM 36 KURUNEGALA 122 MATALE 13 KANDY 6 GAMPAHA 20 KEGALLE 43 NUWARA COLOMBO ELIYA KALUTARA RATNAPURA POLONNARUWA 23 BATTICALOA 6 AMPARA 7 BADULLA 49 MONARAGALA 24 KALMUNAI 39 GALLE 0 MATARA 1 HAMBANTHOTA 4 GALLE 35 MATARA 17 HAMBANTHOTA 4 GALLE 20 MATARA 17 HAMBANTHOTA

23 USD 3 Million per year for 3 years for NCDs

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25 WHO s LEADERSHIP ROLE

26 WHO s Role in Leadership

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28 WHO e-resource Package

29 WHO cannot do it alone Ministries of Health WHO Country Cooperation Strategy UN Common Country Assessment UN Development Assistance Framework

30 Building Bridges Other Ministries Academia Universities Ministry of Health Colleges/ Professional Organizations Private Sector Community DEMOGRAPHIC TRANSITION EPIDEMILOGICAL TRANSITION NUTRITIONAL TRANSITION FAMILY STRUCTURES PATIENT SEEKING BEHAVIOUR POLITICAL-ECONOMIC FLUX ECOLOGICAL SHIFTS Primary Care LOW CAPITAL LEAN MANPOWER NON HIERARCHIC RESPONSIVE Health Services Hospitals TEACHING HOSPITALS / GENERAL HOSPITALS / BASE HOSPITALS / DISTRICT HOSPITALS / PRIMARY MEDICAL CARE UNITS

31 A good leader inspires other men and women with confidence. A great leader inspires them with confidence in themselves. - Reed Markham, American author -

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