Dr Galina Perfilieva

Outline• The Global Strategy• European developments for nursing and midwifery– Post-Warsaw progress– Health 2020– European Strategic Directions on nursing and midwifery services• Framework of the European Strategic Directions• Roadmap towards Implementation of ESD and Health 2020EU CNO meeting, Dublin, Ireland8 April 2013

Provincia di PratoPiano di Sviluppo Economico - Sociale delle Aree Protette - AdozioneSchedatura Alberi MonumentaliDocumentazione FotograficaDescrizione:Data:12/02/2008p. 6 di 7

WHO Global Commitments to strengtheningnursing and midwifery• Seven WHA Resolutionsadopted since 1989• 2011: ResolutionsWHA64.7: StrengtheningNursing and Midwifery• 2013: Report by Secretariatto the WHA 66 on theprogress by Member StatesSixty-forth World Health Assembly, 2011EU CNO meeting, Dublin, Ireland8 April 2013

WHA64.7 Resolution on Strengthening Nursingand Midwifery…recognizing the crucial contribution of the nursingand midwifery professions to strengthening healthsystems, to increasing access to comprehensivehealth services for the people they serve, and to theefforts to achieve the internationally agreed healthrelateddevelopment goals, including the MillenniumDevelopment Goals and those of the World HealthOrganization’s programmes…EU CNO meeting, Dublin, Ireland8 April 2013

WHO Strategic Directions for StrengtheningNursing and Midwifery Services 2011-2015• Complements and builds on 2002–2008Strategic Directions• Provides a framework to enhancecapacity of nurses and midwives• Addresses PHC, people-centred careand MDGs• Require revision of Regional StrategicDirections•EU CNO meeting, Dublin, Ireland8 April 2013

The Five Strategic Key Result Areas (2011-2015)1. Strengthening of health systems and services2. Nursing and midwifery policy and practice3. Education, training and careerdevelopment4. Nursing and midwifery workforcemanagement5. Partnerships for nursing and midwiferyservicesEU CNO meeting, Dublin, Ireland8 April 2013

The European ContextEU CNO meeting, Dublin, Ireland8 April 2013

The Munich Declaration 2000“Nurses and midwives have key and increasinglyimportant roles to play in society’s efforts to tacklethe public health challenges of our time.”(Source: Nurses and Midwives: A force for health, WHOEurope, 2000)“There are significant progresses but there are stilla huge diversity regarding nursing and midwiferybetween countries in the European Region.”(Source: Nurses and Midwives: A force for health, WHOEurope, 2009)EU CNO meeting, Dublin, Ireland8 April 2013

Revival of the WHO European Network of ChiefNursing OfficersWHO European Meeting of CNOs, Warsaw, Poland, 7-8 October 2011EU CNO meeting, Dublin, Ireland8 April 2013

Key conclusions of the WHO CNOs meeting inWarsawDevelop a shared vision, contribute to thewider health agendaCollect evidence, facilitate informationexchange and promote good practiceRe-assure political commitment andtechnical collaborationRe-enforce strategic directions and away forwardConvene regional CNO meetings bienniallyEU CNO meeting, Dublin, Ireland8 April 2013

The Warsaw Meeting follow up and action by WHO Europe• Strengthening partnerships and networks• Expert group: the template, case studies• Joint Data base on HRH (OECD, Eurostat, WHO Europe)• Tools and guidelines (WISN, Transform.education, etc)• Country based and Inter-country activities (policydialogues, capacity building workshops, etc)• Advocacy and communication: RC, Malta; CNOs meetings•Secondment to WHO, internsEU CNO meeting, Dublin, Ireland8 April 2013

Strengthening partnerships & networksRe-established WHO network ofGovernment Chief Nursing OfficersEuropean network of WHOCollaborating Centres for Nursing andMidwifery16 th annual EFNNMA meeting.Copenhagen, 29-30 March 201220-21 February 2012, Copenhagen,European Forum of National Nursingand Midwifery Associations with WHOEU CNO meeting, Dublin, Ireland8 April 2013

WHO Meeting of CIS CNOs, St Petersburg, Oct. 2012• To review the progress sincethe Warsaw meeting• To discuss the template andpresent 2 country case studies• To engage CNOs incollaboration and start buildingcapacity and partnerships foraction at the regional levelEU CNO meeting, Dublin, Ireland8 April 2013

Stock of nurses in selected European countries,comparison between 2000 and 2010180016001400120010008006004002000Nurses (PP) per 100.000 population20002010EU CNO meeting, Dublin, Ireland8 April 2013

Revisiting roles, policies andstrategies in the frame of Health2020EU CNO meeting, Dublin, Ireland8 April 2013

Health 2020: adopted by the WHO RegionalCommittee for Europe in September 2012Shared goal: To significantly improve health and well-being of populations, to reducehealth inequities and to ensure sustainable people-centred health systems.EU CNO meeting, Dublin, Ireland8 April 2013

What is Health 2020?Health 2020 is a value-based actionorientedpolicy framework, adaptableto different realities in the countries ofthe WHO European Region.Health 2020 is addressed toministries of health but also aims toengage ministers and policy-makersacross government and stakeholdersthroughout society who cancontribute to health and well-being.EU CNO meeting, Dublin, Ireland8 April 2013

Health 2020: health systems in perspectivepeople enabled and supported in achieving their full healthpotential and well-beingBetter governance for healthInvestingin HealththroughlifecoursePTacklingHealthChallengesReducing inequalitiesPStrengtheninghealthsystemsCreatingsupportiveenvironmentAdding value through partnershipEU CNO meeting, Dublin, Ireland8 April 2013

The critical component to the progress• Achieving a sustainable and competent health workforceis crucial to the progress and implementation of theHealth 2020 policy framework• Nursing and midwifery personnel is the largestprofessional group in national health workforce in allcountries• Review roles and competencies of nursing and midwiferypersonnel to provide access to and better quality of healthcare servicesEU CNO meeting, Dublin, Ireland8 April 2013

Nursing and midwifery in the context of Health 2020• Promoting health• Promoting behaviour change through life-course approach• Empowering people• Promoting healthy aging• Managing chronic conditions and long-term care• Applying evidence based and safe practiceEU CNO meeting, Dublin, Ireland8 April 2013

The FrameworkHealth 2020 goal:To improve health and well-being of populations and to reduce health inequitiesSustainable, competent and motivatednursing and midwifery workforceproviding safe and evidence based:• patient centred care,• health promotion• disease preventionPriority areasof actionEnablingmechanismsStrengthening Nursing and Midwifery - European strategic directions towards Health 2020Scaling up andtransformingeducationWorkforce planningand optimizingskill mixEnsuringattractivework environmentPromoting evidencebased practice andinnovationRegulation Research Partnerships ManagementEU CNO meeting, Dublin, Ireland8 April 2013

Priority Areas: ObjectivesPriority area of actionObjectiveScaling up andtransformingeducationWorkforceplanning andoptimizingskill mixObjective 1. To develop the basic education programmes in nursing andmidwifery at the degree level.Objective 2. To strengthen the core competencies of nurses andmidwives in line with the principles of Health 2020.Objective 3. To strengthen culture of career development and securingCPD opportunities.Objective 4. To develop workforce planning strategies and policies toensure a sufficient and sustainable nursing and midwifery workforce.Objective 5. To engage nurses and midwives optimally as defined bypatient needs and contextual factors.EU CNO meeting, Dublin, Ireland8 April 2013

Priority Areas: ObjectivesPriority area of actionEnsuring attractivework enwironmentObjectiveObjective 6. To ensure healthy work environments for nurses andmidwives to improve health outcomes and organizational performance.Promotingevidence basedpractice andinnovationObjective 7. To facilitate the culture of evidence based practice innursing and midwifery.Objective 8: To develop, transform and adapt the roles of nurses andmidwives in line with the goals of Health 2020.EU CNO meeting, Dublin, Ireland8 April 2013

Enabling Mechanisms: ObjectivesEnabling mechanismsRegulationObjectivesObjective 9 To ensure that the definition of nursing and of midwifery isclearly defined, regulated and protected in legislation and services.ResearchPartnershipsObjective 10 To build nursing, midwifery and multidisciplinary researchcapacity.Objective 11 To build interdisciplinary and intersectoral collaborations andpartnerships across society.ManagementObjective 12 To strengthen nurses’ and midwives’ inclusion in decisionmaking on health policy and service delivery at all levels of government,institutions and international collaboration.EU CNO meeting, Dublin, Ireland8 April 2013

Proposed modalities for actionWorking group on Education:Selected GCNMs, Collaborating Centres, N&M experts andeducators to guide education developmentsWorking group on Research:Collaborating Centres and researchers to generate researchGCNM steering group:selected GCNMsPotential Activities• Adjust global guidelines on scaling up and transformingeducation to the European context and in line with Health2020• Advise Member States on competency developmentbased on lessons-learned from the Compendium• Update WHO workbook on research in N&M• Review country case studies for the Compendium• Advise the Regional Office in the strategic development ofnursing and midwifery•Compile examples for the CompendiumConsultation platform: GCNMs, EFNNMA and relevantgroupsOpportunities for N&M leaders towork at the WHO Regional Office orCountry Offices• Provide feedback to the GCNM steering group and theWHO Regional Office• Contribute to the development of education, research andhealth policyEU CNO meeting, Dublin, Ireland8 April 2013

The Way Forward• Continue working on the draft ESD in consultations withall partners and stakeholders – 2013/2014• Working groups established (Q2/3 2013) and functioning• Mapping N&M situation in countries: country profiles – Q2,2014• Collecting evidence: Compendium with country casestudies on good N&M practices – 2013/2014• WHO CNO meeting Q3, 2013: A Roadmap towards 2015EU CNO meeting, Dublin, Ireland8 April 2013

The Way Forward cont.• Advocacy and communication at all relevant regional,subregional and country events: Tallinn Conference,AlmaAta, Ashgabat NCD, etc. - 2013 and onwards• Working documents ready for the Regional Committee(2015): including a resolution on Strengthening Nursingand Midwifery in support of Health 2020, EuropeanStrategic Directions as of 2015• Monitor and analyse the progress (through nationalN&M profiles), report to the WHO SecretariatEU CNO meeting, Dublin, Ireland8 April 2013

The Roadmap towards 2015Joint WHO& EU CNOsmeeting,WarsawOct2011WHO Expertgroupmeeting,WHO/EuropeMay2012WHO CNOsmeeting forCIS, St.PetersburgEU CNOsmeeting,CyprusOct2012EU CNOsmeeting,IrelandApr2013Joint WHO &EU CNOsmeeting,LithuaniaOct20132014RegionalCommittee:sixty-fifthsessionSept2015EU CNO meeting, Dublin, Ireland8 April 2013

EU CNO meeting, Dublin, Ireland8 April 2013

Thank You!EU CNO meeting, Dublin, Ireland8 April 2013

Please your comments, suggestions on:• The framework– Priority action areas, enabling mechanisms?• Strategy for action- Working groups, activities…EU CNO meeting, Dublin, Ireland8 April 2013