Human Resources for Health in 2030 (HRH2030)
Operating under a five-year cooperative agreement, HRH2030 helped low- and middle-income countries develop the health workforce needed to prevent maternal and child deaths, support the goals of Family Planning 2020, control the HIV/AIDS epidemic, and protect communities from infectious diseases.
HRH2030 assisted countries through the deployment of country-based teams that offer the appropriate mix of expertise to address human resources for health (HRH) bottlenecks that impede effective care.
Our Work Under HRH2030
From 2017 to 2021, AIHA supported USAID’s HRH2030 program in Colombia as a member of a broad-based consortium led by Chemonics International. Colombia is one of six priority countries in the United States Government Action Plan for Children in Adversity (APCA), an initiative designed to improve the well-being of children around the world, and it is the only country in Latin America to have an HRH2030 project supported via USAID. It was also the only HRH2030 program that directly focused on the quality and effectiveness of child welfare social services. The project responded to the need that arose from Colombia having endured over 50 years of warfare and violence that greatly impacted family life and the wellbeing of children.
In collaboration with the government of Colombia, APCA determined that support for the Colombian Family Welfare Institute (El Instituto Colombiano de Bienestar Familiar, ICBF) and its ongoing efforts to provide violence prevention and protection services for more than eight million children, adolescents, and families would be the most effective approach to addressing childhood issues in the country.
To learn more about this project, including project accomplishments, read: Addressing the Needs of Children in Adversity by Strengthening Colombia’s Social Welfare Workforce and Bringing Social Support Services to Vulnerable Children in Rural Parts of Colombia.
The first step in this project was to conduct a thorough needs assessment within the ICBF national and regional structure. This included meetings and working with multiple ICBF upper level staff, subcontractors, health department officials, professional therapists, academics, para-professionals and parent groups to determine special areas for capacity building.
The two social workers, one consultant in the US and one who worked onsite in Colombia, were recruited and facilitated planning and decision-making meetings in multiple regions in Colombia. They developed meeting objectives and monitored progress and developed significant training and capacity building tools. This work ultimately resulted in (1) The development of a Colombian Child Protective Services Case Management model and manual for ICBF along with multiple regional trainings on the model (2) The development of a curriculum, “Mi Familia,” a parental training program, to be utilized by ICBF intervention teams and subcontractors to help with the prevention of child abuse and support reunification goals. This is a new tool to be utilized throughout the country to help educate parents around parental roles, disciple, children’s developmental milestones, etc.
The social workers along with the entire HRH2030 team were able to develop strong collaborations including with SENA, the national Colombian training institute, and the national and regional health departments and provide direct technical assistance. The HRH2030 Social Worker also conducted a workforce analysis of social workers in Colombia and those providing direct social services to children experiencing abuse and neglect. This information led directly to significant capacity building efforts and trainings, such as assessing for sexual abuse, treatment planning, follow up activities for re-establishing children’s rights and family reunification. All of this directly contributed to the development of the social services workforce centered on child protection services development in Colombia, a key goal of USAID.
Another key effort of the Social Work Consultant was working with the HRH2030 staff and ICBF to get trained on and implement an evidenced based assessment and evaluation tool globally recognized for use in child protective services. The Child and Adolescent Needs and Strengths (CANS), from the Praed Foundation, is a multi-purpose tool developed for children’s services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services.
This tool became part of significant national training effort with approximately 100 newly certified ICBF social services professionals equipped to utilize the tool on an ongoing basis to evaluate the psychological and social needs of children at high risk. Plans are now underway to create a Training of Trainers (TOT) for ICBF staff to continue to train new staff throughout Colombia.
AIHA’s social work efforts contributed to the development of the social services workforce. These efforts were all focused on leaving the Colombian ICBF system with sustainable tools and trainings that will have long term impact to improve the quality and effectiveness of Colombia’s child protection services.
To learn more about this project, read: Addressing the Needs of Children in Adversity by Strengthening Colombia’s Social Welfare Workforce and Bringing Social Support Services to Vulnerable Children in Rural Parts of Colombia.
As in many other countries, the Philippines faces imbalances in the development and distribution of health workers, which pose challenges to the health system. For example, only 10 percent of the country’s human resources for health serve rural areas, leaving some municipalities without trained medical professionals. In addition to shortages of qualified health professionals in underserved areas, there are significant variations in the quality of health services, causing inequities in health outcomes.
USAID’s HRH2030 program began partnering with the Philippines Department of Health in 2018 to strengthen the deployment, training, and management of the health workforce to improve access to and quality of tuberculosis, family planning, and maternal and child health services in the Philippines. Key objectives were to:
- Improve the skill mix, competency, and distribution of the health workforce at the primary level
- Strengthen human resources for health leadership, governance, and performance management
- Advance the use of data for human resources for health decision-making at central and regional levels
To learn more about this project, including project accomplishments, please read: