First Joint Health Field Visit Human Resources for Health

1
First Joint Health Field Visit Human Resources
for Health

• Presented to the Joint Annual Health Sector
  Review
• Sept. 25th, 2007

2
Objectives

• To assess the production and availability of HRH
• To review the utilization and motivation of
  health workers (public and private institutions)

3
Main Observations

• Staff Availability
• Staff Retention
• Management
• Motivation
• Training Institutions

4
FindingsPoor Staff Availability

• The Regional Commissioner of Subawanga reported
  that they had to close 19 health facilities
  because of staff shortages.
• Chunya Council requested 56 health staff of
  various cadres out of this number, they
  requested for 18 medical attendants but received
  32

5
Findings Poor Staff Retention

• Sumbawanga Urban 23 health staff were reportedly
  posted but only 3 reported and 2 left.
• Districts do not have an induction plan for new
  recruits

6
FindingsManagement

• If you give me some authority, I can address
  some problems locally, but you see I dont have
  the power, so I have to live with these
  problems.
• Public training institutions still have limited
  powers on student admissions

7
Findings Poor Staff Motivation

• Medical attendants living in hard to reach areas,
  who earn 80,000 Tanzanian shillings per month
  told us they had to pay up to 30,000 Tanzanian
  shillings for transport to collect their monthly
  salary.
• Many staff complain that upon return from
  upgrading courses, they revert back to previous
  job.

8
FindingsTraining Schools

• Limited uptake of new technologies
• No career path for trainers
• Over emphasis on accommodation for students
• Poor learning environment (libraries and learning
  materials and supervision)

9
Recommendations

• If HRH is a crisis, we recommend the following
  for immediate consideration and action within
  this fiscal year

10
Recommendations

• Suggesting for an immediate meeting between
  ministries of MOHSW, PMORALG, Finance, and Public
  Service Management to resolve and finalize
• Recruitment and posting of staff
• Hardship allowance
• Consolidation of HRH management at district
  level
• MOHSW to immediately establish as a priority, a
  mechanism for projecting and tracking human
  resource mobility.
• Expedite the decentralization of training through
  the Zonal Training Resource Centers.
• Consider the establishment of HRH Commission