Human Resource Round Table Discussions

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Human Resource Round Table Discussions

• by Dan Osei
• for
• GHS

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What we do know?

• We do know that we have major challenges in the
  management of our payroll
• Which has resulted in periodic headcount
• Which has resulted in high expenditure to
  continuously exorcise ghosts
• We do know that for some reasons authority is
  not comfortable delegating responsibility in
  return for accountability

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What we do not want to know?

• We do not want to know what we do not want to
  happen!
• We do not want to know the managerial
  capabilities of some decentralized managers

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• A child need to fall a couple of times to learn
  how to walk, but the falls should be monitored
  and minimized not to be fatal
• are we afraid of a fall?
• How fatal will the fall be?
• how deep is the gap!!!

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Conclusion

• Someone has to do something
• Something has to be done
• a manager has take a decision
• for decisions to be taken by managers
• Somebody has to take responsibility
• Responsibilities has to be given to somebody

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Conclusions

• Someone has to commit people
• for People to be committed
• a Manager has to be empowered to
• power other managers

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• OPTIONS?

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Which Options? - 1

• Transfer payroll management to the Ministry of
  Health
• Payroll system linked to central system
• Payroll managed by MoH
• Promotion/recruitment/update etc
• Payment of salary into accounts

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Which Options? - 2

• Retain overall management at central level-CAGD
  and decentralize payment through treasuries
• Decentralize recruitment/promotions/etc

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Which Options? - 3

• Retain electronic management at central
  level-CAGD and decentralize payment through
  treasuries to BMC on a pilot basis
• Central level will continue the role of managing
  electronic payroll
• Decentralize payment to treasury levels by
  transferring monthly salaries to treasuries
• Treasuries make payment (transfer to bank
  accounts) based on monthly inputs from
  institution

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Which Options? - 4

• Introduce private sector participation in
  managing public sector payroll. e.g.
• Sub contract aspects of payroll management
• Recruitment
• Promotions
• etc

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Pre-conditions

• Select motivated regions/districts/institutions
  for pilot
• Establish minimum infrastructure,
  Training/capacity building and provision of
  infrastructure
• Headcount before pilot (baseline)
• All management team sign MoU to pilot
• Incentives system should be in place
• incentives for good management e.g. spend any
  savings
• Incentives for poor performance e.g. loss of
  salary for Management team

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Where are we?

• Training and capacity building has been done for
  selected staff at regional and two teaching
  hospitals
• Ministry is in the process of strengthening the
  infrastructure and equipment base

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• Thank you