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Retention, Motivation and Management of Health workers. Nuha Ibrahim Centre for Global Health- Trinity College Dublin Irish Forum for Global Health Symposium on the Health Workforce School of Nursing, Dublin City University 20 th October 2011. Abstracts : (No 12, Page 60-78 ).
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Retention, Motivation and Management of Health workers Nuha Ibrahim Centre for Global Health- Trinity College Dublin Irish Forum for Global Health Symposium on the Health WorkforceSchool of Nursing, Dublin City University20th October 2011
Abstracts: (No 12, Page 60-78) Subtheme1: Management of HWs • Support, Train and Empower Manager (STEM Project) Page 60 • Leadership and Organisational Justice: Propositions for Strengthening Human Resources for Health in Sub- Sahara Africa Page 64 • The Motivation Project Page 6 • A Systematic Review of Pay & Performance in the Public Sector in Low-Income Countries Page 61 • ADDUP – Are Development Discrepancies Undermining Performance Page61 • A Systematic Review of Pay & Performance in the Public Sector in Low-Income Countries Page61 • Task sharing by district health workers in Zambia Page76 • The Power and Potential of Mid-level Providers: Health Systems Strengthening for Equity (HSSE) Page 66 • What are the factors that will optimise and support mid-level provider performance?: The Power and Potential of Mid-level Providers (HSSE) Page69 • What is the existing use of mid-level providers for maternal and newborn health care? and What is the professional practice of mid-level providers?: The Power and Potential of Mid-level Providers – HSSE Page72 • Making district and facility health information systems (HIS) for human resources for health work for decision makers: a case-study from Zambia Page 78 • Health workforce responses to global health initiatives funding: a comparison of Malawi and Zambia Page74 Subtheme 2: Motivation of HWs Subtheme 3: Task Sharing & Mid-Level Providers Subtheme 4: Human resources Information System
Subtheme1: Management of HWs • Human Resources for Health Management has a great impact on the performance of the health system • Managing People, Resources, Education, training, supervision, career development, work environment • The two projects are undergoing. They will bring better understanding of the management issues in the low and middle income countries for an evidence- based policy
Leadership ?Transactional leadership Transformational leadership Servant leadershipThe impact of the three models of management on: Organisational justice, turnover intention and public service motivation
Subtheme 2: Motivation of HWs • The availability of qualified and motivated HWs is crucial to improve the quality of the health services. • What Motivate the HWs: -Financial incentives -Career Development -Continuing Education -Hospital Infrastructure -Availability of resources -Recognition and appreciation -Management issues
Training Opportunities (Powerful motivational incentive) • Financial incentives (might have a negative consequences) • They are less motivated to work in the rural areas !! The main incentives
Subtheme 3: Task Sharing & Mid-Level Providers • “Task shifting is the name given to a process of delegation whereby tasks are moved, where appropriate, to less specialized health workers” WHO 2008 • Mid-level health providers (MLP) are “ health workers trained at a higher education institution for at least a total of 2-3 years, and authorized and regulated to work autonomously to diagnose, manage and treat illness, disease and impairments, as well as engage in preventive and promote care”.
The benefits: Using resources more efficiently- They are less likely to migrate- increase the Capacity of the health services • (Maternal and New-born Health care i.e. In Mozambique they providing EmOC including obstetric surgery). • Factors to optimise the mid level providers: • Training, Supportive supervision, Clear career pathway and professional representation mechanism for MLPs • Recommendation: Regulation, Increase recognition for the MLP, HR Information System
Subtheme 4: Human resources Information System • A system for collecting, processing, managing and disseminating data and information on human resource for health (HRH). • The Need and the Challenge Resources: Legislative, personnel, financial, logistical, ICT. Indicators and Targets Data sources: Population based / institution based, hospitals and NGOS Data management: Collection, storage,… Information products: “Translation” of the Data To turn data into relevant information. Dissemination
How can we retain HWs ? • How are we going to improve the quality of care with the “available staff”? • What are the best way to manage the Task Sharing ?