HRH UPDATE 2007

HUMAN RESOUCES FOR HEALTH DEVELOPMENT

MINISTRY OF HEALTH GHANA

Presentation format

Current situation ChallengesWhat has been done?Way forward

Current staff situation 2007

Total workforce = 57,031Staff on Gov’t payroll = 52,000Total number of Doctors = 2,309No of Medical Assistants =469Total number of Nurses = 14,258Total number of Pharmacists = 1645Total number of Allied H/ Prof =588% critical health staff =37.0%

Ghana’s average Staff population ratios 2007

Doctors = 0.11/1000 =1:9,090Nurses = 0.65/1000 = 1:1,538Pharmacists =0.08/1000 = 1:13,373

Targets for 2010Doctors = 0.2/1000 = 1:5,000Nurses = 1.0/1000 = 1 :1,000Pharmacist =0.1/1000 = 1:10,000

Distribution by agencies

68%

8%

7%

9%7% 1%

GHSKBTHKATHCHAGPrivateREG

Distribution of Staff within KBTH

15%

36%

2% 5%

42%

DoctorsNursesPharmacistsAlliedOthers

Distribution of Staff within KATH

14%

32%

2%3%

49%DoctorsNursesPharmAlliedOthers

Distribution of staff within GHS

2 %

2 7 %

0%1 %

7 0%

doctorsnursespharmacistlab tothers

Distribution of staff within CHAG

0% 12% 0%

88%

DoctorsNursesMed. AsstOthers

Major Challenges

Imbalances in Health Workforce distribution (Geographical, public-private, skill mix)

Inadequate numbers of Health workforce (especially in the clinical areas and mid level workforce)

Perceived Low Productivity Ageing Workforce Migration of skilled workforce

Regional distribution of Nurses

0

200

400

600

800

1000

1200

1400

1600

GAR BAR VR NR UWR KBTH

G/Nurses

CHNs/EN

M/wives

Regional Distribution of Nurses Region G/Nurse CHN/EN M/wives Total

GAR 1428 1270 875 3,573(26.9)

ASR 298 411 247 956(7.2)

BAR 186 340 170 696(5.3)

ER 428 639 356 1,477(11.1)

VR 318 518 328 1,164(8.8)

CR 363 474 226 1,063(8.0)

NR 260 293 229 782(5.9)

UER 204 163 140 507(3.8)

UWR 134 174 148 456(3.5)

WR 328 440 241 1,009(7.6)

KBTH 757 196 83 1,036(7.8)

KATH 396 143 119 658(5.0)

Total 5,100 5,061 3,162 13,323

Distribution of Doctors

0

100

200

300

400

500

600

Ash Bar ER Kbth Uer Vr 37 Ch

What has been done to address imbalances?

The establishment of Staff allocation committee

Training of Middle Level Health workers

Candidates identified from local communities for training

Middle Level Training Locations

Keta (Volta region)Mampong, Kokofu* (Ashanti Region)Damango, Yendi (Northern Region)Sefwi Wiawso,Asanta, Tarkwa* (Western

Region)Sunyani (Brong Ahafo)Twifo Praso (Central region)Teshie, Pantang (Greater Accra)

Middle Level Training Locations

Wa (Upper West Region)

Bolga (Upper East Region)

Atibie , Mampong *(Eastern Region)

Direct Medical Assistants Training at Kintampo Fomena **(Medical Assistant Programme)

Four Training Centers by the private sector

Inadequate Numbers

Category of staff Total number No. Required by 2010

GAP

Medical Officers 2,026 3,732 1706

Dental Surgeons 31 50 19

Pharmacists 1,550 2726 1176

Expatriate Doctors 200 - 200

Professional Nurses 7,304 19000 11696

Enrolled Nurses 2,956 -

Community Health Nurses 3,246 12934 9688

Registered Midwives 2,810 8205 5395

Medical Assistants 430 1242 600

Allied Health Professionals 588 2500 1912

Traditional birth Attendants 367 -

Non Clinical & Clinical Support Staff 27,918 30,100 2182

Health Assistants (clinical) - 7176 7176

Traditional Practitioners 21,182 -

What has been done to address the inadequacies?

Expansion of Training Institutions Establishment of new schools Increase intake into the Schools 30% of qualified applicants gained admission

into the schools in 2007 Upgrading of tutors in the training Institutions Strengthen systems/regulation for quality Collaborate with District Assemblies/Private

sector

Intake into health training programmes

0

500

1000

1500

2000

2500

2001 2002 2003 2004 2005 2006

Dip nursing

Cert CHN

SOH

RHTS

Midwifery(POSTSRN)Midwifery (direct)

CHN (dip)

Allied

Intake/Output figures Doctors & Nurses

0

500

1000

1500

2000

2500

'99 '00 '01 '02 '03 '04 '05

Nurses enrolmentNurses outputDoctors enrolmentDoctors outputMed. Asst. Output

Ageing Workforce

37.6% falls within 40-50 age group29.5% falls within 18-39 age group33.9% falls within 50-60 age group80% 0f the 33.9% constitute Medical

assistants and Midwives

Age Profile of Midwives

0

10

20

30

40

50

60

70

80

90

1stQtr

2ndQtr

3rdQtr

4thQtr

EastWestNorth

05

101520253035404550

47-49 50-52 53-55 56-58 59-60

8.1%

24.4%

46.5%

14.0%

7.0%

05

101520253035404550

47-49 50-52 53-55 56-58 59-60

8.1%

24.4%

46.5%

14.0%

7.0%

91.9% of all midwives above 50yrs

Peak age group is 53-55yrs

21% of all midwives above 56 yrs

Attrition 1995-2006

0

50

100

150

200

250

300

DoctorsPharmNurses

Way Forward

Initiate and implement the Human Resources strategic plan

Conduct impact assessment of the new salary and other incentives

Expand the middle level training Program

Conduct assessment on productivity of health workforce