Dr. Janet Muriuki Technical Director HRH Capacity Bridge Project IntraHealth International
Improving health system through strengthening management of the health
workforce for effective health care delivery
About IntraHealth International Inc.
We look after the health worker
….. as the health worker looks
after the clients
Background and Legal Background and Legal FrameworksFrameworks
Goal : ‘attaining the highest possible standard of health in a manner responsive to the needs of the population’.
Provides the underlying rationale and justification for recommending functions to devolve to County governments (Article 187 of the Constitution), and those to retain at national (MOH).
Provides for the right to the highest attainable standard of health to every Kenyan.
Constitutional and Legal Provisions Constitutional and Legal Provisions on HR on HR
1. Article 10 on National values and Principles of Governance
2. Article 41 on Labor Relations3. Article 47 on Fair Administrative Action4. Article 56 on Minorities and Marginalized Groups.5. Article 186 on Respective functions and powers of
national and County governments (Fourth Schedule).6. Article 232 on Values and Principles of Public Service7. Article 234 on Functions and Powers of the Public
Service Commission.8. Article 235 on Staffing of County Governments9. Article 236 on Protection of Public Officers10. The Public Service Commission Act, 201211. The Transition to Devolved Government Act, 201212. The County Government Act, 201213. Employment Act, 2007 and other Labour Laws14. Inter-Governmental Relations Act, 201215. Civil Servant Code of regulation16. Trade Disputes Act (Cap 234)
“The general prevailing atmosphere for health workers in their work places”
• On average 55% - 65% of county workers are health workers • 46,000 health workers were devolved and seconded to counties
PROBLEPROBLE
MM
HRH County Clusters
47 Counties
with diverse HRH
Challenges
9 HRH County
Clusters
INTERVENTIONSINTERVENTIONS
8
• Concept note for establishing County HRH unit
• Competency framework for County Human Resource Management
• County Health Workforce recruitment and deployment guidelines
• Incentive framework for attraction and retention of health workers
• Advisory on HIV Testing and Counselling Service Providers Transition
• HR Service Assessment Supervision tool
10
County HRH Unit County HRH Unit
County Executive for
Health
Proposed Human
Resource for Health
12
13
o Hiring of critical health workforce (316) at a higher job group.
o Revision of the existing health workers terms and remuneration
o Doctors are housed in paid up quarters and have four return air tickets to Nairobi per year
o Absorption of contract workers into county payroll
o Contracting other specialized health workforce on a need basis. i.e. consultants.
o Renovation of old facilities o Equipping of health facilities
and commodity procurement o Capacity building of the health
managers for senior management and strategic management courses at the KSSG.
LAKE BASIN
CLUSTER
NYAMIRA
BOMETKERICH
O
KISUMUSIAYA
MIGORI
HOMABAY
KISII
CONCEPT NOTE ON SHARING OF SPECIALISTS – PHYSICALLY & VIRTUALLY
Cardiologist, nephrologists, urologist, intensivists, anaestiologists etc.
Health Workforce ContractingHealth Workforce Contracting
837 SHW support HIV care and treatment in 43
Counties
232SHW transitioned to County GOK payroll
16
E-HRM course modules
HR Data System HR Data System StrengtheningStrengthening
24 Counties on comprehensive HRHIS training & implementationTWGs at Counties and at national to implement the iHRIS system47 Counties trained on Basic
iHRISScanning of 46,000
personnel records and index to iHRISHRHIS and DHIS integration to link HW info with service statistics at the county and national levels
CALL FOR ACTIONCALL FOR ACTIONKMA members should:-•Take advantage of the free on-line eLearning course on HRM•Participate at County/ inter-county level in the HRH Stakeholder forum & HRM TWGs •Contribute in the development and operationalization of guidelines for contracting of medical specialists (Private practitioners can be contracted to provide services to county governments) •Give input on key HRH documents such as Internship Policy amongst others
19
TAKE HOME LINKS ON TAKE HOME LINKS ON HRHHRH• eLearning HRH Course – for all DOCTORS and Line
managers:- http://www.hrhresourcecenter.org/elearning
• MOH REPOSITORTY OF HRH DOCUMENTS:-http://www.health.go.ke/hrhresources
• HRH DATA SYSTEM FOR USE BY PUBLIC AND PRIVATE SECTOR :- http://www.ihris.or.ke or Email:- [email protected] or [email protected]
20
Courses are accessible at: www.hrhresourcecenter.org/elearning