Health workforce recruitment and financing – selected issues for consideration
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Transcript of Health workforce recruitment and financing – selected issues for consideration
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Recruitment and workforce financing – selected issues for
consideration
Tim Martineau,
Liverpool School of Tropical Medicine
“Human resources for health summit”
Freetown, 2-3 June 2016
Research for stronger health systems post conflict
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“recruitment”
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Recruitment to retention ‘pipeline’ – diagnostic framework
Adapted from: Vujicic et al, 2006
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Recruitment to retention ‘pipeline’ – diagnostic framework
Adapted from: Vujicic et al, 2006
• Career choice• Science grades
Selection• criteria• process
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Recruitment to retention ‘pipeline’ – diagnostic framework
Adapted from: Vujicic et al, 2006
• Career choice• Science grades
Selection• criteria• process
![Page 7: Health workforce recruitment and financing – selected issues for consideration](https://reader031.fdocuments.us/reader031/viewer/2022030311/58ee5e851a28ab3c0b8b471b/html5/thumbnails/7.jpg)
Recruitment to retention ‘pipeline’ – diagnostic framework
Adapted from: Vujicic et al, 2006
• Initial posting• Induction• Bonding
• Career choice• Science grades
• Capacity• Need (quality
& quantity)
• Registration• On payroll• ROI
Selection• criteria• process
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Recruitment to retention ‘pipeline’ – monitoring framework
Adapted from: Vujicic et al, 2006Losses
Numbers by
employer
% by employer
Numbers by
reason
Entry into
training
Applications
Entrants
% target
Completion
rates
Graduates
Attrition rate
% target
Recruits
New Graduates
Returnees
Expatriates
% target
Monitoring
dashboard
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Systems mapping: process of filling a vacancy
Source: Report of the Joint Design Mission to the Kenyan Health Sector, 2007.
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“systems distortion”
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Considerations for “recruitment”
•Consider whole ‘pipeline’ for diagnosis and monitoring
•Consider dimensions of inclusion (e.g. gender)
•Get broad understanding of cross-government processes and actors
•Be aware of impact of “systems distortion”
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“workforce financing”
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Considerations for “workforce financing”
•Improve negotiation strategies on wage bill
•Understand the budget cycle
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Understandingthe budgetcycle
Source: Vujicic, M. and et al (2009). Working in Health. Financing and Managing the Public Sector Health Workforce. Washington, DC, World Bank.
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Considerations for “workforce financing”
•Improve negotiation strategies on wage bill
•Understand the budget cycle
•Be guided by labour market conditions (for salary premiums etc)
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Considerations for “workforce financing”
•Improve negotiation strategies on wage bill
•Understand the budget cycle
•Be guided by labour market conditions (for salary premiums etc)
•Manage health worker expectations
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CBOH structure, Zambia 1997
Shaded boxes have HR-related functions
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Good luck with developing your plan!