# KWESI ASABIR MSC;PHD UPDATE ON HUMAN RESOURCE FOR HEALTH.

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KWESI ASABIR MSC;PHD UPDATE ON HUMAN RESOURCE FOR HEALTH

Increase No of HRH

Projections: Doctors

Projections - pharmacist

Projection Midwives

CHN

HAC has increased from 460 in 2006 to 3249 in 2011 depicting an annual growth rate of 118% as against planned figure of 1145 in 2011 or annual growth rate of 41%. Propose the reduction of the production of HAC by average of45% per annum

Projection HAC

ASSUMPTIONS FOR STAFFING 1. WISN STUDY 2. EmONC STUDY

WISN KATH WORKLOAD INDICATOR FOR STAFFING NEEDS FOR KOMFO ANOKYE T. HOSPITAL TYPES OF STAFF ABC = A-BD = A/B Existing Staff Calculated Requirement Difference in Staff WISN Ratio ADENTAL STAFF 1Dental Prosthetic Technologists29-70.24 2Dental specialist920-110.46 BEYE STAFF 3Optometrist25-30.37 LABORATORY STAFF 4Biomedical Scientist - Bacteriology825-170.32 5 Biomedical Scientist - Biochemistry1439-250.36 6 Biomedical Scientist - Haematology1611510.88 7 Biomedical Scientist - Hisopathology8801.01 8Biomedical Scientist - Serology312-90.25 9Biomedical Scientist -Parasitology38-50.40 CMEDICAL PRACTITIONERS 10Emergency Medicine (M.O.)1520-5-0.17 11General practitioner1619-30.84 DMIDWIVES 12Registered Midwife194237-430.82

WISN KATH WORKLOAD INDICATOR FOR STAFFING NEEDS FOR KOMFO ANOKYE T. HOSPITAL TYPES OF STAFF ABC = A-BD = A/B Existing Staff Calculated Requirement Difference in Staff WISN Ratio ENON SURGICAL SPECIALISTS 13Consultant Cardiologist24-20.49 14Doctor Anaesthetist952-430.17 15Family Medicine4311.56 16 Internal Medicine/ Physician Specialist2641-150.63 17Paediatrician214174.83 18Paediatrician Nephrologist14-30.23 FNURSES 19Critical Care Nurse1343-300.30 20Emergency Nurse3152-1490.02 21ENT Nurse832-240.25 22Oncology Nurses517-120.29 23Ophthalmic Nurse1015-50.68 24Peri-operative Nurse1115-40.75 25Psychiatry Nurse1517-20.91 GOTHER SPECIALISTS 26Pathologists612-60.49 27Radiation Oncologist101

WISN KATH WORKLOAD INDICATOR FOR STAFFING NEEDS FOR KOMFO ANOKYE T. HOSPITAL TYPES OF STAFF ABC = A-BD = A/B Existing Staff Calculated Requirement Differenc e in Staff WISN Ratio PHARMACY STAFF 28Clinical Pharmacist50523.81 29 Pharmacist Specialist (Drug Information)1015.00 30 Specialist Pharmacist (Radio)13-20.34 IPHYSICIAN ASSISTANT 31Anaesthetic Assistant3922171.76 JPHYSIOTHERAPY 32Physiotherapist1561-460.24 KRADIOLOGY STAFF 33Radiographer921-120.44 34 Radiographer/X-ray Technician1533-180.45 LSURGICAL SPECIALISTS 35ENT611-50.54 36Neurosurgeon38-50.39 37Obstetrics/Gynaecology2235-130.63 38Ophthalmology450.83 39Paediatric Surgeon211-90.18 40Urologist46-20.70 516965-449

RIDGE HOSPITAL WISN RESULTS TYPES OF STAFF ABC = A-BD = A/B Existing Staff Calculated Requirement Difference in Staff WISN Ratio DENTAL STAFF Dental Surgeon412-80.34 MEDICAL PRACTITIONERS Medical Officer4079-39-0.17 MIDWIVES Registered Midwife3356-230.59 NURSES Registered Nurses217277-600.78 Critical Care Nurse319-160.16 Emergency Nurse35-20.55 ENT Nurse25-30.44 Ophthalmic Nurse25-30.41 Peri-operative Nurse212-100.17 Public Health Nurse25-30.44 Community Health Nurses1419-50.75 Anaesthetics Assistant914-50.66 PHARMACY STAFF Pharmacist1015-50.67 PHYSIOTHERAPY Physiotherapist670.89 SURGICAL SPECIALISTS ENT19-80.11 Obstetrics/Gynaecology5321.46 Paediatric Surgeon39-60.33 General Surgeon4221.69 Anaesthetist39-6-60.35 363560.87-189

HO MUNICIPAL HOSPITAL WISN RESULTS UNITS/ DEPARTMENTS ABC = A-BD = A/B Existing Staff Calculated Requirement Difference in Staff WISN Ratio LABORATORY 724-17 0.29 MEDICAL PRACTIONERS 520-15 0.25 PHARMACY 719-12 0.37 ANC POST NATAL 715-8 0.46 FEMALE WARD 916-7 0.56 LABOUR WARD 1318-5 0.74 OPD 2529-4 0.85 DIABETES CLINIC 24-2 0.45 MATERNITY 1618-2 0.87 ART CLINIC 24-2 0.53 MALE WARD 1011 0.89 CHILDRENS WARD 11 0 0.98 X-RAY UNIT 110 1.16 FAMILY PLANNING 101 8.33 PSYCHIATRY UNIT 541 1.35 CHEST CLINIC 202 7.41 TOTAL 123195-72 0.63

KANESHIE POLYCLINIC WISN RESULTS TYPES OF STAFF ABC = A-BD = A/B Existing Staff Calculated Requireme nt Difference in Staff WISN Ratio LABORATORY STAFF Biomedical Scientist/Lab Tech615-90.40 MEDICAL PRACTITIONERS Medical Officers/Specialists79-2-0.17 MIDWIVES Registered Midwife373611.03 NURSES Nurses (Registered & Enrolled)4649-30.94 Community Health Nurses5118332.84 Ophthalmic Nurse3301.03 Public Health Nurses914-50.62 PHARMACY STAFF Pharmacist50523.81 Pharmacy Technicians2111.60 MEDICAL ASSISTANT Medical Assistant39-60.32 RADIOLOGY STAFF Radiographer/X-ray Technician3300.89

AGONA NKWANTA HEALTH CENTRE WISN RESULTS TYPES OF STAFF ABC = A-BD = A/B Existing Staff Calculated Requireme nt Differen ce in Staff WISN Ratio LABORATORY STAFF Lab Technicians18-70.13 MIDWIVES Registered Midwife8801.06 NURSES Registered Nurses13-20.39 Community Health Nurses714-70.50 Enrolled Nurses7342.65 PHARMACY STAFF Pharmacy Technicians13-20.35 MEDICAL ASSISTANT Medical Assistant15-40.20

WAYFORWARD Normalize the production of Community Health Nurses and Health Assistant Clinical Increase production of Midwives, Nurses, and other neglected programmes Improving infrastructure of HTIs Establish Colleges of Pharmacy, Nurses and Midwives Accredite health facilities in districts for housemanship training on the basis of assigning specialists to supervise the houses officers on regular basis Maintain 70% regionalization policy of health graduates. Developing activity standard with the pilot WISN results at the selected health facilities Extend WISN to support staff before scaling up Developing redeployment plan to improve distribution of HWs using the WISN and EmONC results as maximum and minimum staff requirements respectively for health facilities Costing the HR Policy and Strategy document Implement HR Policies and Strategies Design incentive packages to attract and retain HWs in deprived areas Develop and implement an effective performance management system