1. HRH UPDATE 2007 HUMAN RESOUCES FOR HEALTH DEVELOPMENT MINISTRY OF HEALTH GHANA

2. Presentation format Current situation Challenges What has been done? Way forward

3. Current staff situation 2007 Total workforce = 57,031 Staff on Gov’t payroll = 52,000 Total number of Doctors = 2,309 No of Medical Assistants =469 Total number of Nurses = 14,258 Total number of Pharmacists = 1645 Total number of Allied H/ Prof =588 % critical health staff=37.0%

4. Ghana’s average Staff population ratios 2007 Doctors = 0.11/1000 =1:9,090 Nurses = 0.65/1000 = 1:1,538 Pharmacists =0.08/1000 = 1:13,373 Targets for 2010 Doctors = 0.2/1000 = 1:5,000 Nurses = 1.0/1000 = 1 :1,000 Pharmacist =0.1/1000 = 1:10,000

5. Distribution by agencies

6. Distribution of Staff within KBTH

7. Distribution of Staff within KATH

8. Distribution of staff within GHS

9. Distribution of staff within CHAG

10. 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

11. Regional distribution of Nurses

12. Regional Distribution of Nurses RegionG/NurseCHN/ENM/wivesTotal GAR142812708753,573(26.9) ASR298411247956(7.2) BAR186340170696(5.3) ER4286393561,477(11.1) VR3185183281,164(8.8) CR3634742261,063(8.0) NR260293229782(5.9) UER204163140507(3.8) UWR134174148456(3.5) WR3284402411,009(7.6) KBTH757196831,036(7.8) KATH396143119658(5.0) Total5,1005,0613,16213,323

13. Distribution of Doctors

14. 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

15. 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)

16. 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

17. Inadequate Numbers Category of staffTotal numberNo. Required by 2010 GAP Medical Officers2,0263,7321706 Dental Surgeons315019 Pharmacists1,55027261176 Expatriate Doctors200- Professional Nurses7,3041900011696 Enrolled Nurses2,956- Community Health Nurses3,246129349688 Registered Midwives2,81082055395 Medical Assistants4301242600 Allied Health Professionals58825001912 Traditional birth Attendants367- Non Clinical & Clinical Support Staff27,91830,1002182 Health Assistants (clinical)-7176 Traditional Practitioners21,182-

18. 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

19. Intake into health training programmes

20. Intake/Output figures Doctors & Nurses

21. Ageing Workforce 37.6% falls within 40-50 age group 29.5% falls within 18-39 age group 33.9% falls within 50-60 age group 80% 0f the 33.9% constitute Medical assistants and Midwives

22. Age Profile of Midwives 91.9% of all midwives above 50yrs Peak age group is 53-55yrs 21% of all midwives above 56 yrs

23. Attrition 1995-2006

24. 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