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

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• 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

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County HRH Unit County HRH Unit

County Executive for

Health

Proposed Human

Resource for Health

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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

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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

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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:- iHRISKenya@intrahealth.org or HRISKenya@gmail.com

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Courses are accessible at: www.hrhresourcecenter.org/elearning