recruitment, deployment and retention by tim martineau ([email protected]) liverpool school of...
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Recruitment, deployment and retention
by Tim Martineau([email protected])
Liverpool School of Tropical Medicine, UK
Meeting on the Regional Strategy and Initiatives on Human Resources for Health 24-26 August 2009, WPRO, Manila
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There are a high number of vacant posts in the health service, especially
in rural areas
0
50
100
150
200
250
300
350
400
Far
West
Mid
West
West Central East
Number
Posts
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We can’t just solve the problem by ‘scaling up’
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Systems for staffing posts are often ineffective and outdated
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But we must make the best of the current and potential supply of staff
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We need better systems
for filling vacant posts
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First we need to appreciate
the main concepts of workforce dynamics
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The workforce flows can be
represented as route from
recruitment to resignation
High SchoolHealth training
institute
Other training
Pool of qualified health
workers
Adapted from: Vujicic et al, 2004
Out of labour force
Employed
Unemployed Non-health sector
Health sector
Migration
Immigration
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High SchoolHealth training
institute
Other training
Pool of qualified health
workers
Adapted from: Vujicic et al, 2004
Out of labour force
Employed
Unemployed Non-health sector
Health sector
Migration
Immigration
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We need appropriate systems to
manage the flows
effectively
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The labour market is an
important part of workforce dynamics
Public
NGO
FBO
PFP
Other sectorNot employed
Other countries
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Then we turn to the systems for influencing the workforce dynamics and
the challenges
Recruitment
DeploymentRetention
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Recruitment
Recruitment
DeploymentRetention
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Filling a vacancy can be a complex business!
Source: Report of the Joint Design Mission to the Kenyan Health Sector, 2007.
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Deployment
Recruitment
DeploymentRetention
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I can’t find your file!
Good systems can be distorted
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Retention
Recruitment
DeploymentRetention
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We can learn how to
improve our systems from innovations
tried by others
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Recruitment examples
Recruitment
DeploymentRetention
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Streamlining the recruitment process (Kenya Emergency Hiring Programme)
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Deployment examples
Recruitment
DeploymentRetention
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Retention examples
Recruitment
DeploymentRetention
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Zambian Health Workers Retention Scheme (c.2005)
Hardship allowance
Education allowance (children)
Accommodation upgrade
Eligible for PG training
Terminal benefit $$ for training
Interest-free loan (house or car)
Annual appraisal and TNA
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Diagnose problems with recruitment, deployment and retention systems
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Search for innovative solutions to reduce the number of vacant posts
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Make sure you monitor the implementation and impact of your
improved systems