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Human Resources and Workforce Capacity Building


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  • 1. HR for RHIS Angela Self IntraHealth International, Inc. 4th International RHINO Workshop 8 – 12 March 2010
  • 2. • Dykki Settle, Director • Luke Duncan, Lead Developer • Carl Leitner, Developer • Angela Self, HRIS Advisor • Carol Bales, HRIS Usability & Communications Specialist • Growing team of in-country Advisors and Developers
  • 3. Systems Strengthening Approach Data Use for Policy and Mgmt Stakeholder Software Capacity and Leadership Solutions Sustainability Assessing and Integrating Existing Systems
  • 4. Six Building Blocks of Health Systems Strengthening Source: ‘Everybody’s Business: Strengthening Health Systems to improve Health Outcomes, WHO, 2007
  • 5. The Big Picture… Professional Councils Ministry of Health For FBO NGO Training Institutions (plus other relevant Ministries: Education, Profit Assoc Assoc Public Service, etc) Assoc Public Health Service HMIS HRIS HRIS HRIS Workforce HRIS FBO NGO FP HRIS Local Government FBO NGO FP FBO NGO FP Facilities & Service Providers
  • 6. National/Local, Public/Private National Private Sector Professional Councils For FBO NGO Ministry of Health Training Institutions Profit Assoc Assoc Assoc Public Service Comp. HMIS HRIS HRIS HRIS HRIS HRIS FBO … Local Government FBO NGO FP FBO NGO FP Facilities & Service Providers Local
  • 7. Local Needs are different • More emphasis on management than planning – Leave Management – Performance Management – Scheduling • Day-to-day use of data increases value and quality
  • 8. Information: The Challenge
  • 9. iHRIS Qualify
  • 10. ST1 iHRIS Manage
  • 11. Slide 11 ST1 Will replace this screen shot with graphical report as soon as it's available. Shannon Turlington, 4/12/2007
  • 12. iHRIS Plan
  • 13. iHRIS Plan Projection Model
  • 14. Results: Data is now being used to • Inform and cost HRH Strategic Plans • Maintain up-to-date professional registries • Find and eliminate ghost workers • Address recruitment bottlenecks • Support improved service delivery
  • 15. Lessons Learned • If data isn’t used, it doesn’t matter how good the system or software • We can’t do systems strengthening from DC, or even a country’s capitol. Capacity must be built at all levels. • We can’t do all the programming or meet all the needs. • HRIS isn’t in a vacuum; all of the above applies to all health information systems. Success will only come through alignment and interoperability with other HIS strengthening efforts. So what can be done?
  • 16. CapacityPlus Year One… • Enterprise Architecture – Collaborative development of elegant requirements • Decentralizing iHRIS design, development, support • Developing a sustainable and effective health information workforce • Update tools: Website first • How much does HRIS Strengthening cost? • Counting the 140,000 – PEPFAR special project
  • 17. HR for RHIS Human Resources for HIS Knowledge Human Infra- Management and Financial Resources structure and Planning Information Resources for Health Resources Resources Human Resources for HIS Supply Environ- Facility- Community Diagnostic Chain mental based -based Services Services Services Services
  • 18. Significant alignment on key eHealth challenges Capacity stood out as most critical challenge among all constituencies Survey question: "Please rank the top three challenges facing the widespread adoption and use of eHealth in the Global South" "Lack of human capital HR/Capacity 17 22 68 to maintain/support, particularly in Awareness 31 3 48 developing countries" Fragmentation 11 19 45 "Resistance to change because of shortage of Funding 15 14 42 health professionals. eHealth adds work on Poor Infrastructure 19 9 41 the ground." Policy (prohibitive/lack of) 15 16 39 "Non-health sector constraints – legal, Mentality 11 5 23 physical infrastructure, Lack of education, etc." sustainable models 7 6 17 Third challenge "Different levels of Lack of standards 7 4 17 priorities (pure Second challenge healthcare delivery Connectivity 8 1 14 First challenge versus developing Appropriate product information systems)." development 5 5 14 Number of times cited
  • 19. eHealth Domains Knowledge Management and Decision Support Health Workers Health Services Medicines & Facilities Others… Supplies Medical Records Telemedicine Lab & Diagnostics
  • 20. A Framework for eHealth Capacity Knowledge Management and Decision Support Health Workers Health Services Medicines & Facilities Others… Supplies Medical Lab & Telemedicine Records Diagnostics eHealth Skills for Health Workers Health Information Technicians ICT Infrastructure eHealth Strategy and Policy Framework eHealth Stakeholder Leadership
  • 21. Who’s a Health Worker? • Health workers are all people whose main activities are aimed at enhancing health. – People who provide health services – Doctors, Nurses, Pharmacists, Lab Technicians, etc. – Management and support workers -- Financial Officers, Information Technicians, Cooks, Drivers, Cleaners, etc.
  • 22. Building & Sustaining HR for HIS • There exists a clear need for a competent workforce to support HIS • Based on the standards and requirements in the WHO/HMN Framework of Standards for Country HIS, we propose to: – Draft standards-driven competencies of workers needed to sustain information systems from the continuum of designing data need, data collection, data transportation, data analysis and data use to better sustain a system and ultimately a culture of better information-driven decisions and better health. – Produce and publish curricula to support the implementation of the defined competencies.
  • 23. Building & Sustaining HR for HIS • Are we are looking for competencies that need to be added to current skill sets? • Scoping the issue is very important. Has anything been done to map the level of skills? • The Ministries of Health often do not have the right combined skills sets. We therefore must identify: – Roles required – Competencies for these roles – Training to develop these competencies – Curricula for that training.
  • 24. Group Work • What roles are required for HIS to work effectively? – Consider geography: central, district, facility-level – Consider maturity – Consider the different health system domains • What competencies are required for each role?
  • 25. HR for RHIS Thank you! Angela Self IntraHealth International, Inc. 4th International RHINO Workshop 8 – 12 March 2010