Presentation given by Tim Martineau at the Human Resources for Health Summit in Freetown, Sierra Leone, 2nd June 2016.

1. Recruitment and workforce
financing – selected issues for
consideration
Tim Martineau,
Liverpool School of Tropical Medicine
“Human resources for health summit”
Freetown, 2-3 June 2016
Research for stronger health systems post conflict

2. “recruitment”

3. Recruitment to retention ‘pipeline’ – diagnostic
framework
Adapted from: Vujicic et al, 2006

4. Recruitment to retention ‘pipeline’ – diagnostic
framework
Adapted from: Vujicic et al, 2006
• Career choice
• Science grades
Selection
• criteria
• process

6. Recruitment to retention ‘pipeline’ – diagnostic
framework
Adapted from: Vujicic et al, 2006
• Career choice
• Science grades
Selection
• criteria
• process

7. Recruitment to retention ‘pipeline’ – diagnostic
framework
Adapted from: Vujicic et al, 2006
• Initial posting
• Induction
• Bonding
• Career choice
• Science grades
• Capacity
• Need (quality
& quantity)
• Registration
• On payroll
• ROI
Selection
• criteria
• process

8. Recruitment to retention ‘pipeline’ – monitoring
framework
Adapted from: Vujicic et al, 2006
Losses
Numbers by
employer
% by employer
Numbers by
reason
Entry into
training
Applications
Entrants
% target
Completion
rates
Graduates
Attrition rate
% target
Recruits
New Graduates
Returnees
Expatriates
% target
Monitoring
dashboard

9. Systems mapping: process of filling a vacancy
Source: Report of the Joint Design Mission to the Kenyan Health Sector, 2007.

10. “systems distortion”

11. Considerations for “recruitment”
•Consider whole ‘pipeline’ for diagnosis and
monitoring
•Consider dimensions of inclusion (e.g.
gender)
•Get broad understanding of cross-
government processes and actors
•Be aware of impact of “systems distortion”

12. “workforce financing”

13. Considerations for “workforce financing”
•Improve negotiation strategies on wage bill
•Understand the budget cycle

14. Understanding
the budget
cycle
Source: Vujicic, M. and
et al (2009). Working in
Health. Financing and
Managing the Public
Sector Health
Workforce. Washington,
DC, World Bank.

15. Considerations for “workforce financing”
•Improve negotiation strategies on wage bill
•Understand the budget cycle
•Be guided by labour market conditions (for
salary premiums etc)

16. Considerations for “workforce financing”
•Improve negotiation strategies on wage bill
•Understand the budget cycle
•Be guided by labour market conditions (for
salary premiums etc)
•Manage health worker expectations

17. CBOH structure, Zambia 1997
Shaded boxes have HR-related functions

18. Good luck with developing
your plan!