Health Human Resource

Front 1

Health Human Resource/ Health Workforce

Back 1

-All people engaged in actions whose primary intent is to enhance

Front 2

Health workforce

Back 2

includes those that provide health services such as doctors, nurses etc. and

Front 3

Why invest in health workforce?

Back 3

- Health systems can only operate with a health workforce;

improving health services coverage and health outcomes is dependent on their availability, accessibility, acceptability and quality

Front 4

Three Levels of Primary Health Care Workers

Back 4

Village or Grassroot Health Workers

Intermediate level Health Workers

First line Hospital Personnel

Hint 4

Enumerate 3

Front 5

Village or Grassroot Health Workers

Back 5

-First contacts of the community and intial links of health care

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Village or Grassroot Health Workers

Back 6

-Provide simple curative and preventive healthcare measures promoting healthy environment

i.e. Community or health worker, Volunteers and Traditional birth attendants

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Barangay or Community Health worker

Back 7

-A person who has undergone training programs under any accredited government and NGOs

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Barangay or Community Health worker

Back 8

Voluntarily renders primary health care services in the community after having been accredited to function as such by the local health board in accordance with the guidelines promulgated by the DOH.

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Traditional birth attendant

Back 9

-A person who assists the mother during childbirth and initially acquired her skills by delivering babies herself or through apprenticeship to other traditional birth attendants.

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Intermediate level Health Workers

Back 10

-Represent the first source of professional health care attends to health problems beyond the competence of village workers

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Intermediate level Health Workers

Back 11

-Provide support to front-line health workers in terms of supervision, training, supplies and services

i.e. Medical Practitioners, Nurses, Midwives

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Midwife

Back 12

-A trained health professional who helps women during pregnancy, labor, and the postpartum period, as well as care of the newborn.

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First line Hospital Personnel

Back 13

-Provide back-up health services for cases that requires hospitalization

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First line Hospital Personnel

Back 14

-Establish close contact with intermediate level health workers or village health workers

i.e. Physicians with specialty, nurses, dentist, pharmacists and other health professionals

Front 15

Challenges in the Health Workforce

Back 15

1. Inequality in the distribution of HRH

2. Unresolved issues on compensation and benefits

3.Inadequate human resource training, regulation and continuing education

4. Failure to strengthen policy, planning and management of human resources for health (HRH)

5. Brain-drain phenomenon in Health workforce

Front 16

Inequality in the distribution of HRH

Back 16

-Majority of HRH are hospital based

-Most HRH are in the more lucrative private sector

-NCR, Region 3 and Region 4A have higher proportion of Government Health Workers than anywhere else in the Philippines

Hint 16

Which challenge?

Front 17

Factors related to Inequality in the Distribution of Health Workers

Back 17

A. Lack of incentives to choose service-oriented career paths

B. For MDs in particular: -Government positions are not attractive among newly-licensed/trained MDs - Safety and Security issues

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Brain-drain phenomenon in Health workforce

Back 18

-emigration of skilled health professionals as impacted the quality and quantity of the health workforce

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Addressing HHR Challenges

Back 19

 Sufficient numbers- (Active Recruitment)

 Just compensation

 Enabling work environments

 Established job-related norms

 Right mix of staff

 Continuing education

 System-wide deployment and distribution

Hint 19

Enumerate, 7

Front 20

Notable DOH HRH Programs

Back 20

A. Doctors to the Barrios (DTTB)

B. Rural Health Midwives Program

C. Rural Health Team Placement Program (RHTPP)

D. Registered Nurses for Health Enhancement and Local Service (RN HEALS)

E. Medical Pool Placement and Utilization Program (MP-PUP)

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Doctors to the Barrios (DTTB)

Back 21

Objective: To ensure quality health care service to depressed, marginalized and underserved areas through the deployment of competent and community-oriented doctors.

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Doctors to the Barrios (DTTB)

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Benefits:  Competitive salary  Allowance for board, lodging, transportation and food from assigned municipality  Continuing education/ training  Benefits as enumerated in the Magna Carta for Health Workers

Hint 22

Enumerate 5

Front 23

Rural Health Midwives Program

Back 23

Midwives are assigned in BHS and RHU for improved maternal and child care.

These facilities can then provide Basic Emergency Obstetric and Newborn Care (BEmONC) or Comprehensive Emergency Obstetric and Newborn Care (CEmONC)

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Rural Health Midwives Program

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Objective: To provide competent midwives to areas that have not performed well in terms of facility- based deliveries, fully immunized child and contraceptive prevalence rates

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Registered Nurses for Health Enhancement and Local Service (RN HEALS)

Back 25

Deployed nurses are assigned for 6 months in the community (Rural Health Units) and then another 6 months for hospital service.

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Registered Nurses for Health Enhancement and Local Service (RN HEALS)

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Objective: To address the surplus in inexperienced nurses, promote health of the people and bring the government closer to them.

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Medical Pool Placement and Utilization Program (MP-PUP)

Back 27

Physicians and/or medical specialists are assigned in DOH hospitals and/or Provincial Hospitals based on needs and program criteria.

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Health financing

Back 28

, as the instrument to increase resources for health that will be allocated and utilized effectively to improve the financial protection of the poor and the vulnerable.

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Service delivery,

Back 29

as the instrument to transform the health service delivery structure to address variations in health service utilization and health outcomes across socioeconomic variables.

Front 30

Policy, standards and regulation

Back 30

, as the instrument to ensure equitable access to health services, essential medicines and technologies of assured quality, availability and safety.

Front 31

Governance for health,

Back 31

as the instrument to establish the mechanisms for efficiency, transparency and accountability, and to prevent opportunities for fraud.

Front 32

Human resources for health

Back 32

, as the instrument to ensure that all Filipinos have access to professional health care providers capable of meeting their health needs at the appropriate level of care.