|(Re)Investing in the Health Workforce
Dominican Republic Improves Access to Health Services by Strengthening Human Resources Management
In the Dominican Republic, the Ministry of Health is improving to access to high-quality health services by focusing on the health workforce and, in particular, the systems used to manage these valuable human resources.
One important outcome has been the discovery of a large number of people on the payroll who were no longer working. The money saved by cleaning the payroll is being reinvested into the health sector. Highlights:
- Payroll analysis revealed 10,000 ghost workers, representing more than $7.5 million per year in economic waste.
- The Ministry of Health eliminated 2,717 ghost workers in the first phases of payroll cleanup and fully retired 1,090 people—saving $6.2 million per year—and is reinvesting the savings to hire new health workers, provide a 10% salary increase for doctors and nurses, and raise health workers’ retirement benefits from 60% of their last salary level to 100%.
- The newly-hired health workers are contributing to increased access to services. Coverage of early detection of HIV and syphilis, family planning, and access to prenatal care for HIV-positive women has already risen in various regions.
- The Ministry of Health is completing the cleanup process and has eliminated the collection of user fees in public hospitals, which will make health services more accessible. Read more »
Improving Health Workforce Planning and Management
iHRIS Champions in Ghana Share Success with Using Health Workforce Data
Like many of his fellow Ghanaians, Obeng Asomaning wanted to use his skills to help his country. As a new graduate with a degree in health service planning and management, he landed a job at the Ministry of Health’s Regional Health Office in Ashanti Region. Quickly he saw that the office was struggling to access information about the health workforce. How many midwives worked in the regional hospital? How many vacancies were there in Kwabre District? How many health workers will likely retire next year? The paper-based information system yielded no quick answers.
Obeng teamed up with Molayo Decker to pilot iHRIS, a free, open source software suite used in 19 countries to track, manage, and plan the health workforce. Realizing the value of the software, the Ministry of Health decided to roll it out nationally. Obeng and Molayo worked with Ghana Health Service, the largest national health provider, to enter information on 14,000 health workers into iHRIS. And they helped the country’s largest faith-based organization, the Christian Health Association of Ghana, to implement iHRIS in its health facilities. Read more »