Private Health Sector Human Resources of Health (HRH)
Challenges
- Poor performance of health workers
arising from
- Inadequate training of private health workers
- Lack of Continuing Medical Education
opportunities
- Lack of
refresher courses and refresher workshops as most programs are organized by
government and private health workers are rarely considered or invited.
- There are
challenges in recruiting, retention and management of health workers especially
in rural areas.
- It’s hard
to recruit in private practice due to poor wages,
- It’s hard
to retain health workers and migration of health workers is very high.
- Poor
management structures in most of private health centers leading to poor human
resource management.
- Private
Health workers are not always formally updated on different treatment
guidelines and policies.
- Inadequate
health workers
- Multiple
tasking and inappropriate shifting of tasks to private health workers, whereby
a health may perform the work of dentist and at the same time a pediatrician in
the same facility.
- No or Poor
retirement benefits / pension benefits for private health workers or social
insurance.
- Poor
referral network among private health workers and poor networking among private
health workers.
- Poor working
conditions like working till late, no appropriate shifts, no consideration for
overtime, workload etc
- Poor
equipped private health workers with the necessary equipments sometimes leads
to poor performance of a private health workers and poor quality of care.
- Poor
knowledge or lack of codes of ethics by private health workers
- Poor
customer handling of private health consumers by private health workers
- Poor
handling of consumer complaints by private health workers
- Little
knowledge of health related laws and rights by private health workers and low
sensitization on consumer health rights.
- Lack
of private health workers HIV/AIDS policy especially in the PFP subsector.
- HIV/AIDS,
some workers have been invaded with the disease resulting to shortage of health
workers.
- NGOs
are keeping the private health workers industry unstable whereby a health
professional may leave his private health clinic for some time to go serve a 6
months or one year project somewhere.
- There
is inadequate and fragmented regulation of private health workers and i.e
different uncoordinated medical councils.
- Poor
record keeping skills of private health workers leading to poor health HMIS.
- Poor
research management knowledge of private health workers yet most of them manage
their health facilities directly without delegation of responsibility
professional managers regardless of scale of facility.
- Poor
research skills.
- Absenteeism and
Multiple deployments in different health facilities
- Poor compliance
to patient safety ethics, guidelines and rights.
- Poor job
descriptions and service description in private health settings
-
etc
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