Human Resources Factors-Human Resources Factors-Key to SustainabilityKey to SustainabilityLearning from the Example Learning from the Example of Public and Private of Public and Private Health servicesHealth services

Keerti Bhusan PradhanConsultant-Health Systems

Keerti.health@gmail.com

9 components of systemic capacity 9 components of systemic capacity buildingbuilding

Source: Potter & Brough HPP

Eye care services-Eye care services-ExampleExampleWorld Bank assistance of US$136

million was provided in 1994 to the NPCB for 7 states which accounted for more than 70% of the cataract work load.

The program consisted of Infrastructure development, equipment, consumables, training and capacity building.

States: AP, MP, MS, Orissa, Rajasthan, TN & UP

Dhenkanal District Eye HospitalDhenkanal District Eye HospitalOrissa inaugurated July 2000 in Orissa inaugurated July 2000 in district hospital campusdistrict hospital campus

Govt. Eye Hospital- 9 Govt. Eye Hospital- 9 years lateryears later

Photo taken 2009

Ophthalmologist in the Ophthalmologist in the District Hospital OPDDistrict Hospital OPD

Ophthalmologist in the Ophthalmologist in the District Hospital OPDDistrict Hospital OPD

Sitting in the open patient waiting area

Does not use required equipment/instruments to check the eye

Eye Examination equipment-slit lamp is lying inside without any use

District Hospital Eye Unit District Hospital Eye Unit OTOT

Big OTAll equipment

availableExpensive eqpt.

availableSome are brand

new but defunctOnly 254 surgeries

per year

Private (NGO) Eye Hospital in Private (NGO) Eye Hospital in a rented building in the same a rented building in the same district hq district hq

Private (NGO) Eye Private (NGO) Eye Hospital OTHospital OT

Small size OT in comparison to Govt. eye unit

Doing 5000 surgeries per year

Talking to the patientTalking to the patient

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What it needs to ensure in What it needs to ensure in Capacity Building of HR?Capacity Building of HR?Not only knowledge and skillsNot just additional manpowerNot just organisational structuresNot just regular salariesNot just regular training and

capacity buildingBut Strategies to keep the workforce

motivated and a culture of teamwork in healthcare…………..

Thank youThank you