WHO-TBS-Tata & Hiba November 20101 |
Pharmaceutical Workforce situation analysis
Country cases studies
Mrs Helen Tata (WHO/EMP)
Dr Hiba Yassin (MOH Sudan)
Pharmaceutical Workforce situation analysis
Country cases studies
Mrs Helen Tata (WHO/EMP)
Dr Hiba Yassin (MOH Sudan)
WHO-TBS-Tata & Hiba November 20102 |
OverviewOverview
Context
The Tool
Case study findings– Ghana– Tanzania– Nigeria– Sudan
Framework development Sudan
Next Steps
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Context Context
Under the EC/ACP/WHO joint programme of action on Pharmaceutical Policies and Programmes, there is strengthening HR capacity for the pharmaceutical sector in order to improve access to medicines
Development of a framework for HR planning for the pharmaceutical sector is the expected output for the EC activity
Against this background, some countries in Africa took up this activity in 2008 to strengthen the pharmaceutical human resources capacity in their countries.
As a first step, an assessment to determine the capacity mix in the pharmaceutical sectors of their countries was carried out
MPC in collaboration with HRH/HIG and FIP developed tools that have been used for these assessments.
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The toolThe tool
Five Questionnaires were developed for: – Ministry of Health professionals and regulatory bodies– Pharmacy education providers – Health facilities – Pharmaceutical manufacturers, wholesalers and
medical stores – Job satisfaction for pharmacists
The WHO level II methodology was adapted for the study.
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Countries InvolvedCountries Involved
In 2009, the following countries used the tools with the support of MPC to assess the PHR situations:
– Ghana– Nigeria– Sudan– Tanzania
July 2009, there was a regional meeting in Abuja, Nigeria to share experiences with the use of the tools and make recommendations on improvement.
The EDM/AFRO and HRH department provided facilitation at this meeting.
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Fine tuning the toolsFine tuning the tools
Recommendations from the Abuja meeting informed the following:– Defining a set of indicators for each of the
5 questionnaires Indicators– Defining all the terms used in each
questionnaire, and – Subsequently a glossary of words Glossary– Information sheet in which confidentiality of
information collected is guaranteed.
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Pharmacists total
Pharmacy Technicians
Pharmacy assistants
Country
Number
Per '000
Number
Per '000
Number
Per '000
Physicians (per '000)
Nurses (per, '000)
Population (in Millions)
Ghana 2,640° 1.13° (0.69
active)
1978° 0.84° (0.39
active)
1642°
0.69° (Medicines counter assistants
)
0.73^ 6.9^ 23.5
Nigeria 14,353°
0.95 1120* 0.07 5,483*
0.36 3.66 14.88 151.2
Sudan 7,119° 1.81 N/A N/A N/A N/A 2.43 4.58 39.4
Tanzania 640° 0.16° 479° 0.13 376° 0.1 0.35^ 6.4^ 38.2
Pharmaceutical workforce ^2007*2008°2009
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Pharmacist workforce 2006 – 2009*Sudan – 2009 data not available
Pharmacist workforce 2006 – 2009*Sudan – 2009 data not available
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Pharmacists by employment sector (%)Pharmacists by employment sector (%)
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Regional distribution pharmacist: GhanaRegional distribution pharmacist: GhanaRegional pharmacist densities per 10,000 population:
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Zonal pharmacist densities per 10,000 population: Nigeria
Zonal pharmacist densities per 10,000 population: Nigeria
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Regional pharmacist densities per 10,000 population: Tanzania
Regional pharmacist densities per 10,000 population: Tanzania
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Regional pharmacist densities per 10,000 population: Sudan
Regional pharmacist densities per 10,000 population: Sudan
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Annual pharmacist salary ranges in USDAnnual pharmacist salary ranges in USD
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Pharmacist degree applicants and enrolments
Pharmacist degree applicants and enrolments
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Pharmacy technician diploma applicants and enrolments
Pharmacy technician diploma applicants and enrolments
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Pharmacist vacancy rates in sampled facilities (%)
Pharmacist vacancy rates in sampled facilities (%)
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% Pharmacists disagree on job satisfaction statements
% Pharmacists disagree on job satisfaction statements
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% Pharmacists that disagreed with statements on harassment and personal safety
% Pharmacists that disagreed with statements on harassment and personal safety
WHO-TBS-Tata & Hiba November 201020 |
Pharmaceutical Human resources framework
Pharmaceutical Human resources framework
In 2010, WHO supported Tanzania, Ghana Nigeria and Sudan on consultations with relevant stakeholders to build consensus
– on key pharmaceutical human resources issues and priorities
– identify policy goals and processes to form the basis of a pharmaceutical strategic development framework
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Development of Pharmaceutical Human
Resources Framework in Sudan
Dr Hiba YassinMOH
Development of Pharmaceutical Human
Resources Framework in Sudan
Dr Hiba YassinMOH
WHO-TBS-Tata & Hiba November 201022 |
Sudan: HR Consultation 2010Sudan: HR Consultation 2010 Consultative meeting August 2010 in Khartoum
27 key stakeholders (HRH, regulatory, insurance, poison's board etc.) participated with support of WHO and EC.
Results from 2009 assessment informed discussions around:
1. Key issues affecting HR planning, management and development
2. Key policy objectives to address each issue identified
3. Policy actions needed in short term and long term to achieve policy objectives
4. Structures needed to achieve policy objectives
5. Key stakeholders and their roles22
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Consultation structureConsultation structure
Introduction Issues Policy objectives
Structures and
processes
Opportunities and barriers Stakeholders
Feedback and next steps
Day 1
Day 2
Day 3Draft
strategic framework
23
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The Strategic FrameworkThe Strategic Framework
The framework will serve as a reference document for development of a costed pharmaceutical human resources plan.
Pharmaceutical Human Resources plan to feed into the 2011 – 2020 plan for the National Ministry of Health.
Strategic Framework for Pharmaceutical Human Resources Development 2011 – 2020
24
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Next Step:Next Step:ActionsStakeholders
1Disseminate consultation outcomes to all stakeholdersDGoP
2Seek endorsement of Strategic Framework by NMoH and NMoHRDGoP
3Establish a standing committee under DGoP including representatives of all key stakeholders
DGoP
4Develop costed pharmaceutical HR plan 2011 – 2015 based on priorities identified in the endorsed Strategic Framework
Standing committee
5Submit budget request to support implementation of pharmaceutical HR plan 2011 – 2015 to NMoH
DGoP
6Seek funds from development partners to support implementation of pharmaceutical HR plan 2011 – 2015
Standing committee
7Launch pharmaceutical HR plan at stakeholders workshopStanding committee
25
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Group consultations in SudanGroup consultations in Sudan
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Group consultation in Nigeria Group consultation in Nigeria
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Consensus on draft strategic framework developed by consultation participants: Ghana
Consensus on draft strategic framework developed by consultation participants: Ghana
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Consensus on draft strategic framework developed by consultation participants: Tanzania
Consensus on draft strategic framework developed by consultation participants: Tanzania
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4 Pharmaceutical HR conceptual framework
4 Pharmaceutical HR conceptual framework
Shortages Distribution
Skill mix
First four pharmaceutical human resources framework in Africa: Ghana, Nigeria, Sudan, Tanzania
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Countries reportsCountries reports
Publication of reports:– Tanzania on the web– http://apps.who.int/medicinedocs/en/m/abstra
ct/Js17397e/
– Ghana– http://www.hrhresourcecenter.org/node/3270. – Nigeria and– Sudan, before end of year
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Next StepsNext Steps
Development of pharmaceutical human resources strategic plan (ongoing in Ghana and Tanzania)
Collaboration with development Partners to mobilize funds to implement plan
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AcknowledgementAcknowledgement
European Commission
Mario Dal Poz, WHO/HRH/HIG
Neeru Gupta (idem)
Tana Wuliji (Global Develoop)
Edith Adrews, WHO/Ghana and MOH counterparts
Rose Shija, WHO/Tanzania and MOH counterparts
Ogori Taylor, WHO/Nigeria and MOH counterparts
Nahid Salih, WHO/Sudan and MOH counterparts
MPC Team-EMP-AFRO-EMRO
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Thank You