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
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