DoH Strategies for Recruitment and Retention Sample Clauses

DoH Strategies for Recruitment and Retention of Physicians in KP Despite failures to improve preventive and promotive services at PHCFs, PPHI was successful in ensuring availability and retention of MOs. Learning lessons from PPHI, XxX decided to adopt a similar strategy to maintain and improve MOs at PHCFs. For this purpose, DoH as part of its health roadmap strategy, started to recruit MOs on an ad-hoc basis and through the public service commission. At the same time major changes have been made to the service parameters of MOs across the province through Medical Officer and Dental (regularization of services) Act, 2015. These changes include regularization of service and rationalization of financial incentive packages based upon terrain, geographical accessibility, security situation and lack of development and infrastructure. Consequently, the health professional allowance (HPA) for physicians working across KP has been increased from three to six times the baseline existing during the PPHI period, based on remoteness of districts and facilities. (Department of Finance Khyber Pakhtunkhwa, 2016). The purpose of enhancing HPA is to encourage and motivate physicians to work in rural and remote facilities of the province. However, since there was no significant difference between HPA for primary and secondary health facilities inside a district, the outcome was not encouraging as far as retention of MOs in PHCFs is concerned. The data collected by XXX XxX, from a sample of 500 randomly selected BHUs, since the departure of PPHI to February 2020 is given in the table below. (Independent Monitoring Unit, 2020). Table 6. Situation of MOs Retention under DoH Administration (2016-2020) Year Month Sanction Posts Filled Posts % of Filled Posts Remarks 2016 June 500 385 77% Baseline-At the end of PPHI contract December 500 282 56% Termination of PPHI contract and ad- hoc hiring-I by DoH 2017 February 500 404 81% Ad-hoc hiring-II by DoH October 500 336 67% Transfer and promotion 2018 February 500 345 69% October 500 291 58% MOs availed Extraordinary Leave (EOL) for postgraduate training 2019 February 500 274 55% October 500 295 59% Transfers and EOL 2020 February 500 253 51% Source: Khyber Pakhtunkhwa Independent Monitoring Unit, 2020 This shortage of MOs has affected OP attendance in the PHCFs across the province. The statistics given by District Health Information System (DHIS) in this regard are given below. (District Health Information System, 2019). Outpatient Services Attendance Comparison under DoH KP ...
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