iiph delhi ws 29th nov'11

50
HR Innovations Strengthening HR BBSR WS on 3 rd -4 th Feb’12 Dr D. N.Nayak JD-Team Leader State Human Resource Management Unit, Department of Health and Family Welfare, Government of Odisha

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Page 1: Iiph delhi ws 29th nov'11

HR Innovations Strengthening HR

BBSR WS on 3rd-4th Feb’12 Dr D. N.Nayak

JD-Team LeaderState Human Resource Management Unit, Department of Health and Family Welfare,

Government of Odisha

Page 2: Iiph delhi ws 29th nov'11

HRH are the Key to success.. Disease burden and HRH in Odisha Requirement, Availability of Human

Resources & Gap analysis Initiatives……for Augmentation of Human

Resources Filling of Vacancies………..Recruitment Way Ahead……..

Out Lines….

Page 3: Iiph delhi ws 29th nov'11

Developing countries

2

WHO-norm:2.5/1000 poplCurrent:25% less

BACKGROUND

Page 4: Iiph delhi ws 29th nov'11

Gap Analysis

Page 5: Iiph delhi ws 29th nov'11

Category IPHS Sanc Pos vac Odisha

Staff Nurses 26574 2046 1798 248 14410

Pharmacist 4529 1945 1844 101 731

Lab. Technicians

4433 876 657 219 1172

Radiographer 1524 235 123 132 344

HW(F)/ANM 15211 7607 7246 361 8527

HW (Male) 8349 4729 3145 1584 8349

Gap AnalysisRequirement of Paramedics as per norms

Page 6: Iiph delhi ws 29th nov'11

Status of Key Specialists

Sl.No Category Sanc Pos vac

1 Spl.O&G 514 360 154

2 Spl. Paediatrics 374 228 146

3 Spl. Medicine 248 142 106

4 Spl. Surgery 243 137 106

5 Spl. Anaesthesiology 87 51 36

Page 7: Iiph delhi ws 29th nov'11

Gap analysis PH nursing – existing and proposedSl.N

oPositions Proposed

StrengthExisting sanction

Difference

1. ANM 8527 7607 (+1630 cont)

920

2. LHV 1599 1128 471

3. BPHN 314 0 314

4. Dy.DPHNO 60 0 60

5. DPHNO 30 6 14

Total 10530 8751 1779

Page 8: Iiph delhi ws 29th nov'11

Gap analysis-Clinical nursing – existing and proposedSl.N

oPositions Proposed Existing Difference

1. Staff nurse 14410 4100 10310

2. Nursing Sister (Head Nurse )

997 242 242 755

3. Asst.Matron 200 40 160

4. Matron 86 11 75

5. Chief Matron 18 3 15

Total 15711 4396 11315

Note : We have already proposed for 6963 posts of Staff Nurses

Page 9: Iiph delhi ws 29th nov'11

Gaps as per proposed norm for Odisha (Tutors)

Designation Required as for Odisha

Govt. Sanction Strength

Gap

Nursing Tutor / PHN Tutor ( ANM+ GNM+LHVTC)

131 131 0

Nursing Sister/Supervisor

997 242 755

DPHNO 30 16 14

Dy. PHNO 60 0 60

BPHN 314 0 314

Page 10: Iiph delhi ws 29th nov'11

College of NursingSl.n

oPositions Existing

sanctioned strength

Proposed strength

Difference

1. Clinical Instructor 8 8 Nil

2. Assoc. Prof (lecturer) 4 4 Nil

3. Assoc. Prof (Reader) 1 1 Nil

4. Vice Principal 0 1 1

5. Principal 1 1 Nil

Total 14 15 1

Page 11: Iiph delhi ws 29th nov'11

Filling of Vacancies

Page 12: Iiph delhi ws 29th nov'11

Filling of Vacancies……factors…. Recruitment Placement Remuneration Recognisation Job Satisfaction Retention Output-…….Achievements……Goals

Page 13: Iiph delhi ws 29th nov'11

Challenges Recruitment

Availability Gap…. demand and supply- No. of training Institution do not cope with requirement for the state

OPSC Adhoc- Reluctant to join Contractual- mostly retired and over aged

Placement Filling of Vacancy specially in difficult areas Skewed distribution Reluctance to work in difficult areas-demotivation

Transfer- un-certainty

Page 14: Iiph delhi ws 29th nov'11

Non Joining Retention

Salary package Compensation Attractive Career Path Recognisation Job Satisfaction

Absenteeism- Rotation Private Practice

Challenges

Page 15: Iiph delhi ws 29th nov'11

Recruitment…. Process and modes Process

Public Service Commission Ad hoc Contractual Contract-in Counseling Referral

Page 16: Iiph delhi ws 29th nov'11

Modes Centralised Decentralised Mixed

Recruitment…. Process and modes

Page 17: Iiph delhi ws 29th nov'11

Recruitment of doctors Recruitment through O.P.S.C

1st Batch-481 2nd Batch-311 3rd Batch-under process

Ad-hoc appointments 1st Batch-287 2nd Batch-96 3rd Batch -350

Contractual engagement (up to 68 Years) 309 doctors engaged

Decentralized recruitment at District level

Page 18: Iiph delhi ws 29th nov'11

Paramedics made into district cadres CDMOs authorised to fill vacant posts on priority

basis. Policy decisions to engage pharmacists as HW(M) Policy shift from Contractual to regular appointment

Regularisation of service as permanent government servant after 6 years of uninterrupted service-

Multi-skilling – Doctors/Lab Technicians Task Shifting- Public Health & Management functions

may be entrusted with others.

Recruitment of paramedics

Page 19: Iiph delhi ws 29th nov'11

Initiatives for Strengthening HR management

Institutional Arrangement State Human Resource Management Unit

(SHRMU) Nursing Management Support Unit (NMSU) with

focus on realignment of structure Database, HRMIS Capacity building Operational research to generate evidence

Page 20: Iiph delhi ws 29th nov'11

Steps to make government service more attractive /

Retention Entry level posts upgraded to Jr. Class – I. Specialist allowance introduced @ Rs.3,000 More promotional avenues created: About 1200

medical officers have already been promoted Post Mortem allowance @ Rs.500 to each Medical

Officer Legislation for doctors’ safety Later retirement age from 58 to 60 Development of rational and transparent transfer policy

in process

Page 21: Iiph delhi ws 29th nov'11

Financial Additional financial incentives for doctors working in

KBK regions (periphery Rs.8,000 and District HQ Rs.4,000)

Contractual doctors (PG qualified) receive Rs.25,000 for District HQ, Rs.30,000 for periphery institution.

Non Financial Promotion PG study Other Facilities- Cluster housing facilities at block

level (in process)

Incentives for difficult areas….

Page 22: Iiph delhi ws 29th nov'11

We are working on -Public Health Cadre HR Policy Frame working…. Nursing Restructuring in progress Creation of dedicated….Public Health Cadre is in

progress and is a priority for the state Functions defined Functionaries identified Institutions identified, renamed and finalised Structural Reform in progress

Page 23: Iiph delhi ws 29th nov'11

HR Policy .. Future ….. Focus on

Primary Care- Grass Root Level Ensure availability of motivated and dedicated !! health

work force at delivery points

Let us join hands to work on it together.

Page 24: Iiph delhi ws 29th nov'11

Enhancing Production Capacity

Doctors Promoting establishment of more medical colleges Enhancing UG seats in medical colleges (+43 X 3 MCH) Enhancing PG seats in key disciplines in medical Colleges Planning for Diploma courses in key disciplines

Paramedics Establishment of more institutions for nurses, especially in under served

areas. Engaging SN/ ANMs passing out from private government recognised

institutions Increasing the intake capacity of Nurses and planning for more

autonomy for Nurses Promoting Private Nursing Institutions Increasing seats -LTs and radiographers in government colleges

Page 25: Iiph delhi ws 29th nov'11

Can we consider out of box….? Non-Financial-(Green Channel)

Weigtage for PG selection, Post-graduate other PG or Diploma courses @ 5%-10% per annum per year of service

Out of the way promotion- Accelerated assured carrier progression (years-10,15,20,25)

Post dated Transfer and relieve Order Choice of posting after completion of tenure in

hard and difficult area Housing Facilities

Recognisation…..Letter of appreciation.

Page 26: Iiph delhi ws 29th nov'11

Financial Conveyance Allowance to and fro twice in a

year Differential package

Non-Practicing/Rural Allowance(25%-50%)

Can we consider….?

Page 27: Iiph delhi ws 29th nov'11

THANK YOU

Page 28: Iiph delhi ws 29th nov'11

Proposed structure of PH nursing

DPHNO30(0.28%)

Dy.DPHNO(60-0.57%)

BPHN 314 (2.98%)

LHV-1599 (15.18%)

HW(F) (8527-81%)

Page 29: Iiph delhi ws 29th nov'11

Proposed structure of clinical nursing

Chief Matron18(0.11%)

Dy.Nsg Supt (Matron)(86-0.55%)

Asst.Nsg.Supt( A.Matron) 200 (1.27%)

Nursing Sister (Supervisor)-997(6.34%)

Staff Nurse (14410-92%)

Page 30: Iiph delhi ws 29th nov'11

Sl. NoCategory Of Institutions

Number of

Institution

New Institution Sanctioned

Present Intake

Capacity

Intake capacity

(Proposed)

1ANM (Govt.)

16 2 640 720

2 ANM (Pvt) 5030 NOC

to be Given

1490

  TOTAL 66 32 2130 720

Existing numbers and intake capacity of ANM Schools

Page 31: Iiph delhi ws 29th nov'11

Existing numbers and intake capacity of GNM Schools

Sl No

Category

Number of Institutions

Intake Capacity

Existing Institutions

New Sanction

ExistingPropose

d

1 GNM trg schools 3 1+4 200200 + 300

2 GNM (Pvt) 36 8 1355 1430

3GNM (pub sector) Rourkela & Talcher

2 0 70 60

  TOTAL 41 13 1625 1990

Page 32: Iiph delhi ws 29th nov'11

Sl. No.Category of Institution

No. Institutions

Intake capacity

Remark

1Nursing College (B.SC) – Govt.

1+1 20+60SCB

Nursing College

2Nursing College (Pvt.)

12 600

TOTAL 13+1 620+60

Existing numbers and intake capacity of B.Sc Nursing

Page 33: Iiph delhi ws 29th nov'11

Existing numbers and intake capacity of M.Sc Nursing

Sl. No.Category of Institution

No. Institution

s

Intake capacity

Remark

1Nursing College (M.SC) - Govt

1+1 10+25 SCB Nursing College

2Nursing College

(Pvt)

3 50

TOTAL

4+1 60+25

Page 34: Iiph delhi ws 29th nov'11

Capacity building / Skill Development

Institutionalisation of Training Programmes State level training selection committee constituted

Focus on Public Health28 MBBS doctors already trained in post graduate

diploma in public health management .Training of total 60 BEE, BPO and Ayush doctors in

health promotion medicine in progressTraining of 20 MBBS doctors in family medicine in

progress Multi-skilling

Personnel trained in additional skills, eg SBA, EMoC

Page 35: Iiph delhi ws 29th nov'11

Training Training of senior and middle level managers in disaster

management at IIPH Hyderabad Training of mid-level managers on economic evaluation and

cost effective analysis at IIPH, New Delhi Training on research methodology in health science

Exposure visits Hospital managers for bio-medical waste management Nursing personnel to Andhra Pradesh Nursing personnel to University of Nottingham, UK

Capacity building Ctd.

Page 36: Iiph delhi ws 29th nov'11

Innovations & Initiatives

Databases for doctors, health institutions established and for paramedics in process

SHRMU encourages professionals to submit research proposals

Research and Ethical Committee constituted Study under way on retention of health personnel

in remote and rural parts of Orissa.

Page 37: Iiph delhi ws 29th nov'11

More Steps to reduce vacancies• Centralised web-based application and

recruitment using pre-designed software• Short-listing of candidates at central level, with

final verification and appointment at district level• Recruiting on campus • Existing and retiring staff nurses, tutors etc

considered for recruitment to faculty positions• B.Sc and M.Sc qualified nurses may be posted at

the ANM / GNM trg schools / nursing colleges• Possible additional allowances for difficult areas• Increase in sanctioned staff nurse posts by 6,963• Establishment of tribal ANM schools with free

education and bonding in disadvantaged areas

Page 38: Iiph delhi ws 29th nov'11

Status-Human Resources on Health

Category Requirement as per

IPHS’05

Requiremen

t as per

IPHS’11

Sanction Position

Regular Contractual

Mar’05

Sept. 11

Mar’ 05

Sept. 11

NRHM Others

Doctors (Allopathy)

6422 4259 4394 3459 3575 278

Specialist 4233 824 1819 673 1123 - -

Staff Nurse 11088 2244 3522 2122 1775 884 6

MPHW(M) 6695 4911 5727 4659 3083 - 602

MPHW(F) 14724 7121 9237 6871 7072 1186 -

Lab. Tech 2667 801 1639 728 653 110 271

Pharmacist 2704 2039 2114 1957 1812 134 5

Radiographer

941 162 235 123 115 - -

Page 39: Iiph delhi ws 29th nov'11

Doctors in KBK & KBK+ Districts

Sl. No District Sanction Position

Vacancy

1 Bolangir162 150 12

2 Boudh56 38 18

3 Gajapati83 71 12

4 Kalahandi176 130 46

5 Kandhamal146 87 59

6 Koraput168 116 52

7 Malkangiri88 54 34

8 Nawarang Pur116 56 60

9 Nuapada70 45 25

10 Rayagada121 85 36

11 Sonepur76 64 12

Total (KBK &KBK+) 1262 896 366 (29%) Total (Non-KBK) 3089 2475 614(19.9%)

Page 40: Iiph delhi ws 29th nov'11

Specialists in KBK & KBK+ Districts

Sl. No District Sanc. Pos.

Vac.

1 Bolangir 69 45 242 Boudh 25 16 93 Gajapati 36 26 104 Kalahandi 83 48 355 Kandhamal 65 40 256 Koraput 71 40 317 Malkangiri 35 15 208 Nawarang Pur 47 12 359 Nuapada 33 18 15

10 Rayagada 48 24 2411 Sonepur 34 24 10

Total 546 308238

(56.4%) Total (non KBK) 1273 815 458(35.9%)

Page 41: Iiph delhi ws 29th nov'11

Sl. No DistrictStaff Nurse

San Pos Vac1 Bolangir 130 88 422 Boudh 36 15 213 Gajapati 49 35 144 Kalahandi 145 81 64

5Kandhamal

112 68 446 Koraput 136 102 347 Malkangiri 76 39 378 NawaraPur 90 18 729 Nuapada 37 41 -4

10 Rayagada 78 40 3811 Sonepur 46 29 17

Total 935 556 379(40.5%) Total (non KBK) 3522 2665 857 (24.3%)

Status of Staff Nurse in KBK & KBK+ Districts

Page 42: Iiph delhi ws 29th nov'11

Sl. No DistrictPharmacist

San Pos Vac1 Bolangir 83 72 112 Boudh 19 18 13 Gajapati 34 34 04 Kalahandi 94 94 0

5 Kandhamal 81 75 66 Koraput 84 83 17 Malkangiri 68 52 168 NawaraPur 63 64 -19 Nuapada 30 31 -1

10 Rayagada 57 54 311 Sonepur 37 28 9

Total 650 605 45(6.9%) Total (State) 2114 1951 163(7.7%)

Status of Pharmacists in KBK & KBK+ Districts

Page 43: Iiph delhi ws 29th nov'11

Sl. No DistrictRadiographer

San Pos Vac1 Bolangir 6 3 32 Boudh 5 1 43 Gajapati 4 2 24 Kalahandi 6 5 1

5 Kandhamal 9 8 16 Koraput 7 3 47 Malkangiri 7 4 38 NawaraPur 2 2 09 Nuapada 4 4 0

10 Rayagada 3 2 111 Sonepur 4 2 2

Total 57 36 21( 36.8% ) Total (State) 235 115 120(51%)

Status of Radiographer in KBK & KBK+ Districts

Page 44: Iiph delhi ws 29th nov'11

Sl. No DistrictHW (Male)

San Pos Vac1 Bolangir 199 147 522 Boudh 64 44 203 Gajapati 160 102 584 Kalahandi 235 192 435 Kandhamal 190 150 406 Koraput 244 177 677 Malkangiri 116 65 518 NawaraPur 184 66 1189 Nuapada 134 117 17

10 Rayagada 201 110 9111 Sonepur 167 134 33

Total 1894 1304 590( 31.2%) Total (State) 5727 3685 2042(35.7%)

Status of Health Worker (M) in KBK & KBK+

Districts

Page 45: Iiph delhi ws 29th nov'11

Status of Health Worker (F) in KBK & KBK+ Districts

Sl. No DistrictHW (Female)

San Pos Vac1 Bolangir 316 299 172 Boudh 92 91 13 Gajapati 231 173 584 Kalahandi 350 345 55 Kandhamal 247 226 216 Koraput 409 349 607 Malkangiri 218 192 268 Nawarang Pur 378 388 -109 Nuapada 147 143 4

10 Rayagada 310 315 -511 Sonepur 121 124 -3

Total 2819 2645 174 ( 6.17 %) Total (State) 9237 8258 979 ( 10.6%)

Page 46: Iiph delhi ws 29th nov'11

Status of Lab. Technicians in KBK & KBK+ Districts

Sl. No DistrictLab. Technicians

San Pos Vac1 Bolangir 65 55 102 Boudh 21 13 83 Gajapati 31 25 64 Kalahandi 54 35 195 Kandhamal 62 37 256 Koraput 79 45 347 Malkangiri 54 18 368 NawaraPur 54 25 299 Nuapada 46 17 29

10 Rayagada 54 43 1111 Sonepur 25 15 10

Total 545 328 217(40.56%) Total (State) 1639 1034 605 ( 37%)

Page 47: Iiph delhi ws 29th nov'11

Category of Health Personnel

Requirement ExistingSanction

GAP

IPHSMinimum

(RHS-2009)Vacancy

RHS (MinimumPosts to be

created)

Staff Nurses 14410 10132 2046 271 8086

Pharmacist 2676 1914 1945 133 731

Lab. Technicians 2823 2069 897 244 1172

Radiographer 918 511 235 120 344

HW(F)/ANM 14985 14608 7607 535 7001

HW (Male) 6718 6688 4667 1584 2021

Requirement of Paramedics as per norms

Page 48: Iiph delhi ws 29th nov'11

Vacancies filled during last year

Category Periphery NRHM Total

Staff Nurse 251 884 1135

Pharmacist 71 32 103

MPHW (F)/ Addl.ANM

NA 1186 1186

MPHW (M) 421 NA 421

L.T 215 109 324

Page 49: Iiph delhi ws 29th nov'11

HR Status as on October'2011

Sl. No Category of Post Sanction Position Vacancy

1 Doctor 4394 3853 541(12.3%)

2 Pharmacist 2114 1951 163 (7.7%)

3 Staff Nurse 3522 2665 857(24.3%)

4 L.T 1639 1034 605 (37%)

5 MPHW (M) 5727 3685 2042(35.7%)

6 MPHW (F) 9237 8258 979(10.6%)

7 LHV 1128 1013 1159(10.2%)

7 Radiographer 235 115 120(51%)

Page 50: Iiph delhi ws 29th nov'11

A Framework for Managing Human Resources

50Source: Joint Learning Initiative, Harvard University