WEBVTT

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[MUSIC PLAYING]

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ASSEFA SEME DERESSE:
Our next topic

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is about the challenges
associated with human resources

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for health.

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The challenges that are
associated with human resources

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for health include,
generally, shortage,

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means not having enough skilled
workers, maldistribution--

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a situation where the skilled
workers are concentrated

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in one area when
there are deficits

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in other areas,
concentration is mostly

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happening in urban areas--

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skill mix imbalance--
the skills workers

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have may not be the
ones that are needed.

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And the other is motivation.

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Some of the health
worker's workforces

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are demotivated to
work in some areas.

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And then the other general
human resource challenge

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is migration, where
workers may leave

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for higher paying jobs in other
countries, or within a country

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itself.

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So think about how polio
eradication officials overcome

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some of these challenges
in your setting.

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Some of the measures
that are taken

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is, like, task modifications
for unskilled or semi-skilled

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workers, or pulling on
a wide range of workers,

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including those outside
the health sector.

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And some technical assistance
from other countries

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could be one of the strategies
that the officials usually

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take into account to
overcome those challenges.

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The other challenge
that's usually

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associated with human resources
for health is high turnover.

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Because of their
overworked and poorly paid

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status in some of the facilities
and some of the countries,

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inconducive working environment
in some areas because

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of the poor infrastructure,
lack of appropriate provisions,

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or poor accountability.

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Usually, health workers,
there is a high turnover

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of health workers.

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Shortage of well-trained
staff across activities,

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especially in high
dense population,

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is some of the challenges that
some countries have already

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faced.

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With regard to turnover, here
is one of their knowledge

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on what the
policymakers has to say.

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The turnover of health
workers is too fast.

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After they are
trained, sometimes,

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after six months
or one year, they

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have moved to other departments.

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Certain regions have
a lesser number.

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Sometimes they have
double or triple job.

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This is an issue that goes
beyond polio eradication,

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but it has impact on polio
eradication activities.

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Is this an issue in your area?

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Why would this be the case?

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The second example is an
example taken from India.

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A respondent says the following.

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Motivation factor and money
factor, the frontline workers

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getting small
money and still, we

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have three campaigns
slotted for 2019.

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So the demotivation
factor will come again

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and then we have to
compromise on the quality.

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And this is a big challenge.

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Is this an issue in your area?

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Why would this be the case?

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Recruitment is another
challenge associated

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with polio human
resources for health.

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Political appointment of staff,
especially in leadership roles,

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resulting in unqualified
persons running the program when

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there is an appropriate
qualified person

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to be placed in the post.

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Deployment is another
important challenge.

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Unequal distribution
of health workers

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in terms of geographical areas,
health establishment, gender,

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category of workers, is
one of the challenges

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that usually faced the country.

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Health workers
from other programs

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pulled in to support
polio program activities,

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and this results in
disturbing the other programs.

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This is a situation some
countries have already faced.

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Here are some more
challenges that

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have been faced in different
context of the global polio

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eradication initiative.

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These are some more
challenges that

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have been faced in different
contexts of the global polio

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eradication initiatives.

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How are these challenges
played out in your context?

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Another example from an
Indonesian policymaker.

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Concerning challenges facing
human resources for health,

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here is what he has to say.

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In conducting national
immunization days,

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many challenges came from
infrastructure and geographical

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barriers.

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For example, in
1995, health staff

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had to leave for the
area they weren't working

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two days before the
national immunizing days

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due to difficult transportation.

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If the boat could
not operate, they

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had to walk to that
village carrying

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all the equipment, such
as fridge and generator

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to keep the vaccine.

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Is this an issue in your area?

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Why would this be the case?

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Could this be solved by
hiring local health workers?

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What might be some of
the challenges there?

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Here are some more
challenges that

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have been faced in
different contexts, funding.

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Irregular payment due to lack
of coordination and transparency

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between actors, and a
target-based funding

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is a problem that is associated
with human resources for health

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for polio eradication.

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Security is another challenge,
where killing and harassing

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of health workers in areas
of conflict and instability,

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that paves the lives
of many health workers.

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The motivation,
that is associated

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with poor supervision
and support

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from the higher
authorities, low morale

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due to prolonged activities,
and some health workers

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stay in the same place
all of their time

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and they're distrustful
of the system

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are some of the
challenges that has

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been associated with human
resources for health.

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How do you think these
challenges play out

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in your text?

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And what solutions might
exist for such problems?

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Here is a statement that
an Ethiopian health worker

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mentioned while
being interviewed

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about the challenges
associated with human resources

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for health.

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The work makes you tired.

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Working home-to-home
makes you tired.

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Working like this for so
many years makes you tired.

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When you go, you
don't find them.

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When you go the next day,
you don't get them again

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because they are out for work.

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Such things have an impact on
the effort of the campaign.

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[MUSIC PLAYING]

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