pharmaceutical workforce situation analysis country cases studies mrs helen tata (who/emp)

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)


OverviewOverview

Context

The Tool

Case study findings– Ghana– Tanzania– Nigeria– Sudan

Framework development Sudan

Next Steps


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.


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.


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.


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.


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


Pharmacist workforce 2006 – 2009*Sudan – 2009 data not available

Pharmacist workforce 2006 – 2009*Sudan – 2009 data not available


Pharmacists by employment sector (%)Pharmacists by employment sector (%)


Regional distribution pharmacist: GhanaRegional distribution pharmacist: GhanaRegional pharmacist densities per 10,000 population:


Zonal pharmacist densities per 10,000 population: Nigeria

Zonal pharmacist densities per 10,000 population: Nigeria


Regional pharmacist densities per 10,000 population: Tanzania

Regional pharmacist densities per 10,000 population: Tanzania


Regional pharmacist densities per 10,000 population: Sudan

Regional pharmacist densities per 10,000 population: Sudan


Annual pharmacist salary ranges in USDAnnual pharmacist salary ranges in USD


Pharmacist degree applicants and enrolments

Pharmacist degree applicants and enrolments


Pharmacy technician diploma applicants and enrolments

Pharmacy technician diploma applicants and enrolments


Pharmacist vacancy rates in sampled facilities (%)

Pharmacist vacancy rates in sampled facilities (%)


% Pharmacists disagree on job satisfaction statements

% Pharmacists disagree on job satisfaction statements


% Pharmacists that disagreed with statements on harassment and personal safety

% Pharmacists that disagreed with statements on harassment and personal safety


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


Development of Pharmaceutical Human

Resources Framework in Sudan

Dr Hiba YassinMOH

Development of Pharmaceutical Human

Resources Framework in Sudan

Dr Hiba YassinMOH


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


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


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


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


Group consultations in SudanGroup consultations in Sudan


Group consultation in Nigeria Group consultation in Nigeria


Consensus on draft strategic framework developed by consultation participants: Ghana

Consensus on draft strategic framework developed by consultation participants: Ghana


Consensus on draft strategic framework developed by consultation participants: Tanzania

Consensus on draft strategic framework developed by consultation participants: Tanzania


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


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


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


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


Thank You

pharmaceutical workforce situation analysis country cases studies mrs helen tata (who/emp)

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