Providing Treatment, Restoring Hope

Workforce Recruitment and Retention –

How do we Address HR Sustainability

Pat Bass

Slide 2

What are some of the concerns

• Workload/human resource management• Competition• Burn-out• Need to care for family• “Brain-drain”• Professional satisfaction• Performance and accountability• Incorrect/inadequate knowledge• Recruiting to rural areas• High attrition -> low institutional knowledge

Slide 3

Anecdotal Evidence

• AIDSRelief LPTF staff work longer hours than other hospital staff leading to faster burn out

• High turnover rate among LPTF SI staff; more competition for skilled workers

Slide 4

Addressing Sustainability

Transition strategy began the first day of the project

• CF hires local experts to provide strategic information TA

• CF provides on the job training and professional development as necessary

• LPTFs may / may not have resources to hire experts but need training program in place

• Hire motivated staff with direct interest in program

• Address the professional needs of staff; essential component necessary to promote change

Slide 5

Our Current Strategy

• Address balance between work and free time• Professional satisfaction• Work environment• Providing the 3M’s (IQSolutions)• Opportunity for professional development• Provide comprehensive health care for

workers including HIV care & treatment / workplace HIV/AIDS policy should be in place

• Supportive supervision

Slide 6

Recruiting barriers; managing employees; and reasons for attrition

EmploymentTraining

Working conditionsHR Management

Employee PerformancePerceived risks

Financial motivationCommunity & work conditions

Management skills/communicationPersonal development /promotion

Appropriate staffing levelsWork load balance

Staff support

RecruitmentQualified staff

Rural vs. UrbanFinancial

AttritionResignationCompetitionBrain Drain

** Adapted from WHO Treat, Train, Retain (Guerma, 2006)

Slide 7

Discussion Questions

• How do we improve retention of qualified staff at LPTFs?

• How do we enhance human resource management at both private and public hospitals?

• What is the budget balance between training (new staff) and improving retention

• What are some innovative solutions for recruitment and retention?