Chris Chris Rakuom Rakuom Chief Nursing Officer Chief Nursing Officer Kenya Ministry of Medical Services – Department of Nursing – Republic of Kenya
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Chris Chris RakuomRakuomChief Nursing OfficerChief Nursing OfficerKenya
Ministry of Medical Services – Department of Nursing – Republic of Kenya
OVERVIEW
Ministry of Medical Services – Department of Nursing – Republic of Kenya
WORKFORCE DYNAMICSSupply: Management of stock of nurses
Those in training Those trained outside Kenya coming in Those migrating out of the country Those who are private practitioners Registered to practice in Kenya
Demand: Management of nurses in active service Worksite requirements and actual deployment Attrition e.g. death, retirement, resignation Skills and competencies Provider : Population ratio Provider : Client ratio
Ministry of Medical Services – Department of Nursing – Republic of Kenya
MOHRegulatory Boards
Human Resources
Dept
Provincial quarterly HRH staffing data
District quarterly HRH staffing data
Sub-district HRH staffing data: health posts, dispensaries
(public, private, faith-based)
OVERVIEW OF KENYA HEALTHCARE WORKFORCE SYSTEM
Regulatory BoardsRegulatory BoardsRegulatory Boards
MOHRegulatory Boards
MOHRegulatory Boards
MOHRegulatory Boards
Human Resources
DeptMOHRegulatory
Boards
Human Resources
DeptMOHRegulatory
Boards
SYSTEM SET UPNursing Council of Kenya
Data Centre (supply side)
Depart. of Nursing in the Ministry
Data Centre (demand side)
Provinces
Electronic data
capturing
Data source (demand side)
Health FacilitiesTraining Institutions
Training Colleges
Data Source(Indexing
&Registration)
HR Department in the MinistryIPPD
Ministry of Medical Services – Department of Nursing – Republic of Kenya
DATABASE SYSTEMNCK data linked to MOH deployment data via satellite Internet connection
Regulatory(Supply)
MOH(Demand)
NBI NYZ RV W E NE CST C
Ministry of Medical Services – Department of Nursing – Republic of Kenya
SOME DATA BEING COLLECTEDSOME DATA BEING COLLECTED
Ministry of Medical Services – Department of Nursing – Republic of Kenya
DISTRIBUTION OF GOK NURSES BY PROVINCE (per 100,000 pop), Nov 2009
80.78
68.41
50.34 52.06
29.44
46.66 47.88
38.68
51.81
0
10
20
30
40
50
60
70
80
90
Nairobi Central Coast Eastern N/ Eastern Nyanza R/ Valley Wstern National
NURSES PER 100,000 PER DISTRICTNORTH EASTERN PROVINCE (July 2009)
136
148
3731
4753 54
72
125
51
18
30
80
52
0
20
40
60
80
100
120
140
160
Embu
Isiolo
Kitru
iM
akue
niM
acha
kos
Mar
sabit
Mbe
ere
Mer
u Cen
tral
Moy
aleM
wing
iM
eru
North
Thar
aka
Nith
ipr
ovinc
ial
10
RIFT VALLEY PROVINCENURSES WITH MIDWIFERY SKILLS (Jan 2010)
Deployment Facility by Type of Midwife for Rift Valley Province
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Hospitals (64%)
Health Centres (14%)
Dispensary (16%)
MOH Offices (5%)
KRCHN KRN+KRM KRM KEM KECHN
Nurses who are projected to retire (age 55 yrs)
0500
10001500
200025003000
2009 2010 2011 2012 2013
cum
ulat
ive
tota
l
Ministry of Medical Services – Department of Nursing – Republic of Kenya
Recruitment of Nurses
02000400060008000
1000012000
’98 ’99 ’00 ’01 ’02 ’03 ’04 ’05 ’06
no. o
f nur
ses
(cum
ulat
ive)
GraduatesRecruited to GOKBalance
Ministry of Medical Services – Department of Nursing – Republic of Kenya
ATTRITION FACTORS BY YEAR
0
50
100
150
200
250
300
Dismiss
al
Death
Interdict
ionRes
ignation
Retirem
ent
Outmigrat
ionStu
dy lea
veUnpa
id lea
vePaid
leav
eTran
sfer o
f serv
ice
No. o
f nur
ses
leav
ing 2002
2004
2005
2006
2007
2008
Ministry of Medical Services – Department of Nursing – Republic of Kenya
PRELIMINARY ANALYSIS OF RELATIONSHIP OF NURSING WORKFORCE WITH HEALTH INDICATORS
0
10
20
30
40
50
60
70
80
90
National Nairobi Coast Central Eastern N/Eastern R/Valley Nyanza Western
% Birth in HealthFacility (2006)
Full Immunization(2007)
HIV Prev. % (2007)
Nurses per100,000
DISTRIBUTION OF OUT‐MIGRATION APPLICATIONS (2002‐2008)
Average ‐ 840 nurses apply for out‐migration annually.
CHALLENGESCHALLENGES
Data management and data use skills.Data management and data use skills. Capacity building in areas of management, Capacity building in areas of management, leadership, research, and policy development.leadership, research, and policy development.
IT equipment for service provision level.IT equipment for service provision level. Empowering managers on data use.Empowering managers on data use. Creating a culture of managing by data.Creating a culture of managing by data.
Ministry of Medical Services – Department of Nursing – Republic of Kenya
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