Chris Rakuom Chief Nursing Officer - WHO · Nursing Council of Kenya Data Centre (supply side) Depart. of Nursing in the Ministry Data Centre (demand side) Provinces Electronic data

Chris Chris RakuomRakuomChief Nursing OfficerChief Nursing OfficerKenya

Ministry of Medical Services – Department of Nursing – Republic of Kenya

OVERVIEW


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


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




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


DATABASE SYSTEMNCK data linked to MOH deployment data via satellite Internet connection

Regulatory(Supply)

MOH(Demand)

NBI NYZ RV W E NE CST C


SOME DATA BEING COLLECTEDSOME DATA BEING COLLECTED


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


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


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


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.


Chris Rakuom Chief Nursing Officer - WHO · Nursing Council of Kenya Data Centre (supply side) Depart. of Nursing in the Ministry Data Centre (demand side) Provinces Electronic data

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