Optimized Health Human Resource System to Upscale Diagnosis and Treatment of Hiv/aids Cases in Migori County Hospital

Abstract

This project was aimed at coming up with an optimized Health Human Resource system to upscale diagnosis and treatment of HIV/AIDS patients in Migori County Hospital. The county located at the former Nyanza Province has a high HIV/AIDS prevalence rate of 28.6 % as per the County profile of 2016. It is home to a population of 1,048,602, segregated into 509,551 males (49%) and 539,051 females (51%). The portion which is under 15 years comprises of 48% of the entire inhabitants. The youth who are of the age bracket 15-24 years comprise of 21% of the population. The specific objectives of the study were: First, to develop a stakeholder designed optimized Health workforce management system, Secondly, to do an assessment of healthcare capacity gaps in Migori Hospital biased towards HIV/AIDS in the Hospital, thirdly develop a workforce capacity building plan/framework, fourthly do capacity building for Health workers how to develop a healthcare delivery capacity gaps with bias towards HIV/AIDS and the region at large, fifthly to develop Monitoring and evaluation implementation matrix tool. The project established that Migori County Hospital has a functional Health Human Resource system particularly in areas of Human Resource Information System, Performance Management and Promotion. An aspect which was identified to have a challenge is on reward and promotion. The system on promotion is well defined but its implementation is a challenge because of financial constraints. Skills gaps were identified on the area of data analysis, documentation and use. The fellow recommends further capacity building in these areas. The project was successfully implemented and the deliverables are summarized healthcare capacity gaps report/document in the Hospital, Health workforce capacity building ix framework, Implementation framework and the summarized proceedings/deliberations of the presentation made during the capacity building workshop On sustainability and to enable the Hospital have the project beneficial over a long period of time, beyond the fellowship, several interventions were made. Foremost, an implementation framework spreading over three years was developed. The framework has well defined activities and time limits: Secondly, a capacity building workshop was held and was well attended with representation from all the Departments. Finally, the proceeding of the workshop was distributed to all the attendees for future reference. The scalability of the project will involve its implementation in other Hospitals and Health facilities in the wider Migori County, other counties in the former larger Nyanza region and the country at large.