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Capacity Building - Health

This document discusses factors related to building sustainable human resources capacity in public and private health services. It uses examples from eye care services in India that received World Bank assistance in the 1990s. While infrastructure, equipment, and training were provided, the government-run eye hospital showed deficiencies nearly a decade later, with doctors not using proper examination equipment and performing few surgeries. In contrast, a private NGO-run eye hospital in the same district had more surgeries in smaller facilities. Sustainable capacity building requires not just knowledge, staffing, or structures, but strategies to keep health workers motivated and foster a culture of teamwork.

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Genut Wahyu Widiono
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75 views15 pages

Capacity Building - Health

This document discusses factors related to building sustainable human resources capacity in public and private health services. It uses examples from eye care services in India that received World Bank assistance in the 1990s. While infrastructure, equipment, and training were provided, the government-run eye hospital showed deficiencies nearly a decade later, with doctors not using proper examination equipment and performing few surgeries. In contrast, a private NGO-run eye hospital in the same district had more surgeries in smaller facilities. Sustainable capacity building requires not just knowledge, staffing, or structures, but strategies to keep health workers motivated and foster a culture of teamwork.

Uploaded by

Genut Wahyu Widiono
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Human Resources Factors-Key to

Sustainability
Learning from the Example of
Public and Private Health
services

Keerti Bhusan Pradhan


Consultant-Health Systems
[email protected]
9 components of systemic capacity building

Source: Potter & Brough HPP


Eye care services-Example
World Bank assistance of US$136 million
was provided in 1994 to the NPCB for 7
states which accounted for more than
70% of the cataract work load.
The program consisted of Infrastructure
development, equipment, consumables,
training and capacity building.
States: AP, MP, MS, Orissa, Rajasthan, TN &
UP
Dhenkanal District Eye Hospital
Orissa inaugurated July 2000 in district
hospital campus
Govt. Eye Hospital- 9 years later

Photo taken 2009


Ophthalmologist in the District
Hospital OPD
Ophthalmologist in the District
Hospital OPD
 Sitting in the open
patient waiting area
 Does not use required
equipment/instruments
to check the eye
 Eye Examination
equipment-slit lamp is
lying inside without any
use
District Hospital Eye Unit OT
 Big OT
 All equipment available
 Expensive eqpt. available
 Some are brand new but
defunct
 Only 254 surgeries per
year
Private (NGO) Eye Hospital in a
rented building in the same district hq
Private (NGO) Eye Hospital OT
 Small size OT in
comparison to Govt.
eye unit
 Doing 5000 surgeries
per year
Talking to the patient
√

√ √

√
√
What it needs to ensure in Capacity
Building of HR?
 Not only knowledge and skills
 Not just additional manpower
 Not just organisational structures
 Not just regular salaries
 Not just regular training and capacity
building
But
Strategies to keep the workforce
motivated and a culture of teamwork in
healthcare…………..
Thank you

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