Role of civil society in human resources for health

Background: This study “The Role of Civil Society in Human Resources for Health” is one of six research reports on “Barriers to Effective Policy Implementation and Management of Human Resources for Health in Nepal.” The objective of the study is to analyse the role of civil s...

Full description

Saved in:
Bibliographic Details
Main Authors: EUROPEAN UNION, MERLIN, SOLID/Nepal
Format: Technical Report
Language:en_US
Published: SOLID Nepal 2012
Subjects:
Online Access:http://103.69.126.140:8080/handle/123456789/783
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:103.69.126.140:123456789-783
record_format dspace
institution My University
collection DSpace
language en_US
topic Health System
Nepal
spellingShingle Health System
Nepal
EUROPEAN UNION
MERLIN
SOLID/Nepal
Role of civil society in human resources for health
description Background: This study “The Role of Civil Society in Human Resources for Health” is one of six research reports on “Barriers to Effective Policy Implementation and Management of Human Resources for Health in Nepal.” The objective of the study is to analyse the role of civil society engagement in enhancing health service delivery in Nepal. Current national health policies and strategies of Nepal illustrate the government’ s commitment to involving Civil Society Organisations (CSOs) in improving Human Resources for Health (HRH) through the decentralisation of health service delivery and the handover of facilities to the Health Facility Operation and Management Committee (HFOMC). However, these have not sufficiently specified CSOs roles. Methodology: A cross-sectional descriptive study was conducted using mixed method with observation checklist. Fifteen districts representing eco-developmental regions of Nepal were selected using multi-stage cluster sampling method. Out of 404 sample, 747 health workforce from 375 health institutions were interviewed (<10% non-response rate) using the Probability Proportionate to Size method as per WHO guideline. Observation was carried out in 256 health facilities. Further, secondary review was carried out for triangulation of findings. Key Findings: Qualitative data indicated a gap on policy implementation, health sector decentralization and CSOs involvement to improve HRH. Nearly 75 percent respondents had opined that the political parties were supporting the health institutions in the grassroots. It was found that the support from the CSO was better in Hill (54.9%) compared to T arai (46.9%) and Mountain (46.7%). The support was significantly different between rural and urban [p <0.05, CI 95%]. Mean Index score of effectiveness of CSOs was found highest in Hills (0.3036) followed by Mountains (0.2669) and T arai (0.2589) [Cronbach's á=0.8057]. While analysing the manifestos of 9 major political parties, only 5 of them have mentioned policy statements on HRH production, distribution and implementation whereas only one party has highlighted strategies with peoples' participation. Conclusion and Recommendations: The government should recognise, reorganise and formalise therole of civil society in policy documents and should seek participation of CSOs in the formulation ofpolicies and strategies related to HRH. The urban based CSOs should be strengthened.The Ayurvedic centres, I/NGOs and Private outlets should be regulated through a guideline to operate in coordination with DPHO so that the roles of CSO in district as a whole could be assessed. The PHCs need to take lead in establishing the coherent relationship with local CSOs, HP and SHP too. Constructive dialogue, planning and mobilisation around the health workforce to broaden the extent of social determinants of health are needed in collaboration with GOs, I/NGOs and private sector should be ensured. Studies and researches related to the involvement of CSO in HRH planning, policy making, managing and implementing the programmes is needed. The district level governance should establish an effective coordination between DDC and DPHO, it should utilise local media and use efforts to enhance the involvement of civil society in health programmes. It should also identify the areas that are unsecured and with low social prestige for HRH within district and periodically counsel the CSOs for making better environment. Most crucially the CSOs should reward better performing HRH and have a social audit of institutions as well as health workers.
format Technical Report
author EUROPEAN UNION
MERLIN
SOLID/Nepal
author_facet EUROPEAN UNION
MERLIN
SOLID/Nepal
author_sort EUROPEAN UNION
title Role of civil society in human resources for health
title_short Role of civil society in human resources for health
title_full Role of civil society in human resources for health
title_fullStr Role of civil society in human resources for health
title_full_unstemmed Role of civil society in human resources for health
title_sort role of civil society in human resources for health
publisher SOLID Nepal
publishDate 2012
url http://103.69.126.140:8080/handle/123456789/783
work_keys_str_mv AT europeanunion roleofcivilsocietyinhumanresourcesforhealth
AT merlin roleofcivilsocietyinhumanresourcesforhealth
AT solidnepal roleofcivilsocietyinhumanresourcesforhealth
AT europeanunion barriestoeffectivepolicyimplementationandmanagementofhumanresourcesforhealthinnepal
AT merlin barriestoeffectivepolicyimplementationandmanagementofhumanresourcesforhealthinnepal
AT solidnepal barriestoeffectivepolicyimplementationandmanagementofhumanresourcesforhealthinnepal
_version_ 1761501179801501696
spelling oai:103.69.126.140:123456789-7832022-11-09T06:45:56Z Role of civil society in human resources for health Barries to effective policy implementation and management of human resources for health in Nepal EUROPEAN UNION MERLIN SOLID/Nepal Health System Nepal Background: This study “The Role of Civil Society in Human Resources for Health” is one of six research reports on “Barriers to Effective Policy Implementation and Management of Human Resources for Health in Nepal.” The objective of the study is to analyse the role of civil society engagement in enhancing health service delivery in Nepal. Current national health policies and strategies of Nepal illustrate the government’ s commitment to involving Civil Society Organisations (CSOs) in improving Human Resources for Health (HRH) through the decentralisation of health service delivery and the handover of facilities to the Health Facility Operation and Management Committee (HFOMC). However, these have not sufficiently specified CSOs roles. Methodology: A cross-sectional descriptive study was conducted using mixed method with observation checklist. Fifteen districts representing eco-developmental regions of Nepal were selected using multi-stage cluster sampling method. Out of 404 sample, 747 health workforce from 375 health institutions were interviewed (<10% non-response rate) using the Probability Proportionate to Size method as per WHO guideline. Observation was carried out in 256 health facilities. Further, secondary review was carried out for triangulation of findings. Key Findings: Qualitative data indicated a gap on policy implementation, health sector decentralization and CSOs involvement to improve HRH. Nearly 75 percent respondents had opined that the political parties were supporting the health institutions in the grassroots. It was found that the support from the CSO was better in Hill (54.9%) compared to T arai (46.9%) and Mountain (46.7%). The support was significantly different between rural and urban [p <0.05, CI 95%]. Mean Index score of effectiveness of CSOs was found highest in Hills (0.3036) followed by Mountains (0.2669) and T arai (0.2589) [Cronbach's á=0.8057]. While analysing the manifestos of 9 major political parties, only 5 of them have mentioned policy statements on HRH production, distribution and implementation whereas only one party has highlighted strategies with peoples' participation. Conclusion and Recommendations: The government should recognise, reorganise and formalise therole of civil society in policy documents and should seek participation of CSOs in the formulation ofpolicies and strategies related to HRH. The urban based CSOs should be strengthened.The Ayurvedic centres, I/NGOs and Private outlets should be regulated through a guideline to operate in coordination with DPHO so that the roles of CSO in district as a whole could be assessed. The PHCs need to take lead in establishing the coherent relationship with local CSOs, HP and SHP too. Constructive dialogue, planning and mobilisation around the health workforce to broaden the extent of social determinants of health are needed in collaboration with GOs, I/NGOs and private sector should be ensured. Studies and researches related to the involvement of CSO in HRH planning, policy making, managing and implementing the programmes is needed. The district level governance should establish an effective coordination between DDC and DPHO, it should utilise local media and use efforts to enhance the involvement of civil society in health programmes. It should also identify the areas that are unsecured and with low social prestige for HRH within district and periodically counsel the CSOs for making better environment. Most crucially the CSOs should reward better performing HRH and have a social audit of institutions as well as health workers. 2012-12-24T22:28:59Z 2022-11-08T10:20:33Z 2012-12-24T22:28:59Z 2022-11-08T10:20:33Z 2012-05 Technical Report Society for Local Integrated Development Nepal (SOLID Nepal) and Merlin Nepal. Barriers to Effective Policy Implementation and Management of Human Resources for Health in Nepal: Role of Civil Society in Health Resources for Health. Lalitpur, Nepal: SOLID Nepal; 2012 http://103.69.126.140:8080/handle/123456789/783 en_US application/pdf SOLID Nepal