REPUBLIC OF KENYA MINISTRY OF HEALTH

REPUBLIC OF KENYA MINISTRY OF HEALTH

HEALTH SECTOR

Human ResourceS StratEGY 2014-2018

December, 2014

Disclaimer: ANY PART OF THIS DOCUMENT may be freely reviewed, quoted, reproduced or translated in full or in part, provided the source is acknowledged. It may not be sold or used in

conjunction with commercial purposes or for profit.

Health Sector Human Resources Strategy 2014 ? 2018 Published by: Ministry of Health Afya House Cathedral Road PO Box 30016 00100 Nairobi, Kenya Email: ps@health.go.ke

"This publication is made possible by the generous support of the American people through the United States Agency for International

Development (USAID).

The views expressed in this document do not necessarily reflect the views of the United States Agency for International Development or the

United States Government."

TABLE OF CONTENTS

List of tables.................................................................................................................................. v list of figures............................................................................................................................... vi List of abbreviations................................................................................................................ vii ForEwOrd....................................................................................................................................... ix ACKNOWLEDGEMENTS.................................................................................................................... x Executive summary.................................................................................................................... xi CHAPTER 1: INTRODUCTION........................................................................................................... 1

1.1 Basic Socioeconomic Indicators........................................................................................................................ 1 1.2 Disease Burden........................................................................................................................................................ 2

1.2.1 Communicable Diseases............................................................................................................................5 1.2.2 Non-Communicable Diseases (NCDs)..................................................................................................6 1.2.3 Maternal Health............................................................................................................................................6 1.2.5 Lifestyle Diseases and Risk Health Factors.........................................................................................8 1.3 Purpose and objectives of human resources for health.......................................................................... 8 1.4 Healthcare System and Structures.................................................................................................................... 9 1.5 The Methodology of Developing the HRH Strategy...............................................................................11 1.6 Guiding Principles.................................................................................................................................................12 1.7 The Values and Principles of Public Service ...............................................................................................12 CHAPTER 2: POLICY CONTEXT......................................................................................................13 2.1 The Kenya Vision 2030........................................................................................................................................13 2.2 The New Constitution and Devolution.........................................................................................................13 2.3 Kenya Health Policy 2012-2030.......................................................................................................................14 2.4 Kenya Health Sector Strategic plan and Investment Plan (KHSSP III) 2013-2017........................15

HEALTH SECTOR: Human ResourceS StratEGY 2014-2018

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CHAPTER 3: THE CURRENT HUMAN RESOURCES FOR HEALTH................................................16 3.1 Staffing in the Government and FBOs/NGOs Health Facilities............................................................16 3.2 Staffing at KNH and MTRH...............................................................................................................................20 3.3 Staffing in Private Health Facilities..................................................................................................................22 3.5 Attrition of Health Workers...............................................................................................................................30 3.6 Migration of Health Workers............................................................................................................................30

CHAPTER 4: HEALTH WORKFORCE PROJECTIONS AND GAPS..................................................33 4.1 Staff Projections and Gaps................................................................................................................................33 4.2 Training Projections and Gaps.........................................................................................................................36

CHAPTER 5: STRATEGIC DIRECTION.............................................................................................40 5.1. Projected Outcomes...........................................................................................................................................41

CHAPTER 6: MONITORING AND EVALUATION PLAN.................................................................46 CHAPTER 7: IMPLEMENTATION PLAN..........................................................................................61 APPENDICES.................................................................................................................................... 62 APPENDIX 1: KENYA COUNTIES MAP...........................................................................................62 APPENDIX 2 A: POPULATION BY COUNTIES ............................................................................. 63 APPENDIX 3: KENYA HRH COMMITMENTS ............................................................................... 66

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HEALTH SECTOR: Human ResourceS StratEGY 2014-2018

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