HRH and Community Health Worker Supply and Recruitment

Human Resource for Health program has been a continued niche of BMF and its work has impacted the central policy forums, and the health facilities extending from the national hospital, regional hospitals, and Primary Health Care facilities and in Health Training Institutions. Since 2006 through 5 projects including the noble Mkapa Fellows Programme (MFP), we innovatively fast-tracked hiring and deployment of 2033 skilledhealth workers, of which 987 were retained to work in rural health facilities and regional hospitals to fill the high vacancy rate, followed by 83% of them being mainstreamed into permanent Government employment systems.

Mkapa Foundation’s Skilled health worker offering post delivery services in Muriti Health Centre In Ukerewe District Council, Mwanza Region

As from year 2018, BMF expanded its programs to the community level by supporting LGAs in placement of 239 formally trained Community Health Workers. BMF has advanced the utilization of Community Health Workers (CHW’s) for improved health of underserved communities, This has been achieved through an initiative of deployment of 329 CHW’s that are placed in 329 villages of Chemba Dc (114) ,Itilima Dc (102), Misungwi Dc (113). Follow this link to see a documentary on CHW work in Chemba DC 

A Community Health Worker (Right) conducting a house visit in Kaloleni village -Chemba district –Dodoma

Distribution, retention & productivity of skilled HR and community providers in the undeserved areas based on evidence

Through Health System Strengthening (HSS) 2013-2018, health infrastructure improvement was amongst the interventions whereas BMF constructed 482 standard staff houses in 268 rural health facilities in 54 district councils, which has enhanced skilled health workers distribution and retention and retention thus health services for community are accessible 24 hrs.

Type 1 design staff houses constructed by BMF
Type 2 design staff houses constructed by BMF.
Type 3 design staff houses constructed by BMF
Type 4 design staff houses constructed by BMF

On the other hand, BMF as among other partners of the project under ABT Associate Inc who is the prime partners, oversee the HR component with the main focus on improving human resource planning, recruitment, distribution, retention and management. Until December 2019, a total of 10,332 health workers were distributed basing on Workload Indicator for Staffing Need plus Prioritization Optimization Analysis Tool (WISN plus POA) under this project.  

Through this project, BMF facilitated the development of orientation manual for newly recruited public servants, of which all the LGAs in the entire country were oriented and now under its implementation Apart from that, assisted the development of the Local incentive package in 32 Local government authorities of 13 regions in order to improve retention and productivity of public servants in their respective facilities.

Cost effective and accessible HR development programs

Ongoing training on on effective planning

BMF has continued to maintain its efforts on health systems strengthening programs with continued attention and innovative strategies on improving the Human Resources for Health development, which is still a major crisis hindering health sector performance.   Atleast 4,500 local Government Authorities health managers were trained, coached and mentored on effective planning, supervision and management of health workers. Likewise officials from 23 districts have been reached and capacitated on effective planning and budgeting of their Council Health plans as well as Facility Health Plans.

However, in continuous efforts of use problem-solving approaches to HRH challenges including insufficient opportunities for the on-training at the moment, mostly taking place in classroom-based workshops – a model characterized by high costs and low flexibility depriving health workers of precious time to attend to clients, BMF is leading the implementation of intervention so called “eLearning Platform for Health Workers”aimed at enhancing Continuing Professional Education (CPD) anywhere and anytime. Through Resilient Sustainable Systems for Health project under Global Fund for fighting against AIDS, TB and Malaria, BMF is currently facilitating the development and installation of the e-learning Platform, soon to be accessed through  for on job and professional training to enhance on job professional and service-related trainings through e-learning Platform to improve and sustain quality of service provision at all health facility levels. This intervention aims at customizing an e-Learning platform in Tanzania as a dynamic, user-centred learning medium that can be accessed through mobile devices. The platform intends to contribute to scaling up health workers’ access to various courses, and provide opportunities for national and international virtual mentoring and coaching.