HEALTH PERSONNEL DEVELOPMENT STRATEGIC POLICY: VIEWS FROM HEALTH HR EXPERTS
This qualitative study aimed to investigate the situation of manpower development on health in Health Region 9 Comprising Nakhonratchasima, Chaiyaphum, Buriram, and Surin provinces. Documentary reviews and in-depth interviews were used for data collection. Key informants consisted of 26 people who were executives on personal resource development, heads of Personally Resource Development Affairs, and practitioners.
Results of the study revealed that Health Region 9 had the development of manpower on health as follows: 1) Policy and direction of manpower development implementation at the regional and provincial levels. This was under the policy on the service plan system and task management of the Health Region. It was consistent with the direction and main targets of the strategic plan of the Ministry of Public Health. 2) Regarding the managerial administration, it was found that the manpower development plan at the regional level had input data covering the planning process based on the participation of concerned personal in every province mentioned. There were a system and criteria on the recruitment of personnel to attend the development program which was consistent with the service plan. The main budget for manpower development was allocated by the Ministry of Public Health and there were a monitoring system and assessment after attending the program by the main educational institute. 3) For the manpower situation in the Health Region, there were 4 main work lines: physician, dentist, pharmacist, and nurse having a higher proportion per population than that of the Country. 4) For system and mechanism supporting, manpower development, it was found that there was movement in the central i.e. the policy on development plan on health service system; the policy on public health task management, the policy on analysis of a number of staff by using FTE; and the policy on indicators of Ministry of Public Health/ the Region Networks of manpower development were under the MOU between the educational institute of both under and not under the supervision of Ministry of Public Health inside and outside the Health Region. These consisted of 3 Medicine study centers, 2 Boromarajonnai College of Nursing, 4 public universities and 1 private university. 5) Regarding Knowledge, Technology, and Excellence Centers, it was found that the regional level had the development of the Excellence Center ( Level 1) i.e. The Excellence Center of Nakhonratchasima Maharaj Hospital (Coronary Artery Disease, Cancer Infant, and Trauma. For the provincial level, it was expertise in Good Practice on kidney and COPD, Nakhonratchasima Maharaj hospital, Best Practice on Stroke unit, Buriram hospital and Best Practice on referral to the patients in Surin/ Buriram provinces and Refer Back of Chronic disease. For information technology, it was found that agencies of all levels had a data filing system on personnel development by using an excel program.