Reimagining Health Systems for Better Health: Strategic Recommendations for Strengthening Health Workforce in Botswana – A Qualitative Study

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DOI: 10.21522/TIJAR.2014.12.04.Art012

Authors : Naledi Moipone Mlaudzi, Sonika Raj Goel, Dintle S. Molosiwa

Abstract:

The global shortage of healthcare workers, particularly in low-and middle income countries, poses a significant challenge to achieving Universal Health Coverage (UHC) and the Sustainable Development Goals (SDGs). This study aimed to explore stakeholder’s perspectives on the underlying factors contributing to the shortage of healthcare workers and to identify actionable strategies for addressing these challenges. In depth interviews were conducted with 38 key informants guided by the World Health Organization’s Global Strategy on Human Resource for Health: Workforce 2030. Thematic analysis revealed several underlying issues, including the absence of reliable human resource data to inform planning, skills mismatches; ineffective recruitment and retention strategies, limited career progression, poor staff motivation, internal and external migration and frequent leadership turnover.Stakeholders proposed recommendatins such as, flexible staffing models(e.g. short-term contracts)the use of workload indicators to guide staffing decisions, the development and utilization of robust human resource information system, and the implementation of context training programs and mentorship programs delivered on-site. Additionally, stakeholders emphised the importance of improving workplace conditions, enhancing proffesional development opportunities, and strengthening staff motivation to reduce burnout and improve retention, particularly in underserved areas. The findings highlight the need for integrated, data driven, contextual relevant approaches to human resource planning and development.

References:

[1].   World Health Organization (WHO). 2016. Global Strategy on Human Resources for Health: Workforce 2030. Retrieved from https://www.who.int

[2].   World Health Organization. 2023. 5th Global Forum on Human Resources for Health.

[3].   Ikhurionan, O., et al., 2022. Health workforce deficits in LMICs: Challenges and solutions.

[4].   Booth, A., et al., 2021. An assessment of human resources for health in Botswana: challenges and strategic priorities. (If used previously in your study).

[5].   Bello, M., Bassey, B., & Agupugo, K., 2023. Integrating Telemedicine and AI to Improve Healthcare Access in Rural Communities. International Journal of Life Sciences Research Archive, 4(2), 45–58. Retrieved from https://sciresjournals.com/ijlsra/sites/default/files/IJLSRA-2024-0061.pdf

[6].    Lorenzo, F. M. E., Galvez-Tan, J., Icamina, K., & Javier, L., 2007. Nurse migration from a source country perspective: Philippine country case study. Health Services Research, 42(3p2), 1406–1418. https://doi.org/10.1111/j.1475-6773.2007.00716.x

[7].   World Health Organization. 2010. Increasing access to health workers in remote and rural areas through improved retention: Global policy recommendations. Geneva: WHO. Retrieved from https://www.who.int/publications/i/item/9789241564014

[8].   Binagwaho, et al., 2013. Human Resources for Health Program in Rwanda.

[9].   Olu, O., Mipando, M., Chimwaza, A., & Chisema, A., 2019. Task shifting in Malawi: Achievements and challenges. African Health Monitor, World Health Organization Regional Office for Africa.

[10].  India-WHO Collaboration 2020. Strengthening Medical Education.