HRDC, Developing a Human Resource Plan for the Health Sector

The overall purpose of the study was to lay the foundation for a new, improved and macro-level understanding of Botswana’s strategic and long term human resource development needs and demands of the health sector and to ensure alignment with the education and skills development system so that it can respond effectively to those needs and demands. The specific objective was to strengthen the Sector Human Resource Development Planning System by developing a Human Resource Development Plan for the health sector in Botswana.

Study Approach

Our approach to this assignment was grounded in the use of labour market analysis methods and signalling tools to inform the planners of the type of skills required and the critical changes in skills and competencies necessary to sustain and grow the human resources for health in Botswana. 

Research Methods and Design

This consultancy assignment utilized three main methods: literature/desk review, institutional quantitative data, and qualitative data. 
1. Literature/Desk Review
Literature review of the existing body of scholarship was done to gather the secondary/existing text data. The desk review was used to prepare the Situational Analysis Report within the PESTEL (Political, Economic, Social, Technological, Environmental and Legislative) framework.
2. INSTITUTIONAL Quantitative DATA  
Institutional quantitative secondary data was used for demand for skills projections and supply of skills projections.            
Secondary data sources for demand was mainly obtained from the Ministry of Health and Statistics Botswana publications on staffing levels, demographics and skills for the different cadres in the health sector over a five year period. 
Since the data sets had not been uniformly collected over the years, the data had to be coded for comparability. 
The institutional secondary data for supply of skills analysis was collected HRDC data bases which captured information on student enrolment by skill; number of graduates by skill; student dropout rates; current staffing levels by skill; staffing gaps by skill; and staff salaries by skill  
3. Qualitative Data
Qualitative data was collected using Key Informant Interviews and Focus Group Discussions (FGDs).  Non probability sampling method, in particular purposive sampling scheme was used to select respondents for Key Informant Interviews. This method was deemed most appropriate for the survey because it allowed selection of members of the target population who were more likely to provide the most valuable data addressing the research objectives. The Key Informants included Botswana Health Professionals Council (BHPC), Nursing and Midwifery Council of Botswana (NMCB), University of Botswana Faculty of Health Services and School of Medicine; Health Professional Associations; Heads of Institutes of Health training institutions, members of the HRDC Health Sector Committee.
Focus Group Discussions (FGDs) were conducted with key policy makers of MOH (Deputy Permanent Secretaries; Directors of Policy, Planning, Monitoring and Evaluation, Public Health, Corporate services, Clinical Services, HIV/AIDS Prevention and Care, Health Services) and District Health Medical Teams (DHMTs). The issues investigated through FGDs included their assessment of government effort to improve attraction and retention of health sector workers, the quality of health skills produced by national institutions in Botswana, how to improve the HR environment for health sector workers, funding strategies for HRD plan, quality of health care delivery.

Report Progress

A complete Situational Analysis Report and a Draft HRD Plan, including a monitoring and evaluation framework have been submitted to the Human Resource Development Council for review and dissemination to the public through a broad range of media channels including national workshops, print and electronic media