Pillar 1: Human Resources for Health

Human Resources for Health

Human Resources for Health has long been recognised as the cornerstone of the health sector that produces, delivers and manage services. WHO recommends a norm of 21.7 doctors per 100,000 population and 228 nurses per 100,000 population. Kenya had 14 doctors per 100,000 population and only 42 nurses per 100,000 population respectively in 2016.

Amref Health Africa has been involved in capacity building of mid-level and community health workers through in-service, pre-service and Continuing Professional Development (CPD) for many years. Today, Amref continues to develop and sustain human resources for health (HRH) to catalyse the attainment of universal health coverage. Specific focus areas are:

  • Increasing the number and skills mix of primary health care workers including community health workers
  • Strengthening leadership, management and governance capacities within primary health care systems, including communities.

Flagship Initiatives

Leadership, Management and Governance (LMG)

Amref Health Africa in Kenya is strengthening leadership, management and governance within the devolved health context by equipping County Health Management Team (CHMT), Sub-County Health Management Team (SCHMT) and Health Facility Management Committee (HFMC) members with skills to better provide leadership across the health system. The aim is to ensure that funds and other resources availed to counties, sub counties and health facilities to support the provision of adequate services are effectively managed and accounted for.

Building on decades of experience working within the civil society organisation (CSO) space in community settings, Amref Health Africa continues to use the Organisational Development and Systems Strengthening (ODSS) model to enhance the capacity of local organisations to design, implement, monitor and evaluate the impact of their interventions.

In 2018, a total of 2,492 CSO representatives received Community-LMG training.

Skills mix and numbers of mid-level and community level health workers

By using diverse approaches, including digital technologies, Amref Health Africa is supporting county governments to bridge the human resources for health gap by enhancing the skills of in-service and community-level health service providers in areas such as health service delivery, health financing, health information management systems, sexual and reproductive health and rights, alternative rites of passage, female genital mutilation, child early and forced marriages, child protection, among other areas in line with its mandate.

In 2018, a total of 30,725 mid-level health workers and 885 community-level health workers (CHEWS and CHWs) were trained.

Harmonious Industrial Relations

In efforts to prevent recurring and prolonged health workers strikes that cause preventable deaths and avoidable economic strain to patients and affected families, Amref facilitates county governments to engage in dialogue with health workers and their unions by providing technical support for labour relations to resolve industrial strife.