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This report highlights the main challenges in human resource development for tuberculosis (TB) control, including high staff turnover and lack of adequate training and supervision across both public and private healthcare facilities. It emphasizes the need for standardized training materials, increased supportive supervision, and the establishment of clear job descriptions to enhance staff retention and effectiveness. Recommendations include organizing annual training programs, intensifying supervision, and developing mechanisms to monitor staff performance and retention. Addressing these issues is critical for strengthening TB control efforts in Thailand.
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Human Resource Development for TB controlmain challenges and recommendations Liesbeth Oey
Main challenges • High staff turnover • Public and private facilities • At various levels; • For several reasons (geographical, working conditions, TB work, short-term contracts); • Lack of structural and continuous attention to all human resources for TB control • Vague/topical job descriptions and no monitoring of HR • Training standardization & planning • Minimal supportive supervision (once a year) 5th Joint Monitoring Mission Thailand
High staff turnover training supervision Retention schemes Training materials & facilitators Checklist & supervisors Attractive packages
Recommendations • Plan, budget and organize annual basic TB training for all new staff that will work in TB • Develop standardized training materials for all levels, with priority to basic TB training and PMDT • Intensify supportive supervision to at least twice a year and link to training follow up and previous supervision findings • Develop (review/revise) job descriptions with clear responsibilities and tasks per level and staff category • Develop a simple tool to monitor staff to identify new staff and staff that has not been trained • Develop staff retention mechanisms to reduce staff turnover 5th Joint Monitoring Mission Thailand