This Is How Kenya Can Fix The Human Side Of Healthcare

The author, Dr. Cheptinga K. Philip

By Cheptinga K Philip

Addressing human resources in the health sector involves strategically managing the recruitment, development, and retention of healthcare professionals.

This is attained through practices such as competitive compensation, flexible scheduling, targeted training programs, robust employee wellness initiatives and succession planning.

It also achieved through proactive workforce planning to combat staffing shortages, burnout, and geographical disparities, with the ultimate aim to deliver high-quality patient care.

Key areas to focus on

There are various aspects of addressing human resources in the health sector, one of them being workforce planning. This entails analyzing current and projected healthcare needs to identify staffing gaps and skill shortages. Further, there is need to forecast future workforce requirements based on demographics and disease trends, as well as developing strategies to address anticipated gaps through targeted recruitment and training programs.

Recruitment and retention is another key area. By implementing competitive salary packages and benefits, there is high likelihood to attract top talent. There should be a positive work environment to promote employee engagement and retention, on top of utilizing diverse recruitment strategies to reach a wider pool of qualified candidates.

Thirdly, training and development is a key contributor to a robust healthcare system. There should be provision of ongoing professional development opportunities to up-skill healthcare workers and enhance their competencies. In addition, there should be tailored training programs to address specific clinical needs and emerging technologies, not forgetting leadership development programs to cultivate future healthcare leaders.

Another area to focus on is how to prevent burnout. This is attainable by implementing flexible scheduling options to promote work-life balance, promoting healthy work practices and stress management strategies. In addition, management of healthcare systems should promptly address workload concerns by providing adequate support systems.

Another component that affects provision of effective healthcare is geographical disparities. There is need to incentivize healthcare professionals to work in underserved areas through targeted recruitment and retention strategies, as well as developing rural healthcare workforce development programs.

Diversity and inclusion is another area that needs a keen look. There is need to promote a diverse workforce that reflects the patient population. Kenya deserves an inclusive workplace culture to support all employees.

Challenges in Healthcare Human Resources

There are various challenges which need to be actively addressed through strategic Human Resource (HR) practices by the Ministry of Health (MOH) so as to build a robust and sustainable workforce capable of delivering high-quality patient care in our country.

One of the challenges confronting healthcare is staffing shortages. There is high demand for healthcare professionals coupled with an aging workforce.

Burnout and high works too affects healthcare. This is due to stressful work conditions and long hours leading to employee burnout.

Thirdly, there is a variance in compensation and benefits of healthcare professionals. Disparity in pay and benefits across different healthcare setting directly affects morale of workers.

Another challenge is a complex regulatory environment as it is not easy to comply with numerous healthcare regulations.

Geographical distribution imbalances also affects healthcare. Nothing explains this better that the huge concentration of healthcare professionals in urban areas, which disadvantages Kenyans in rural areas.

Super Specialization in Kenya

There is need to have super specialists in the country. This can be addressed via training and adapting, embracing and integrating sub-specialization / Super- Specialization as the rest of the world have embraced it over the last 20 years with provision of high quality patient care.

Super specialization in the health sector is crucial because it allows healthcare professionals to gain in-depth expertise in a specific area of medicine, leading to more accurate diagnoses, advanced treatment options, and improved patient outcomes.

This happens particularly when dealing with complex or rare diseases, as medical science continues to evolve rapidly; essentially, it enables a higher level of care by focusing on highly specialized knowledge and skills within a particular medical field.

Key reasons for super specialization

One of the key reasons for super specialization is increased complexity of diseases. With advancements in medical technology, diseases are becoming more intricate, requiring highly specialized knowledge to properly diagnose and treat them.

The second factor is improved patient care. Super specialists can provide more targeted and tailored treatment plans based on their deep understanding of a specific condition, leading to better outcomes for patients.

Thirdly, we need to look at advanced procedures and techniques. Super specialization often involves access to specialized equipment and advanced surgical techniques, allowing for complex procedures to be performed safely and effectively.

Research and innovation is another reason that justifies super specialization. This is rightly so because super specialists are often actively involved in research within their field, contributing to new discoveries and treatment advancements.

Super specialization also cedes room for collaboration and multidisciplinary approach. It encourages collaboration between different specialists, allowing for a comprehensive approach to complex patient cases.

Open areas for super specialization

There are several areas of super specialization in healthcare, which includes general surgery, cardiothoracic surgery, neurosurgery, ophthalmology, paediatric surgery, orthopaedic surgery, otorhinolaryngology, plastic and reconstructive surgery, urology and neurosurgery

In the directorate of radiation medicine, one can specialize in radiation oncology, radiology and imaging, nuclear medicine, medical physics and interventional radiology

There are more areas to specialize in dental medicine, gynecology, internal medicine, endocrinology and diabetic, infectious diseases, nephrology and hypertension, child health and paediatrics, psychiatry and mental health, pathology, among others.

Emergency Medicines

Emergency medicine is the medical specialty concerned with the care of illnesses or injuries requiring immediate medical attention.

Emergency physicians (often called “ER doctors” in the United States) continuously learn to care for unscheduled and undifferentiated patients of all ages.

As first-line providers, in coordination with Emergency Medical Services, they are primarily responsible for initiating resuscitation and stabilization and performing the initial investigations and interventions necessary to diagnose and treat illnesses or injuries in the acute phase.

Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units.

Still, they may also work in primary care settings such as urgent care clinics.

Dr Cheptinga works as Chief Nephrologist at the Moi Teaching and Referral Hospital (MTRH), Eldoret, and lecturer at Moi University, School of Medicine. This article has been shortened by the editor.

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