Country: 
Bahamas
Subregion: 
Caribe
Type of measurement: 
Estado de Situación 2020
Year: 
2020
Monitoring scenario: 
Monitoreo preliminar
Strategic line of action 1
Objective 1.1
Indicator 1.1.1
Achievement of the indicator: 
Target 2023
COVID-19: 
COVID-19 intensified the spotlight on the national HRH gaps. This window of opportunity can catalyze renewed commitment to developing a comprehensive national HRH policy.
Observations: 
Given the intent to revise the NHSSP, the assignment of this as ‘not reachable in 2023’ seems aggressive. Through the development of the NHSSP 2022 – 2026, there might exist opportunities to advance to initial implementation by 2023.
Indicator 1.1.2
Achievement of the indicator: 
Target 2023
COVID-19: 
The Health EOC served to advocate for policy interventions that would increase the availability and competency of health human resource for responding to COVID-19.
Objective 1.2
Indicator 1.2.1
Achievement of the indicator: 
Target 2023
COVID-19: 
Nil
Indicator 1.2.2
Achievement of the indicator: 
Target 2023
COVID-19: 
HRH gaps were defined during COVID-19, though narrow in focus to nurses, lab personnel and those performing contact tracing functions.
Indicator 1.2.3
Achievement of the indicator: 
Target 2023
COVID-19: 
No utilization of such a system in management of the COVID-19 response.
Observations: 
To be considered within the IS4H initiative.
Objective 1.3
Indicator 1.3.1
Achievement of the indicator: 
Not attainable in 2023
COVID-19: 
The COVID-19 has had many indirect and unintended consequences. The national response to this necessitated work beyond the 40-hour work week as well as establishing engagements with private sector partners. This required an outlay of funds above and beyond those defined in the FY2020/2021 national budget for the human resource component of health.
Observations: 
Task shifting and cross training are likely targets to be achieved versus an increased proportion of the fiscal budget.
Indicator 1.3.2
Achievement of the indicator: 
Not attainable in 2023
COVID-19: 
During COVID-19 the Government of The Bahamas committed to pursuing and employing eligible lab personnel and nurses to augment the response.
Strategic line of action 2
Objective 2.1
Indicator 2.1.1
Achievement of the indicator: 
Target 2023
COVID-19: 
During COVID-19 healthcare personnel were exposed to training and professional development opportunities in subject areas such as infection, prevention and control as well as risk communication and vaccine cold chain storage – to name a few.
Indicator 2.1.2
Achievement of the indicator: 
Target 2023
COVID-19: 
During COVID-19 an Adhoc Working Group, commissioned by the MoH leadership, explored and gave recommendations on economic and non-economic incentives for those early responders to the COVID-19 epidemic.
Indicator 2.1.3
Achievement of the indicator: 
Not attainable in 2023
COVID-19: 
Nil
Observations: 
Considerations must be given to the archipelagic geography of The Bahamas, noting that the population size of some Cays may not justify the deployment of a full-time health worker. Notwithstanding this, a process exists to ensure access to health services. Telehealth will also become an important player.
Objective 2.2
Indicator 2.2.1
Achievement of the indicator: 
Target 2023
COVID-19: 
Prior to and during COVID-19 interprofessional teams existed and functioned at the major public community clinics.
Objective 2.3
Indicator 2.3.1
Achievement of the indicator: 
Baseline 2018/achieved
COVID-19: 
Nil
Observations: 
Many regulatory frameworks are outdated. Updating these will be a necessary component to the overall HRH strategy.
Indicator 2.3.2
Achievement of the indicator: 
Not attainable in 2023
COVID-19: 
During COVID-19 arrangements between public sector institutions facilitated the redistribution of key personnel to meet the public health sector response demand.
Objective 2.4
Indicator 2.4.1
Achievement of the indicator: 
Not attainable in 2023
COVID-19: 
Nil
Strategic line of action 3
Objective 3.1
Indicator 3.1.1
Achievement of the indicator: 
Target 2023
COVID-19: 
During COVID-19 collaborations with the University of The Bahamas was strengthened resulting in the adaptation of the Johns Hopkins University contact tracing course, which has been widely subscribed to nationally.
Indicator 3.1.2
Achievement of the indicator: 
Target 2023
COVID-19: 
Nil
Objective 3.2
Indicator 3.2.1
Achievement of the indicator: 
Target 2023
COVID-19: 
Nil
Observations: 
The national nursing and medical school programmes are accredited. However, programmes in the para-health related fields need to be explored.
Indicator 3.2.2
Achievement of the indicator: 
Baseline 2018/achieved
COVID-19: 
Nil
Observations: 
NAECOB is the national accreditation body.
Objective 3.3
Indicator 3.3.1
Achievement of the indicator: 
Target 2023
Indicator 3.3.2
Achievement of the indicator: 
Does not apply
Observations: 
The MoH has conceptualized the Office of Medical Staff Development. Notwithstanding this, there are resource and structural considerations for achieving this, coupled with personal preference. To influence this, residency funding opportunities would have to be aligned to these areas.
Indicator 3.3.3
Achievement of the indicator: 
Does not apply
Observations: 
See note above.
Estado del registro: 
En proceso
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