Status of Situation 2020 (country: Guyana)

Enviado por en Lun, 21/12/2020 - 14:24
País: 
Guyana
Subregión: 
Caribe
Tipo de medición: 
Estado de Situación 2020
Año: 
2020
Escenario de monitoreo: 
Monitoreo preliminar
Línea estratégica de acción 1
Objetivo 1.1
Indicador 1.1.1
Logro del indicador: 
Meta 2023
COVID-19: 
The State declared a national curfew on April 3, 2020. The decree does not explicitly mention measures on HRH staffing or scaling.
Observaciones: 
Health Vision 2030, the upcoming national health strategy to 2030, has included as a priority the approval of national HRH policy to be done before June 2021. There was a human resource policy / strategy which was not implemented by MOH. Besides the HV 2030. In March 2019 MoH started the first phase of a strategy by conducting a situation analysis with Dalhousie University. It’s in draft. It was not completed by MoH.
Indicador 1.1.2
Logro del indicador: 
Meta 2023
Observaciones: 
Health Vision 2030, the upcoming national health strategy to 2030, has included as a priority the creation of the first ever HRH Development Unit at the MoH to be done before June 2021. In the past there was a HR department which was funded by a project. When the project ended Ministry could not retain the staff.
Objetivo 1.2
Indicador 1.2.1
Logro del indicador: 
Meta 2023
Observaciones: 
A National HRH Development Task Force will be created in coordination with MOH, Ministry of Education and University of Guyana to plan the HRH needs and formation for the next 10 years. This should also include the Public Service Ministry since they issue the scholarships to undergo training.
Indicador 1.2.2
Logro del indicador: 
Meta 2023
Observaciones: 
In the past the regions did a needs assessment for HRH which was submitted to the Public Service Ministry through Regional Health Service (2017).
Indicador 1.2.3
Logro del indicador: 
Meta 2023
Observaciones: 
Health Vision 2030 includes the development and implementation of an HRH Information System by 2022. There has been collection of nurses data from all ten administrative regions which has been uploaded to WHO’s National Health Workforce Accounts.
Objetivo 1.3
Indicador 1.3.1
Logro del indicador: 
Meta 2023
COVID-19: 
MoH passed a new budget in Sept 2020, increasing overall budget of the Health Sector, and allocating supplementary funding for the payment of human resources, the hiring of new 40 permanent staff in the 10 Administrative Regions to perform health surveillance functions.
Observaciones: 
Annually there is a small increase in the budget allocated to human resource for health.
Indicador 1.3.2
Logro del indicador: 
Meta 2023
Observaciones: 
The country has pledged to allocate 30% of the total health budget towards the first level of care in keeping withing UH 30 30 30 initiative.
Línea estratégica de acción 2
Objetivo 2.1
Indicador 2.1.1
Logro del indicador: 
Meta 2023
COVID-19: 
The national HRH policy will include criteria for equitable distribution of human resources for health.
Indicador 2.1.2
Logro del indicador: 
No alcanza en 2023
COVID-19: 
Guyana increased the salaries of frontline health care workers involved in the COVID-19 response, as an economic incentive.
Observaciones: 
The Georgetown Public Hospital Corporation staff that works in the COVID 19 unit has received incentives to date. MOH approved a one time incentive for all health workers.
Indicador 2.1.3
Logro del indicador: 
No alcanza en 2023
COVID-19: 
There was a shortage of health care workers before the pandemic started. Hiring of new 40 permanent staff in the 10 Administrative Regions to perform health surveillance functions. A Cuban medical mission works in the country before the pandemic (approximately 140, including 20 medical specialists, 60 family medicine doctors and 60 more professionals between nurses, therapists and other professionals). There are Cuban HCWs who moved to Guyana to work as health care professionals. No additional Cuban health care workers have come to Guyana after the start of the epidemic. We also have the Chinese medical brigade
Observaciones: 
N.B. - ( for this will have to ask CMO for the ratio of physicians ,nurses and midwives to make a comment here I do not have same)
Objetivo 2.2
Indicador 2.2.1
Logro del indicador: 
Línea de base 2018/alcanzado
COVID-19: 
Rapid Response Teams were deployed in key affected regions to support screening, lab samples, isolation, referral, and contact tracing. Personnel at the PHC centers are composed of nurses and midwives. Some centers have physicians. Though the different category of staff may be present they do not work as a team nor have received IPE in any subject area during their training.
Observaciones: 
Interprofessional Educational (IPE) training has started. 56 educators have undergone the training therefore in the near future the first level of care is expected to have interprofessional teams to provide holistic treatment to patients.
Objetivo 2.3
Indicador 2.3.1
Logro del indicador: 
Línea de base 2018/alcanzado
Observaciones: 
The Ministry of Health has a Health Sciences Education Department that is responsible for liaising with the Regions to determine the number of persons to be trained in the various category of health professional training.
Indicador 2.3.2
Logro del indicador: 
Línea de base 2018/alcanzado
Observaciones: 
To fill the gap, health professionals assume the role of supervisors inorder to delegate, redistribute and supervise task. For example, the most senior staff nurse assumes the responsibilities as the Nurse in Charge at facilities that does not have the scope for a ‘Nursing Supervisor’ and the Ministry is in the process of structuring a remuneration package, by way of an allowance, to the employee.
Objetivo 2.4
Indicador 2.4.1
Logro del indicador: 
Línea de base 2018/alcanzado
COVID-19: 
Not aware of any MOU on migration. This has been a sore point for the country since 1970’s. In 2018 a consultant came and conducted an assessment on migration for the Caribbean. Maybe that report will have something on any agreement the country may have signed.
Observaciones: 
*the ministry employs any foreign national qualified in the health related field and has met the requirements to be registered with the Medical/Nursing Councils.
Línea estratégica de acción 3
Objetivo 3.1
Indicador 3.1.1
Logro del indicador: 
Meta 2023
Observaciones: 
IPE was introduced last year August there was buy in between UG, health sciences and MOH.
Indicador 3.1.2
Logro del indicador: 
Meta 2023
COVID-19: 
A national plan of training is being prepared. There have been several trainings based on needs.
Observaciones: 
Health Sciences and UG should have a plan they are working on.
Objetivo 3.2
Indicador 3.2.1
Logro del indicador: 
No alcanza en 2023
COVID-19: 
According to the health sciences director, the Medex and Public health Nursing Programme is accredited with the UG. The Professional Nursing is accredited with the National Accreditation Council.
Observaciones: 
I’m not sure if 50% of the programmes are accredited. UG has had in the past problems in this area for professional like medex, Public Health programme for Nurses. No know if they have received accreditation as yet. For the Medical school they lost accreditation and got it back. So, some professional programs are accredited but cannot assign a percentage currently.
Indicador 3.2.2
Logro del indicador: 
Meta 2023
Observaciones: 
The health professionals being trained under the Ministry are educated on social accountability standards. Prior to graduating, each trainee must complete a specific amount of time in the practical aspect of their course to test their competencies. The Tutors lecturing the students must be a holder of a Bachelor’s Degree and teach based on the guidelines of the scool.
Objetivo 3.3
Indicador 3.3.1
Logro del indicador: 
Línea de base 2018/alcanzado
COVID-19: 
The plan will be reviewed in 2021.
Observaciones: 
GPHC started the specialist training programme for physicians a few years back based on the needs.
Indicador 3.3.2
Logro del indicador: 
Meta 2023
COVID-19: 
Guyana has a residency program of family medicine since 2016. To date 9 doctors graduated from the program. They are contractually committed to serve 4 years under the MoH.
Indicador 3.3.3
Logro del indicador: 
Meta 2023
COVID-19: 
All family medicine graduates who were funded by the government are absorbed by public institutions.
Observaciones: 
Less than 30 percent of specialist positions are at the first level of care. Only those who specialized in family medicine can be found in the community.
Estado del registro: 
Validado/aprobado
No publicar la información del país: 
Última actualización: Martes, 2 Marzo 2021 - 8:54am