Biennial Health Conference 2011 - Ministry of Health

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Report of the 1st Biennial Health Conference 7-9 November 2011 forum apprised the ministry that the vehicle can be fueled by the party of the deceased while the vehicle maybe provided free by the facility as the cabbies charge high fares. Hon’ble Lyonpo directed the district health personnel and the respective Dasho Dzongdags to figure out ways to procure the utility vehicles without full financial support from the government. ADOPTION OF AGENDA The agenda was adopted as proposed. PARALLEL SESSIONS COMMITTEE A- Chaired by Dr. DORJI wangchuk, Offtg. Secretary HRD MASTER PLAN AND STRATEGY – Ms. Yangchen, Chief HRO, HRD Mrs. Yangchen presented on the status of Health HR, implementation of HR master plan, performance management as per PCS, recruitment and selection procedures, objectives of in-country training unit and promotion issues. Some of the major challenges highlighted were shortage of HR, stagnation of promotions, coordination issues with in-country training, brain drain and difficult to keep pace with the ever changing technology. Reviewing of career ladder, mobilization of fund for implementing the HR Masterplan and conducting training need assessment vs. the HRD Masterplan were among the way forward adopted by the division. The forum deliberated on the following issues: • Limited career advancement opportunities for Health Assistants/nurses/ technicians due to qualification factors. • Up-gradation of all BHWs , HAs and ACOs irrespective of age • It was submitted that all nominations and transfers should be routed through the Dzongkhag HRC with proper outcome. • It was submitted that MBBS graduates were placed in Grade 7 in the PCS but as per the cadre system, they were placed in Grade 5 in the past. There is a general feeling of unfair treatment among the MBBS doctors. • Only few health professionals have received fast track promotion due to lack of timely information. -24-
Report of the 1st Biennial Health Conference 7-9 November 2011 • The Uniform allowances for female HAs and caretakers were not given in some health facility because there are no written directives. • The position title of ADHOs is still reflected as HA under the PCS. The positional title of DHO could be reviewed under PCS. • In view of shortage of Doctors in the district hospitals thus hampering the quality care, concerns on whether additional ACO or HA could be provided were submitted. • It was submitted that district doctors work for 24 hours and they should be incentivized. DMOs have bigger responsibilities as compared to the MO while they have the same level of entitlement. If certain incentives such as waiving out house rent could be put in place. • Day off- for nurses and health workers in the casualty. • Discrepancies in the title of the female HAs and ANMs- paramedical and nursing practice • Lots of students have ENT problem in Tashigang while there is no ENT technician. The following were the comments from HRD with regard to the above issues: • It was clarified that there has not been much transfer proposals unless on the basis of medical ground. Promotion stagnation has been discussed in the recent HRC. Ground work has been already done and the proposal would soon be submitted to RCSC. Nothing can be done on the increment as it is under the jurisdiction of Ministry of Finance. • Up-gradation could be one of the measures to promote to next level. • As per BCSR rule, the limit on the age for up-gradation course cannot be done away, while HRD could try proposing to RCSC. • The transfer of health workers have been decentralized to the district level and the Ministry will transfer based on their outcome. • With regard to the ADHOs position, HRD informed that the issue has been discussed and the appeal has been already submitted to RCSC. RCSC has informed that it requires to be discussed further. • HRD will discuss the issues of entry grade for doctors with RCSC • To address the Brain Drain, Ministry is working on retention policy by recruiting specialist on contract basis with higher remuneration. • HRD Master plan will be the basis of deploying the right person in the right place. -25-
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Biennial Health Conference 2011 - Ministry of Health

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