Joint Annual Performance Review 2007 - Ministry of Health

Based on the production capacity of the TSMC/RTCs and the availability of clinical sites, the
number of new intakes for post basic midwifery will maintain to 80 per year for 2007 and
2008.
b. Production of Primary midwifery graduates
The number of the first batch graduates of the primary nurse midwife implemented in the four
RTCs graduates is 398. Among them, 192 are primary midwives. The intakes of the second
batch for fiscal year 2006-2007 are 246 in which 146 are primary midwife students. The
selection based on the identification of vacant post suggested from relevant PHDs and
choosing applicants leaving in the community near by the HC coverage. Based on the
experience from the previous batches, the students with educational background of class 7,
10, or 11 affect to the low quality of teaching and learning activity. It is recommended to
review the selection criteria due to most applicants have high school diploma for the
recruitment of new intakes this year. It is planned to recruit primary midwifery students 120
for 2007 and same for 2008 with the proposed selection criteria at the 4 RTCs. Consideration
should be made on the recruitment of intakes after 2008 based on the number of midwives
new allocation to health facilities.
c. Revitalization of the 3 year program of Midwifery pre service training
Due to the recently implementation of the post basic midwife, the plan to revitalize of the
three year midwifery program was suspended and it is recommended to wait for the finding of
Midwifery Mission Team as well as decision from Top MoH. Therefore, curriculum
development should be started in 2007 and expected to be finalized it end of 2008.
B. Provision of midwifery skills
There are 84 HC staffs receiving the 4 month midwifery course. Among them 60 are funded
by HSSP, 12 by RACHA, and 12 by BTC. RACHA also support 117 staff to the LSS course.
The continuing education for HC staff is managed by the TSMC/RTCs with the collaboration
from relevant PHDs. In the other hand, JICA support 40 midwives working at RHs for CPA
midwifery course managed by the NMCHC. Same as in the previous year, it is expected to
have 100 HC staff trained in midwifery skills (Midwifery 4 month course, NMCHC course,
LSS course) every year for 2007 and 2008.
1. Strengthen human resource planning to reduce mal distribution (Strategy 12)
The two strategies related to equitable distribution of qualified staff to health facilities
remain effective for HR management:
• Identification of staff needed for each level of health service
• Provision of appropriate skills and knowledge to staff for better service delivery
a. Identification of staff needed for each level of health service
The combination of Standard Staffing Level formula and the CPA Guidelines into the HR
Database provide clear direction to the PHDs for staff needed at their organization. The
promotion of using the HR database is very crucial to use it as mean for the purpose of staff
management. The utilization of HR database is first started with the identification of vacant
post for midwives. Therefore in reflection to the gap identified by the HR database and in
consultation with both Departments and relevant PHDs, in 2006, 51 midwives have been
recruited to the vacant posts against 100. Among them, 34 are Primary Midwives and 17 are
Secondary Midwives of the post basic midwifery course. The expectation of at least 70% of
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