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An Assessment of Human Resources for Health Hiring, Deployment and Retention, Procedures and Practices in Cross River and Bauchi States, Nigeria

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An Assessment of Human Resources for Health Hiring, Deployment and Retention, Procedures and Practices in Cross River and Bauchi States, Nigeria Population Council Knowledge Commons Reproductive Health Social and Behavioral Science Research (SBSR) 2019 An assessment of human resources for health hiring, deployment and retention, procedures and practices in Cross river and Bauchi states, Nigeria Osasuyi Dirisu Population Council Akinwumi Akinola Population Council Ekechi Okereke Population Council Godwin Unumeri Population Council Ibrahim Suleiman Population Council See next page for additional authors Follow this and additional works at: https://knowledgecommons.popcouncil.org/departments_sbsr-rh Part of the Civic and Community Engagement Commons, Demography, Population, and Ecology Commons, Family, Life Course, and Society Commons, and the International Public Health Commons How does access to this work benefit ou?y Let us know! Recommended Citation Dirisu, Osasuyi, Akinwumi Akinola, Ekechi Okereke, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril, and George I. Eluwa. 2019. "An assessment of human resources for health hiring, deployment and retention, procedures and practices in Cross river and Bauchi states, Nigeria." Abuja: Population Council. This Report is brought to you for free and open access by the Population Council. Authors Osasuyi Dirisu, Akinwumi Akinola, Ekechi Okereke, Godwin Unumeri, Ibrahim Suleiman, Aisha Jibril, and George I. Eluwa This report is available at Knowledge Commons: https://knowledgecommons.popcouncil.org/departments_sbsr-rh/ 530 ASSESSMENT OF HUMAN RESOURCES FOR HEALTH HIRING, DEPLOYMENT report AND RETENTION, PROCEDURES AND PRACTICES IN NIGERIA’S CROSS RIVER AND BAUCHI STATES 2019 The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. Through biomedical, social science, and public health research in 50 countries, we work with our partners to deliver solutions that lead to more effective policies, programs, and technologies that improve lives around the world. Established in 1952 and headquartered in New York, the Council is a non-governmental, non-profit organization governed by an international board of trustees. Population Council Nigeria Country Office No. 16, House 4, P.O.W. Mafemi Crescent Utako, FCT Abuja Nigeria Tel: +234 9 2914878 popcouncil.org Suggested Citation –Dirisu Osasuyi, Akinola Akinwumi, Okereke Ekechi, Unumeri Godwin, Suleiman Ibrahim, Jibril Aisha and Eluwa George 2019. “An assessment of human resources for health hiring, deployment and retention, procedures and practices in Cross river and Bauchi states, Nigeria”. Human Resources for Health (HRH) Project: Population Council © 2019 The Population Council, Inc. Disclaimer The views and opinions expressed in this report do not necessarily reflect the views of the donor, Global Affairs Canada (GAC), for the Enhancing the Ability of Frontline Health Workers to Improve Health in Nigeria Project. Table of Contents List of Figures ............................................................................................................................................. 5 List of Tables .............................................................................................................................................. 5 Acknowledgments ..................................................................................................................................... 6 List of Acronyms ........................................................................................................................................ 7 Executive Summary ................................................................................................................................... 8 Introduction .............................................................................................................................................. 10 Justification for the Study ................................................................................................................... 11 Aims and Objectives ............................................................................................................................ 11 Aim of the Study ............................................................................................................................... 11 Research Questions ............................................................................................................................. 11 Methods .................................................................................................................................................... 13 Study Site .............................................................................................................................................. 13 Study Design and Study Population .................................................................................................. 13 Sample Size ....................................................................................................................................... 134 Sampling Procedure ............................................................................................................................ 14 Development of Instruments: Interview Guides and Survey Questionnaires ............................. 15 Preparation for Data Collection ......................................................................................................... 16 Field Work ............................................................................................................................................. 16 Data Quality Control ............................................................................................................................ 16 Data Processing and Analysis ............................................................................................................ 17 Ethical Considerations ......................................................................................................................... 17 Results....................................................................................................................................................... 18 Quantitative Findings .......................................................................................................................... 18 Frontline Health Workers ................................................................................................................ 18 Socio-demographic and Background Characteristics ............................................................ 18 Hiring . ………………………………………………………………………………………………………………………..19 Deployment……………………………………………………………………………………………………….……….22 Gender Considerations in Hiring and Deployment……………………………………………………….22 Retention……………………………………………………………………………………………………………………24 Health Managers and Policymakers…………………………………….………………………………………...26 Socio-demographic and Background Characteristics………………………………………..………...26 Health Manager Reports of Hiring……………………………………………………………………………....26 Health Manager Reports of Deployment Policies and Practices…………………………….…....30 Health Manager Reports of Retention ..................................................................................... 31 Manager Perceptions of Worker Satisfaction and Facility Performance……………………….32 Qualitative Findings .......................................................................................................................... 334 Hiring Processes ............................................................................................................................ 334 Participant Perceptions ............................................................................................................ 334 3 Means of Hiring .......................................................................................................................... 334 Experiences with the Hiring Process ....................................................................................... 334 Considerations and Criteria ......................................................................................................... 35 Resource Availability ............................................................................................................... 35 Competence and Merit ............................................................................................................ 35 Equal Opportunity: Ethnicity, Gender and Quota system ................................................... 36 Corruption in the Hiring Process. ........................................................................................... 37 Gender Issues in hiring ............................................................................................................ 37 Need-based Hiring Process ..................................................................................................... 38 Political Influence ..................................................................................................................... 38 Quota System…….……………………………………………………………………………………………………39 Transparency in Hiring Process .............................................................................................. 40 Rating of Hiring Process ........................................................................................................... 40 Challenges of Hiring Process ...................................................................................................... 40 Discrimination
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