HEALTH HUMAN RESOURCES INFORMATION DATASETS IN THE AMERICAS Jamaican Database of Human Resources in Health Final Report February 20, 2009 Rainford Wilks, Douladel Willie, Jan Van den Broeck Consultants: Gail Hudson, Ann Marie Witter, Allison Annette Foster and Félix Héctor Rígoli Epidemiology Research Unit Tropical Medicine Research Institute The University of the West Indies Kingston, Jamaica This publication contains the report of an Epidemiology Research Unit, Tropical Medicine Research Institute, University of West Indies technical consultation, and does not necessary represent the decisions or policies of the Pan American Health Organization (PAHO). Produced and printed with technical and financial support of PAHO. Pan American Health Organization “Health Human resources Information Datasets in the Americas: Jamaican Database of Human Resources in Health” Washington, D. C.: PAHO, © 2009 ISBN: 978-92-75-13288-3 (Electronic) 978-92-75-12965-4 (Printed) I. Title 1. PUBLIC HEALTH INFORMATIC – standards 2. MANAGEMENT INFORMATION SYSTEMS – utilization 3. AUTOMATIC DATA PROCESSING 4. INFORMATION SYSTEMS – manpower 5. DATABASES AS TOPIC – utilization 6. HEALTH MANPOWER – trends 7. AMERICAS NLM – W26.5 ii CONTENTS FOREWORD ................................................................................................................... 3 INTRODUCTION ............................................................................................................. 5 EXECUTIVE SUMMARY ................................................................................................ 7 Chapter 1. BACKGROUND ........................................................................................... 9 Importance for Jamaica ............................................................................................................. 12 Jamaican Health Care Provision and Training .......................................................................... 12 Healthcare Delivery Professionals in Jamaica .......................................................................... 13 Chapter 2. METHOD ................................................................................................... 15 Study preparation ...................................................................................................................... 15 Core dataset parameters ............................................................................................................ 15 Health professionals studied ..................................................................................................... 15 Main areas of investigation ....................................................................................................... 16 Stocks and flows dataset ....................................................................................................... 16 Sources of data .................................................................................................................. 16 Collection of Data ............................................................................................................. 17 Data analysis and interpretation ........................................................................................ 17 Regulatory framework and management practices dataset ................................................... 17 Sources of data .................................................................................................................. 17 Collection of data .............................................................................................................. 18 Data analysis and interpretation ........................................................................................ 18 Education system dataset ...................................................................................................... 18 Sources of data .................................................................................................................. 18 Collection of data .............................................................................................................. 19 Data analysis and interpretation ........................................................................................ 19 Database construction ............................................................................................................... 19 Development of sustainable infrastructure ............................................................................... 20 Data management, ethical issues, analysis and reporting ......................................................... 20 Chapter 3. RESULTS .................................................................................................. 23 3.1. Data collection process ................................................................................................. 23 Conclusions and recommendations....................................................................................... 25 3.2. Stocks and flows dataset ............................................................................................... 25 Specialists ............................................................................................................................. 33 Private sector estimates ......................................................................................................... 34 Medical Doctors ................................................................................................................ 34 Nurses ............................................................................................................................... 34 Dentists and allied professionals ....................................................................................... 35 Pharmacists ....................................................................................................................... 35 Professions Supplementary to Medicine ........................................................................... 35 Health Facilities .................................................................................................................... 36 Conclusions and Recommendations ..................................................................................... 37 3.3. Regulatory Framework and Management Practices ..................................................... 38 Conclusions and Recommendations ..................................................................................... 40 3.4. Education System Dataset............................................................................................. 41 Regulatory framework for educational institutions .............................................................. 41 Registration and Accreditation ............................................................................................. 43 Conclusion and Recommendations ....................................................................................... 53 Chapter 4. GENERAL CONCLUSIONS AND RECOMMENDATIONS ....................... 55 Main findings ............................................................................................................................ 55 Stocks and flows dataset ....................................................................................................... 55 Regulatory framework and management practices dataset ................................................... 56 Education system dataset ...................................................................................................... 56 REFERENCE LIST ....................................................................................................... 59 Appendix 1. Regional goals for human resources for health 2007-2015 ............... 61 Appendix 2: Core data set for data management project ....................................... 65 3. Stocks and Flows .............................................................................................................. 65 1A. Number of Workers in Health Activities: .................................................................. 65 1B. Distribution of Workers in Health Activities: ............................................................ 65 1C. Professional and Subsets of Workers in Health Activities:........................................ 66 Additional Data Information to Include in Stocks and Flow ............................................ 67 4. Regulatory Framework and Management Practices (Descriptive) ............................... 67 3. Education System (Descriptive) ................................................................................... 68 Appendix 3: Categories of health professionals in Jamaican Database ............... 71 Appendix 4. Liaison officers within organizations .................................................. 73 Appendix 5: Sample Letters of introduction ............................................................ 75 To Regulatory Councils ............................................................................................................ 75 Stocks and Flows .................................................................................................................. 76 Number of Workers in Health Activities .......................................................................... 76 Distribution of Workers in Health Activities .................................................................... 77 Regulatory Framework