Emory University School of Nursing, 325 Swanton Way, Decatur, GA 30030, United States of America.
Bull World Health Organ. 2010 Nov 1;88(11):824-30. doi: 10.2471/BLT.09.072678. Epub 2010 Jun 3.
To analyse the effect of Kenya's Emergency Hiring Plan for nurses on their inequitable distribution in rural and underserved areas.
We used data from the Kenya Health Workforce Informatics System on the nursing workforce to determine the effect of the Emergency Hiring Plan on nurse shortages and maldistribution. The total number of nurses, the number of nurses per 100,000 population and the opening of previously closed or new heath facilities were recorded.
Of the 18,181 nurses employed in Kenya's public sector in 2009, 1836 (10%) had been recruited since 2005 through the Emergency Hiring Plan. Nursing staff increased by 7% in hospitals, 13% in health centres and 15% in dispensaries. North Eastern province, which includes some of the most remote areas, benefited most: the number of nurses per 100,000 population increased by 37%. The next greatest increase was in Nyanza province, which has the highest prevalence of HIV infection in Kenya. Emergency Hiring Plan nurses enabled the number of functioning public health facilities to increase by 29%. By February 2010, 94% of the nurses hired under pre-recruitment absorption agreements had entered the civil service.
The Emergency Hiring Plan for nurses significantly increased health services in Kenya's rural and underserved areas over the short term. Preliminary indicators of sustainability are promising, as most nurses hired are now civil servants. However, continued monitoring will be necessary over the long term to evaluate future nurse retention. The accurate workforce data provided by the Kenya Health Workforce Informatics System were essential for evaluating the effect of the Emergency Hiring Plan.
分析肯尼亚护士紧急招聘计划对农村和服务不足地区护理人员配置不公平的影响。
我们使用肯尼亚卫生人力信息系统中的护理人员数据，确定紧急招聘计划对护士短缺和分布不均的影响。记录了护士总数、每 10 万人拥有的护士人数以及以前关闭或新开的卫生机构的开放情况。
2009 年，在肯尼亚公共部门就业的 18181 名护士中，有 1836 名（10%）自 2005 年以来通过紧急招聘计划招聘。医院的护理人员增加了 7%，保健中心增加了 13%，诊所增加了 15%。东北部地区受益最多，包括一些最偏远的地区，每 10 万人拥有的护士人数增加了 37%。其次是奈瓦沙省，该省是肯尼亚艾滋病毒感染率最高的地区。紧急招聘计划护士使公共卫生设施的运作数量增加了 29%。到 2010 年 2 月，根据预招聘吸收协议招聘的 94%护士已进入公务员队伍。
在短期内，护士紧急招聘计划大大增加了肯尼亚农村和服务不足地区的卫生服务。由于大多数招聘的护士现在都是公务员，初步的可持续性指标是有希望的。然而，需要进行长期监测，以评估未来的护士保留情况。肯尼亚卫生人力信息系统提供的准确劳动力数据对于评估紧急招聘计划的效果至关重要。
