Attribution: Please use this identifier to share, cite, or link to this item: http://hdl.handle.net/10625/49658
Title: Human resources for health challenges of public health system reform in Georgia
Authors: Djibuti, Mamuka
Gotsadze, George
Mataradze, George
Menabde, George
Keywords: HEALTH PERSONNEL
HEALTH HUMAN RESOURCES
HUMAN RESOURCES FOR HEALTH ACTION FRAMEWORK
HEALTH SERVICES
HEALTH SYSTEM
PUBLIC HEALTH
HEALTH CARE REFORM
Date: 27-May-2008
Citation: Djibuti, M., Gotsadze, G., Mataradze, G., & Menabde, G. (2008). Human resources for health challenges of public health system reform in Georgia. Human Resources for Health, 6 (8). doi:10.1186/1478-4491-6-8
Abstract: Background: Human resources (HR) are one of the most important components determining performance of public health system. The aim of this study was to assess adequacy of HR of local public health agencies to meet the needs emerging from health care reforms in Georgia. Methods: We used the Human Resources for Health Action Framework, which includes six components: HR management, policy, finance, education, partnerships and leadership. The study employed: (a) quantitative methods: from September to November 2004, 30 randomly selected district Centers of Public Health (CPH) were surveyed through face-to-face interviews with the CPH director and one public health worker randomly selected from all professional staff; and (b) qualitative methods: in November 2004, Focus Group Discussions (FGD) were held among 3 groups: a) 12 district public health professionals, b) 11 directors of district public health centers, and c) 10 policy makers at central level. Results: There was an unequal distribution of public health workers across selected institutions, with lack of professionals in remote rural district centers and overstaffing in urban centers. Survey respondents disagreed or were uncertain that public health workers possess adequate skills and knowledge necessary for delivery of public health programs. FGDs shed additional light on the survey findings that there is no clear vision and plans on HR development. Limited budget, poor planning, and ignorance from the local government were mentioned as main reasons for inadequate staffing. FGD participants were concerned with lack of good training institutions and training programs, lack of adequate legislation for HR issues, and lack of necessary resources for HR development from the government. Conclusion: After ten years of public health system reforms in Georgia, the public health workforce still has major problems such as irrational distribution and inadequate knowledge and skills. There is an urgent need for re-training and training programs and development of conducive policy environment with sufficient resources to address these problems and assure adequate functionality of public health programs.
URI: http://hdl.handle.net/10625/49658
Project Number: 102172
Project Title: Operational Research: Canadian International Immunization Initiative - Phase II (CIII2)
Access: Open Access
Copyright: Djibuti et al; licensee BioMed Central Ltd.
License: This is an Open Access article distributed under the terms of the Creative Commons Attribution License
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