Waters 2013 Kenya Workforce IT system

Title Kenya's Health Workforce Information System: A Model of Impact on Strategic Human Resources Policy, Planning, and Management
Format publication
Authors Waters, K.P., Zuber, A., Willy, R.M., Kiriinya, R.N., Waudo, A.N., Olouch, T., Kimani, F.M., Riley, P.L.
Journal Name (if applicable) International Journal of Medical Informatics
Date Published 2013
Open Access Y/N No
Hard copy PDF Available Y/N Yes
Link http://dx.doi.org/10.1016/j.ijmedinf.2013.06.004
Abstract Objective: Countries worldwide are challenged by health worker shortages, skill mix imbal-ances, and maldistribution. Human resources information systems (HRIS) are used tomonitor and address these health workforce issues, but global understanding of such sys-tems is minimal and baseline information regarding their scope and capability is practicallynon-existent. The Kenya Health Workforce Informati System (KHWIS) has been identifiedas a promising example of a functioning HRIS. The objective of this paper is to documentthe impact of KHWIS data on human resources policy, planning and management.Methods: Sources for this study included semi-structured interviews with senior officialsat Kenya’s Ministry of Medical Services (MOMS), Ministry of Public Health and Sanitation(MOPHS), the Department of Nursing within MOMS, the Nursing Council of Kenya, KenyaMedical Practitioners and Dentists Board, Kenya’s Clinical Officers Council, and Kenya Med-ical Laboratory Technicians and Technologists Board. Additionally, quantitative data wereextracted from KHWIS databases to supplement the interviews. Health sector policy doc-uments were retrieved from MOMS and MOPHS websites, and reviewed to assess whetherthey documented any changes to policy and practice as having been impacted by KHWISdata.Results: Interviews with Kenyan government and regulatory officials cited health workforcedata provided by KHWIS influenced policy, regulation, and management. Policy changesinclude extension of Kenya’s age of mandatory civil service retirement from 55 to 60years. Data retrieved from KHWIS document increased relicensing of professional nurses,midwives, medical practitioners and dentists, and interviewees reported this improved com-pliance raised professional regulatory body revenues. The review of Government recordsrevealed few references to KHWIS; however, documentation specifically cited the KHWISas having improved the availability of human resources for health information regardingworkforce planning, management, and development.