Burkina Faso increased its health care workforce between 2006 and 2010, but not sufficiently to meet the population’s growing needs. Burkina Faso suffers from a severe lack of qualified health workers at all levels including support staff. There is less than 1 (0.45) physician per 10,000 people, 3.57 nurses per 10,000 people, and 2.39 midwives per 10,000 (Burkina Faso Ministry of Health, Statistical Yearbook 2010).
Current HRH problems are due to:
- a historical lack of financial resources to recruit health workers in a timely manner,
- lack of workforce planning,
- absence of computerized HRH systems,
- misallocation of human resources, and
- lack of experience in HRH.
Recent achievements include the 2010 creation of an HRH plan and a general census of all public sector HRH and infrastructure. These led to the creation of a personnel database and HRH redistribution strategies (Recensement Général du Personnel du Ministère de la Santé: Document d’Analyse, 2010).
Long-term goals include:
- development of staffing tools,
- a centralized HRH staffing system,
- better allocation of current HRH resources,
- increased levels of intersectoral collaboration,
- revising HR organizational charts,
- training management, and
- decentralization of management to 13 local health regions for more effective and efficient resource management (Ministry of Health Plan for Human Resource Development 2011-2015).
Country Coordination and Facilitation (CCF) in Burkina Faso:
With the assistance of the Alliance, Burkina Faso has been extremely successful in completing numerous steps in the CCF process. These include:
- stakeholder identification and analysis at country level,
- sensitization and orientation of stakeholders,
- creation of an intersectoral coordination mechanism (a national committee) to involve relevant stakeholders in HRH development that includes o the 3 types of external representation :
- non-ministry of health
- non-public sector
- and external partners, such as bilateral or multilateral organizations
- and involvement of the HRH committee in developing an evidence-based, comprehensive and costed HRH plan (Reviewing Progress, Renewing Commitment: Progress report on the Kampala Declaration and Agenda for Global Action, the Alliance 2011).
Burkina Faso is currently engaging stakeholders in the process of implementing, monitoring, and evaluating the HRH plan.
HEALTH WORKFORCE DATA
HUMAN RESOURCES FOR HEALTH PLAN
Plan de gestion des effectifs et de la mobilisation des ressources humaines du Ministère de la Santé, Ministry of Health, 2005 ¨[in French]
HEALTH SECTOR STRATEGIES / PLANS
COUNTRY CASE STUDIES AND OTHER DOCUMENTS
Financial Incentives and Mobility of the Health Workforce in Burkina Faso
- Programme national d’assurance qualité en santé (2011)
Programme evaluation training for health professionals in francophone Africa: process, competence acquisition and use (2009)
- Macroeconomic and Fiscal Issues in Scaling Up Human Resources for health in low income countries