Main Article Content
This qualitative study aimed to investigate the workload sufficiency of manpower and manpower management in District Health promotion Hospitals (DHPHs). Purposive sampling was applied to select 8 outstanding DHPHs from 4 geographic regions across the country. Focus group discussions were conducted, and all health personnel who working in selected settings participated. Descriptive statistics, and content analysis were applied for data analysis.
The main findings indicated that 1) Health personnel in DHPH spent their working hours for 60%-70% more than health promotion and prevention activities which were their major responsibility; 2) Comparing with staffing standard and current workload, there was shortage of health personnel in DHPH. They also complained about an imbalance between their effort and reward, they did not get overtime payment and career advancement; 3) Health personnel had to share 30% of their working hours for administrative and clerical jobs which led to decrease time to provide health services. These jobs consisted of performance reporting associated with MOPH mandatory indicators, financial and accounting reports, supply and inventory document and input data into management information system for various public agencies, etc. These findings suggested that, MOPH should improve staffing standard and allocation, and improve morale and optimize resources utilization. Moreover, development of administrative competency for directors of DHPH and reorientation of a mandatory reporting system need to be concerned as well.
Article published Is the copyright of the Journal of Health and Nursing Research (Boromarajonani College of Nursing, Bangkok) Cannot be republished in other journals
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