RRT_Short_Overview_Peru_July13
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Transcript RRT_Short_Overview_Peru_July13
1
OVERVIEW: RESOURCE REQUIREMENT
TOOL (RRT) FOR HUMAN RESOURCES
FOR HEALTH
Overview of the RRT functionalities
July 13, 2009
GHWA Financing Task Force (FTF)
Alberto Carrasquilla,
Former Minister of Finance,
Colombia
Sanjeev Gupta, Senior
Advisor, International
Monetary Fund
Eyitayo Lambo, Former
Minister of Health, Nigeria
Mamadou Lamine Loum,
Former Prime Minister,
Senegal
K. Srinath Reddy, Head of
the India Public Health
Foundation
Rick Rowden, ActionAid
Julian Schweitzer, World
Bank
Netsanet Walelign, UNICEF
Hong Wang, Abt Associates
Inc.
Ex-officio members
Discussion Topics
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RRT overview
Description of RRT components
Employment component
Pre-service training component
Affordability component
Purpose of the tool
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Estimate/project cost to (i) hire and (ii) train planned HRH
Analyze affordability of the HRH plan
Conduct “what if” analyses of (i) policies; (ii) plans; (iii)
assumptions
Produce specific information for advocacy
Monitor implementation of HRH plan
Provide input into human resource information systems (HRIS)
design related to costs and financing
RRT audience and users
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Ministries of Health
Ministries of Education
Ministries of Finance
Development partners
Advocacy Groups
RRT structure: three components
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RESOURCE REQUIREMENT TOOL
• How much would it cost to
hire, retain and deploy
HRH?
• Estimates public
sector HRH
employment and
HRM costs
• Accounts for private
sector employment
1 EMPLOYMENT
• How much would it cost to
train HRH?
2
• Estimates resource
requirements for public
sector HRH preservice training
• Accounts for private
sector PST capacity
3
PRE-SERVICE
TRAINING
ABILITY
TO
FUND
• Can it be afforded?
• Estimates gap
between required and
available resources for
government HRH
plans
Discussion Topics
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RRT overview
Description of RRT components
Employment component
Pre-service training component
Affordability component
Employment component: Inputs (1/2)
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Basic Country information
Employment-specific information
RESOURCE REQUIREMENT TOOL
1
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
Public sector HRH (by cadre and by geographic
areas)
Resources dedicated to public sector HRH by
cadre, by geographic area
ABILITY
TO
FUND
PRE-SERVICE
TRAINING
Salary and benefits
Deployment cash and non-cash bonuses
Performance-related cash and non-cash
bonuses
Assumed productivity
improvements due to performancebased financing
In-service training costs
HR Management (HRM) staff and related costs
Private sector HRH, accounting for
“moonlighting”
Employment component: Scenarios (1/2)
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Scenarios:
RESOURCE REQUIREMENT TOOL
1
Vary the number of projected pubic sector
HRH
Vary resources for public sector HRH by
cadre by geographic area
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
ABILITY
TO
FUND
PRE-SERVICE
TRAINING
Salary and benefits
Deployment cash and non-cash bonuses
Performance-related cash and non-cash
bonuses
Vary potential performance savings
In-service training costs
Vary resources dedicated to HRM
HRM salaries and benefits
HRM recurrent costs
HRM capital investments
Discussion Topics
10
RRT overview
RRT description
Employment component
Pre-service training component
Affordability component
PST component: Inputs (1/2)
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Inputs are listed by 1) ministry and 2) by type of
cadre that is trained
RESOURCE REQUIREMENT TOOL
1
Names of public training institutions and years of
training for this cadre
Total students in the university
HRH graduates in the current year (by region
urban/rural) and total HRH graduates
Total capacity for HRH students per graduating
year
Number of years to reach capacity
HRH student average drop out rate
Weighted average variable cost per HRH student
Weighted average fixed cost per HRH student
Total capital costs
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
ABILITY
TO
FUND
PRE-SERVICE
TRAINING
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Scenarios that can be created for preservice training
Scenarios:
RESOURCE REQUIREMENT TOOL
1
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
PRE-SERVICE
TRAINING
ABILITY
TO
FUND
Vary
HRH attrition rate
HRH rate of re-entry into the sector
Costs of education
Capital investment requirements
Expected revenues
Private competition for grads
Discussion Topics
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RRT overview
RRT description
Employment component
Pre-service training component
Affordability component
Likely Affordability: Inputs
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Inputs:
RESOURCE REQUIREMENT TOOL
1
Total GDP/GNI
Share of GDP/GNI captured by government
Share of public spending allocated to
health
Share of health spending for HRH
Share of public spending on education
Share of education spending on HRH
pre-service training via MOE
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
ABILITY
TO
FUND
PRE-SERVICE
TRAINING
Donor funds committed/expected for HRH
employment or training
Revenues from public universities
Likely Affordability: Scenarios
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Scenarios:
RESOURCE REQUIREMENT TOOL
1
Vary:
Growth of GDP
Government capture of GDP
Government allocations for health and
education
Health allocation for HRH
Education allocation for HRH
Donor commitments for HRH
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
PRE-SERVICE
TRAINING
ABILITY
TO
FUND
Based on gaps countries can adjust
HRH plans
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RESOURCE REQUIREMENT TOOL
Inputs
Scenarios
Inputs
Outputs
3
2
PRE-SERVICE
TRAINING
ABILITY
TO
FUND
Outputs
Country
HRH
Scale up
Plans
1 EMPLOYMENT
Scenarios
Outputs
Inputs
Scenarios
Feedback
Countries can monitor implementation of
plans over time
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RESOURCE REQUIREMENT TOOL
YEAR 1
1
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
ABILITY
RESOURCE REQUIREMENT TOOL
TO
FUND
YEAR 2
PRE-SERVICE
TRAINING
1
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
ABILITY
TO
FUND
PRE-SERVICE
TRAINING
RESOURCE REQUIREMENT TOOL
YEAR 3
1
EMPLOYMENT
Country
HRH
Scale up
Plans
3
2
PRE-SERVICE
TRAINING
ABILITY
TO
FUND
Sample Outputs:
West African Country RRT application
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25000000
20000000
Needed resources
Available gov't
resources
•
Dollars
15000000
Gap
10000000
5000000
0
2009 2010 2011 2012 2013 2014 2015
Year
Gaps that can be used for
advocacy or for
reconsideration of HRH
plans
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Questions?
What RRT is not…
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RRT not JUST a costing tool:
It estimates projected resource requirements including costs and
expenditures and compares resource requirements to availability
RRT not a tool for projecting and planning HRH numbers (i.e.,
number of HRH is taken as input)
It can inform HRH planning when used interactively
RRT lets users vary number of HRH as feedback to planners who may
choose to change planned levels of HRH
What RRT is not…
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RRT not a conceptual framework
Builds on ideas from conceptual frameworks and literature on HRH financing
Practical tool ready for use by MOHs
BUT it can be complimented with two papers by the Financing Task Force:
1) Economic and Financing Issues in Scaling Up HRH and What Countries
Can Do Now Paper
RRT not a demand forecast for public sector HRH
BUT it is provides a model for estimating private sector demand
RRT does not replicate exiting tools, but builds on them
Content based on WBG Costing Tool (March 2007) and WHO Costing Tool
(2002)
Design based on GAVI FSP, Malaria costing tool, etc
Sample output: Employment costs
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Dollars for HRH Employment
HRH Employment Cost
(Dollars in thousands)
4263
2008
5081
5287
5505
5780
6069
2009
2010
2011
2012
2013
Year
6372
6691
2014
2015
Sample Outputs:
Pre-Service Training Costs
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Costs for Scaling HRH Pre-Service Training
Dollars in Thousands
Planned additional
HRH in PST
Current level of
HRH in PST
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25
25
25
25
24
24
24
84
2008
104
2009
118
2010
131
2011
Year
145
2012
159
2013
173
2014
188
2015