Concept Paper on Pinoy Health Human Resources Exchange Facilitating Recruitment and Deployment of Health Professionals to Reduce Maternal

and Child Mortality in the Philippines through Inforamtion and Communications Technologies Primary Proponent: Health Policy Development Program Address: 3rd Floor, School of Economics Building, University of Philippines – Diliman Quezon City, Philippines Contact Persons: Orville Solon, PhD / Charissa Mia Salud, MD Tel. nos. (63) (02) 3025144/ 4363677 Email Address: facehpdp@gmail.com Prospective Collaborative Institutions: Primary Department of Health (DOH) Department of Labor and Employment (DOLE) Secondary Association of Philippine College of Nursing (APCN) Association of Philippine Medical Colleges (APMC) Association of Deans of the Philippine College of Nursing (ADPCN) Entertainment Gateway Group (EGG) Integrated Midwives Association of the Philippines (IMAP) League of Municipalities of the Philippines (LMP) Public Employment Service Offices (PESO) Private Hospitals Association of the Philippines (PHAP) Philippiine Medical Association (PMA) Philippine Nurses Association (PNA) Terix Technologies (TT) UP National Institutes of Health-Telehealth Program Acronyms: BLE – Bureau of Local Employment DBM – Department of Budget and Management DTTB – Doctors to the Barrios GHWA – Global Health Workforce Alliance HHR – Health Human Resource HHRDB – Health Human Resource Development Bureau IMS – Information Management System ICT – Information and Communications Technologies MNCHN – Maternal, Neonatal and Child Health and Nutrition MMR – Maternal Mortality Rate MDGs – Millennium Development Goals NDHS – National Demographic and Health Survey PHAP – Private Hospitals Association of the Philippines PHIP – Province-wide Investment Plan for Health PNA – Philippine Nurses Association PRC – Professional Regulatory Commission DAPCN – Dean’s Association of the Philippine Colleges of Nursing POEA – Philippine Overseas Employment Administration SBA – Skilled birth attendant TBA - Traditional birth attendant UFMR – Under Five Mortality Rate

I. RATIONALE The Philippines is one of the signatory nations of the Millennium Development Goals (MDGs), aiming to improve the maternal, infant and child health of the country. The indicators in achieving the goals are 1.) reduction of Maternal Mortality Rate (MMR) by three quarters (3/4) and 2.) increase of birth proportion attended by skilled health personnel. The target MMR reduction of the Philippines is 52 deaths per 100,000 live births and that 90% of all births should be assisted by skilled attendants by 2015. The MDGs Midterm Report for 2007 however showed that the MMR has decreased at a very slow rate in the Philippines. From the 172 deaths on a 1998 National Demographic and Health Survey (NDHS), it declined to only 162 deaths in 2006. Over half of births occurred at home and one-third of them were assisted by traditional birth attendants (TBAs). Around 75 percent of the poorest quantile do not have access to skilled birth attendants (SBAs). Furthermore, 29 Filipino children (out of 1,000 live births) die before reaching their first birthday. The leading causes of these deaths are pneumonia, bacterial sepsis of the newborn, and disorders related to pre-mature births. Forty (40) children (out of 1,000 live births) die before they reach 5 years old, most common cause of which are pneumonia, accidents and diarrhea. It could be noted that these deaths are caused by poor access to critical maternal, neonatal and child health and nutrition (MNCHN) services. These services include family planning, prenatal care, skilled birth attendance and immunization. The poor access is partly due to a lack of qualified personnel at various levels of care especially the front liners in underserved areas. There is shortage of qualified health personnel and they tend to flock in urban areas. This is aggravated by the recruitment of developed countries. For a country that exports doctors, nurses and midwives, the Philippines, unfortunately has the following health personnel to population ratio: A. Shortage of Qualified Health Personnel Table 1: HHR to population and patient ratio (WHO Updates, 2008 and PHAP, 2005) Ideal Ratio Doctors 1:10,000 (doctor:population) 1:10 (doctor:patient) 1:30,000 (doctor:population) 1:50 (doctor:patient, in Masbate Hospital, 2005) Nurses 1:4 (nurse:patient) Midwife 1:3,000 (midwife:population) 1:10,000-30,000 (midwife:population, 2008)

Estimated Actual Ratio

1:15 (nurse:patient in the Philippine General Hospital, 2005) 1:45 (nurse:patient in Davao del Sur, 2005)

B. Unequal Distribution of HHR: Urban > Rural In 2002, there were 658 doctors in government hospitals in the NCR, in contrast to the 85 doctors in CAR and 69 in ARMM. In 2004, there were 197 private and public hospitals in the NCR in contrast to the 54 hospitals in CAR and 17 in ARMM.

Poor access to health-care significantly affects the quality of life in a region’s population. While the mortality rate in the NCR is 8 per 1,000 children below five, the figure in CAR is 20 for every 1,000 children. It is worse in ARMM where the child-mortality is 33 for every 1,000 children. Women in the ARMM are likely to receive postnatal care several months longer than the average Filipinos. C. Recruitment to Developed Countries Internationally, the shortage of health personnel, measured by the number of unfilled positions, exist both in developing and developed countries. This creates a “domino" effect when the developed countries recruit foreign workers from countries such as the Philippines to fill in their lucrative positions. Health professionals are discouraged to work locally due to low salary and poor working conditions. This worsens the conditions of A and B. The three conditions go into a futile cycle where the increase of demand from foreign countries draw job seekers in the urban centers where they can scout for job vacancies abroad from recruitment agencies. Health professionals flock in big private and public hospitals (250-bed capacity) for better work experience and availability of short term contracts. The lack of information on vacancies, incentive packages and availability of individual health professionals lead to “frictional local unemployment”. Hence, there exists a shortage of health professionals in rural areas resulting to poor access to health care. There are, however, several opportunities in the health sector that could be taken advantage of in order to address the various factors that affect health human resources production, deployment and retention: First is the glut among nurses and physicians due to overproduction and decreased level of outmigration exceeds demand for them. PRC claimed in 2008 that the country has a surplus of about 400,000 nurses, over 100,000 registered professional nurses are produced every year. IMAP in 2009 claimed that 1,000-2,000 midwives are produced every year while the DOH and LGU plantilla (15,600 health center midwives) jobs for them has not increased. Second is the increase in budget of the DOH. This increase provides opportunities for leveraging LGU investments in health human resources and realignment of DOH program budgets for hiring contractual staff for strategic deployment. Third is the MNCHN and grant facility that provides additional resources to address the high maternal and child deaths in our country. Fourth is a strong political commitment from the Secretary of Health and other partners to reduce the maternal mortality rate (MMR) and the under-five mortality rate (UFMR) in the country. Fifth, there is growing presence and experience of information and communications technology applications that can facilitate recruitment, matching and deployment of health care providers. The use of ICT to assist the recruitment, matching and deployment of HHR shall be the focus of this paper. II. OBJECTIVES The project aims to develop a sustainable health human resources job placement/matching portal using the available information and communications technology.

Specifically, the project shall: 1.) Develop a web-based placement portal including beta testing and soft launching 2.) Development of guidelines and operational manual on the web-based placement portal.

III. CONCEPTUAL FRAMEWORK A. The Demand for HHR in the Rural Areas The DOH envisions that each health center should have a health team which includes a doctor, nurse, midwife, dentist and sanitation inspector. However, the minimal fund allocation for health care by the local government has made HHR opportunities not enticing. To alleviate the problem, DOH, although decentralized, trickles its resources to class 4-6 municipalities. The following are limited programs by the Health Human Resource Development Bureau of the DOH in addressing the shortages: 1.) Rural Health Midwives Program – an ongoing program accommodating licensed midwives to work in the rural areas with a monthly stipend of 8,000.00 pesos / month. From 2009 to 2011, they will be accepting 240 midwives with a monthly salary of 10,000 with benefits such as Philhealth, GSIS, Pag-ibig membership and other bonuses. Recruitment involves passing an advisory or memorandum to seventeen (17) regional centers in the Philippines. On the average 15 midwives are assigned per region. The recruitment has not generated a 100% employment. Three regions lacked applicants. Recruitment, application, selection, orientation and deployment are done by the Center for Health Development. 2.) Nurses Assigned in Rural Services - a 6-month training program for newly licensed nurses. This is a partnership program between DOLE, PRC and the DOH, of which the large supply of nurses who are not accommodated in training hospitals, are given 3 months training in rural hospitals and 3 months training in the community with a stipend of 8,000.00 pesos / month. The intention of the program is to temporize the lack of training ground for nurses who will eventually be exported outside of the Philippines. The program started on its recruitment and selection on February 20. It was disseminated through schools and announcements during the oath-taking. A website (www.nars.dole.gov.ph) was launched for online registration. A total of 12,400 applicants registered with the needed 5,000 slots. Selection was done by the Department of Labor and Employment. Area orientation and deployment were facilitated by the Center for Health Development. This program is intended to run for one year. 3.) Doctors to the Barrios Program – A 2-year service program for doctors to targeted marginalized areas in the Philippines. The doctors assume the position of a local health leader, rural health physician and municipal health officer with a salary of 20,000 to 30,0000 per month with benefits of PAG-IBIG, GSIS, Philhealth membership and bonuses. Continuing medical education is included in the package. The DDTB program has a fixed slot of 80 doctors including those on the field. On the average, the program recruits 25 doctors per period. Since its inception, the 80 slots have not been filled. Their recruitment involved putting up posters and booths in medical schools. This year, improvement of applicants increased with the First Gentleman and Pinoy MD Scholarships where the new doctors are streamlined to the DTTB program. At present, there are 21 municipalities requesting for a physician through DTTB. Some doctors who are not absorbed in the rural health unit have a tendency to look for doctorless municipalities for employment. The DOH launched the Doctors to the Barrios Program in 1992 in an effort to fill the 271 municipalities that are without Doctors. In 2008, there were still 120 municipalities that were still without doctors. There were 600 vacancies in rural and urban hospitals (both public and private). In the last 3 years, there has been a 30% decrease enrolment in hospital residency specialty training programs. The Private Hospitals Association of the Philippines (PHAP), reported closure of hospitals due to decreasing number of medical personnel. The number of private hospitals went down from 1700 in 2000 to only 700 in 2005.

B. ICT Facilitated Recruitment, Matching and Deployment of HHR Many strategies have been tried to prevent or to reduce the maldistribution of health personnel. Below is a schematic diagram suggested by the Global Health Workforce Alliance in compliance to the MDGs.

Figure 1: Suggested Strategies by the GHWA in addressing the MDGs Most have focused on reforming the medical education system. The focus of this project is to develop quick win solutions through the use of ICT. Once established, this system complements the other medium and long term strategies. A review was done on existing web-based job portals, namely commercial websites such as JobsDB.com, and Jobstreet.com; free websites such as Sulit.com and PinoyMD.com; and government websites such as that of PRC, DOLE and DOH. Multiple searches were done for job offering for a doctor, nurse and midwife. Despite the constant clamor for lack of HHR, there was no local job vacancy in paid websites. On initial visits, the DOLE website, phil-job.net, registered no local jobs but only jobs offered by recruitment agencies for abroad both for POEA and BLE. A job search for doctors, nurse or midwife generated a table with the recruitment agency and the country such as Saudi Arabia, Angola, Bahrain or United States. An interview with DOLE IT officers revealed that it was no longer the responsibility of the department to post jobs but it was up to the employers, of which recruitment agencies are very persistent in doing in a free per post website maintained by DOLE. However, during the recently concluded Kalayaan (Independence Day) Job Fair, eight hundred twenty-two job vacancies were posted from the health sector particularly from DOH. A visit of the website showed local job vacancies for doctors, nurses and midwives. A month after the event, the local jobs still registered local jobs for doctors, nurses and midwives. Both paid websites and DOLE websites enjoy high Google page ranks suggesting high number of visitors (See Table 2). They also have user-friendly job search and posting interface. However, the paid websites have better notification schemes of which an e-mail alert is sent to the job seeker to matched job offerings. The paid job posting costs Php5,000.00(106.38 USD) to P5,600.00(119.15USD) per job listing which will be visible for 30 days with weblinks to national

newspaper websites such as Manila Times, Daily Tribune and Philippine Daily Inquirer. Considering the payment, they have excellent customer service in their marketing department. A call center regularly update the employer. Accordingly, their customer support has garnered them with regular employers who seek their assistance. Local employers cannot compete with recruitment agencies in paying for job ads. Thus, they resort in free ads at Sulit.com and PinoyMD.com. Unfortunately these websites do not have job matching capability. The contents of a free ads website and community forum are also not well moderated resulting to poor credibility. Despite of the lack of credibility, these sites enjoy a lot of visitors with their free advertisements, and nonrigorous posting and viewing. A job search was also done at DOH E-jobs which showed one job listing. Vacancies for the NARS, Rural Health Midwives and DTTB were not posted. E-jobs was created to be a centralized venue for electric posting of job vacancies in the DOH System, other government agencies, local government units and private facilities or organization involved in health care. However, in its 2 year operation, only jobs that are part of the DOH plantilla are posted. It is mandated in all offices of DOH that any vacancy should be posted in the E-Jobs. A print out of the job vacancy is then placed in all offices of DOH. However a request to fill a plantialla job would sometimes last for 5 months since it has to pass the Department of Budget and Management. It could only be posted on E-jobs after the approval. Temporary jobs such as DTTB can be directly posted in E-jobs without approval from the DBM. However, this is occasionally not utilized by the HHRDB. HHRDB receives the requests for doctors, midwives or nurses from the rural areas. However, they can only recruit, select and employ limited health professionals. HHRDB is taking the role of an employer and recruitment agency for rural health units. Clearly, there is a local demand for HHR which is however not reflected in internet recruitment networks. There exists government websites which passively support recruitment agencies for jobs abroad. While there should be a listing of regions requiring doctors, midwives or nurses. C. COMPARISON OF EXISTING INTERNET JOB PORTALS The provision of a web-based portal for local jobs entail the following options: (a) Increase publicity of local jobs by paying in internet recruitment networks (Jobs.DB or JobStreet) (b) Increase publicity by posting in free ads websites such as Sulit.com and PinoyMD (c) enhancement of existing government websites. Taking these into consideration a comparison matrix of currently running employment-related websites was done. This matrix gives weighted point average to comparable sets against different criteria. The points are given by the authors of this paper based on actual website browsing and interviews to their corresponding IT officers. Table 2 shows eight (8) portals: paid, free and government websites.

Table 2: Comparison Matrix of Job-Related Websites, June 2009 JOB RELATED WEBSITES
Google Page Rank Job Posts Job Search & Matching Good IMS SMS capability User Friendli ness Credibility Free Total

Weighted Percentage

10%

10%

10%

20%

10%

10%

20%

10%

100%

PAID WEBSITES www.Jobstreet.com.ph

(Comprehensive Data Set and Excellent Customer Service but requires fees) 6/10= 6 7/10 = 7 5 5 10 10 12 10 0 0 10 10 16 16 5 4 64 62

www.Jobsdb.com.ph FREE WEBSITES www.Pinoymd.com 5/10 = 5 www.Sulit.com.ph GOVERNMENT WEBSITES www.prc.gov.ph 4/10 = 4 www.nars.dole.gov.ph 4/10 = 4 http://umis.doh.gov.ph/ejob 6/10 = 6 www.phil-job.net 6 10 18 7 8 16 10 81 8 8 14 0 8 18 10 70 6 10 18 0 8 16 10 72 (Highly credible in its job postings and free but lacks advertising) 6/10 = 6 0 0 16 0 6 17 10 55 8 0 8 0 8 8 8 45 (Not well moderated but has free advertisement and easily accessible) 2/10 = 2 7 0 4 0 7 10 10 40

“Google Page Rank” is a measure of popularity based on the number of unique visitors and weblinks to the website. This was determined using a downloadable Google software. “Job Posts” was based on whether the contents were updated with LGU job postings. “Job Search and Matching” is based on the interface of the webpage that allows jobseekers to inquire and post resumes with a matching system. “Good IMS” refers to the organization of the IT officers in delivering the service. “SMS capability” refers to the link of a website and text messaging. “User Friendliness” refers to the easiness in navigating through the website’s platform. “Credibility” is based on the reliability of the job offerings and least likelihood of a scam based on effective website moderation. A “Free” website is more enticing to local employers or recruiters where employers don’t have to pay advertisement fees. The jobseekers also have a free registration. Using the matrix, the www.phil-job.net has highest total points of eighty-one (81). This suggests that it is the most functional website that can be enhanced to facilitate the HHR recruitment, matching and deployment. Its job posting is for free, has satisfactory Google page rank, user friendly with job search and posting interface, and most of all it has SMS-linked capability which is crucial for jobseekers in rural areas with no internet connection. At present, it is called I-

Text Trabaho which works for Globe and Smart Telecommunications where an SMS of Trabaho_area_position send to 2376 or 2476, respectively, generate job results in a certain area. IV. METHODOLOGY A. Phase I: Synchronization The DOLE is mandated to promote gainful employment opportunities, develop human resources, protect workers and promote their welfare, and maintain industrial peace. Its primary job portal is the www.phil-job.net which allows any agency to post vacancy and the applicants to be matched. Similarly, the DOH E-jobs was created to be a centralized venue for electric posting of job vacancies in the DOH System, other government agencies, local government units and private facilities or organization involved in health care. To avoid system lag, the DOH E-jobs remained conservative in matching the applicants. The applicants can only view the limited job offerings in the site. To minimize duplicity and increase efficiency, E-jobs can be synchronized with Phil-job. Although both will exist separately, the data sets on local health care jobs will be shared by both websites.

from Philjob

Figure 2: Suggested Synchronization of E-job and Phil-job. Phil-job generating the data within the framework of E-jobs. This has the following advantages: 1.) Improves the E-jobs interface which allows job seekers to register and be matched 2.) Eliminate system lag since Phil-job was developed to handle multiple visitors. (i.e. 8,000 to 10,000 visitors during the Independence Day Job Fair 3.) There is

sharing of job posting and job seekers from multiple agencies which increases the traffic of the website 4.) DOLE is able to delegate some of its function to a partner agency, DOH. This synchronization entails the following: 1.) Coordination between the DOH and DOLE IT personnel or IMS 2.) Signing of a memorandum of agreement on the privacy, security, data sharing, maintenance and administration of the websites 3.) Standardization of the data set. Table 3: Compared Data Sets from E-jobs, Phil-jobs, JobsDB/JobStreet and Synchronized Set

Specifically, the required fields are: username, E-mail Address, Password w/ confirmation, First Name, Last Name, Middle Initial, Date of Birth, Sex, Municipality or City, Contact. No., Civil Status, Preferred Job or Skill, Preferred Job Location, Search Jobs/Submit.

The optional fields are: Weight, Height, Civil Status, Spouse Name, Disabilities, Tin. No., Passport, Religion, Employment Status. The SMS linked fields are: First Name, Last Name, Preferred Job, Preferred Location. The SMS linked fields are needed to generate search when using the SMS. The following enhancements are suggested: Immediate enhancements: PDF Dowload of Application Form, I-Text Trabaho Ad, and Hotline. These are needed to launch the project in different media online, SMS and paper. For the internet-deprived areas, the SMS and paper application can be used. The PDF file can be downloaded and given to these areas. A hotline to employers and job seekers should be offered so they can be assisted in filling out the forms. The Future Enhancements: Availability, Resume Upload, Subscription. These can be established after the evaluation of this project.

O Part Time O Full Time
Available on (__ / ___ / ___)

Resume Upload
Subscription for E-mail Alert

>>Need Assistance? Hotline (632) 527 8000 For Globe/TM Call 2910<<<

Figure 3: Suggested interface of the E-jobs with Enhancements SMS application or inquiry is currently done by sending “Trabaho Job Location” to Globe 2376 or Smart 2476. This needs to be revised to “Trabaho FirstName LastName City or Municipality Address Job JoblocationCity/Municipality”. The addition of the name gives a more personalized search and can also be registered for tracking inquiries. Municipal or City is important since this is linked with the address of the company which posted the job and the PESO coverage.

There is an existing database of the PESO contact numbers which will be relayed as well to the inquirer. At present, the answer to the text is a single recruitment agency. It would be more efficient if the reply is an acronym and contact number of 5 companies, inclusive of www.phil-job.net and corresponding PESO number or DOLE hotline.

Doctor: ABC:1234567 DEFG:345678 QWD:1234567 WERT:1234567 RGKLM:1234567 For more: Text “Trabaho Doctor Page 2” or Visit www.phil-job.net or call local PESO 123445

Figure 4: Suggested SMS Reply A downloable PDF file of the application form and job posting form should also be made for those without internet and find texting inadequate. The form shall contain the agreed standardized data set for both agencies. If the DOLE decides to be more extensive, the PESO form can be used.

Visit: www.phil-job.net or www.doh.gov.ph/ejob
Need Assistance? Hotline (632) 527 8000 For Globe/TM Call 2910

Figure 5: At the bottom of the Application Form, the SMS, website and hotline should also be included.

Figure 6: Posting Form with the necessary Instructions and Address Together with the job posting form, other documents (BIR Registration Certificate, SEC, DTI , CDA license, etc.) required for private institutions should be enclosed. Job posting through SMS is currently not feasible due to the number of characters needed to key in just to complete the required fields. The address, fax or email address should be included to increase the efficiency. The job posting should be included as well so as not to resend another document once approved by DOLE.

Table 4: Job Posting Data Sets from E-jobs, Phil-job and JobsDB/JobStreet

Table 5: The common data set for job posting is as follows:
Required Fields Username, Password w/ confirmation, E-mail Address, Tin No., Name of Company, Acronym, Industry, Address, Municipality or City, Country, Contact Person First Name, Contact Person Last Name, Middle Name, Tel. No., Position or Job, Location of Job, Opening and Closing, Registrations on the license to operate DOH Required Fields Office, Division,Experience, Training, Eligibility, Key Task, Terms and Condition, Printable Format Optional Fields Fax No., Zip Code SMS Linked Fields Municipality or City, Acronym of Company, Contact No., Job or skill Enhancements PDF Downloadable Job Posting Form, Hotline, Upload Scanned Documents

DOLE and DOH have similar required fields. However, DOH has more fields needed for its bulletin board posting of the job vacancy of which a printable format is needed. To synchronize this different requirements, DOLE which is an open source for all agencies whether public or private, could generate an additional data set when a user chooses a local health sector industry.

Industry

Health Sector: Local

Loading DOH E-Jobs ….. Additional Information: ___________________ Eligibility (i.e.MD, RN) ___________________ Key Task

Figure 7: E-job Interface with additional required fields for Local Health Industry job posting

The country is an important required field since only local jobs will be shown in the DOH Ejobs website. The future enhancement of uploading the required documents will make the system more efficient, saving the time of having to fax or mail the documents. To be able to do a job posting in phil-job.net, there are three major steps to be done. 1.) You have to fill-out the online application form 2.) Send documents to verify authenticity of the company 3.) Wait for approval and start posting the job. All these can be done at once if during the online application, the required documents can be uploaded and the job posting can be sent as well. All these are in queue. Once approved, the job will be posted and the employer will be informed of a successful posting. If rejected, the employer is informed as well. Phase I involves the execution of the following a.) Establish a Memorandum of Agreement between stakeholders b.) Synchronization of the different Information Management Systems c. Publication of modules with list of partners, contact numbers, guidelines, application forms, job posting forms, I-text trabaho and website instructions, and frequently asked questions The prospective functions of the Deparment of Health are: 1.) Advocate the HHR Pinoy Exchange/E-jobs/Philjobs/HealthPro to its constituents, providing seminars and modules 2.) Coordinate DOH-IMS with BLE-IMS and DOLE Call Center in the synchronization of websites 3.) Manage job postings and jobseekers relating to local health care by communicating thru email, text or call if the jobs are already taken or the jobseeker has been employed. 4.) Actively search and post job vacancies (Personnel>IMS) including DTTB, NARSP, RHMPP, Residency Trainings, etc. The prospective functions of the Department of Labor are: 1.) Advocate the HHR Pinoy Exchange/E-jobs/Philjobs/HealthPro to its constituents (hospitals and schools), providing seminars and modules (i.e. HHR Month, PESO Convention) 2.) Coordinate BLE-IMS to the DOLE Call Center and DOH-IMS in the synchronization of websites. Orient the Call Center on how to address queries. Allow DOH-IMS to manage data relating to local health care jobs (categories under Philippines+Health Industry or local health industry). Coordinate with TERIX Technologies on the SMS changes. 3.) Manage job postings and jobseekers by communicating thru email, text or call in assisting applicants and employers, moderate fraudulent jobs, encode jobs from internet deprived agencies. 4.) Actively search and post local health care job vacancies through its PESO network

B. PHASE II: MULTILEVEL LAUNCHING Table 6: Table of Partners and their Corresponding Units in Implementing the Project

LEVEL
National Level

AGENCY
DOH

UNIT
HHDRB

Coverage
Organize an HHR Month, launching the project and actively posting jobs and trainings (DTTB, NARSP, RHMPP, Residency Training, etc) Request from Government Agencies to actively post HHR jobs, Organize a Job Fairs specific for HHR Advocate among member private hospital to post their job vacancy Advocate among Community Based Health Program NGOs who require HHR

DOLE PHAP CHD UPCM Health Professional Associations Health Professional Schools Tel. Cos. Media Provincial Level Municipal Level DOH

Phil-Job Secretariat Secretariat RPC

Post their research job vacancies particularly those from Training Hospitals PMA, PNA, IMAP Advocate the project during accreditations and seminars to their members APSOM, ADPCN, Advocate the project during career talks PMA and oath taking ceremonies Globe, SMART, Sun Promote the project through text blast and social networks in the internet ABS-CBN, GMA, etc HHR Month Launching, Job Fairs HHRDev’t Unit Fourmula 1 on Governance: Include this project in improving the HHRDU per province. Provide kits or modules about the program. Launch the project in one of their convention and develop a MOA in being committed to support the program through WINTXT A PESO Convention will be held of which the agents can be encourage to do an HHR job vacancy search in a certain month

LMP

WinTxt

DOLE

PESO

See attached Timetable and List of Partners Annex A and B

C. PHASE III: Sustainability Mechanism

Phase II is needed to jumpstart the project but this will only last for 1 to 2 months. Hence, sustainability mechanisms are needed to be established. One of which is to develop a specific Philjob call center which will handle job applications, screening, approval and assistance to the employers and jobseekers. E-mail alerts, texts and calls will be sent to them so that they will be reminded to post. A few days of inactivity (10 days) would prompt the system to communicate to them. Likewise, an e-job call center has to be developed to do a follow-up after the job application. They are to inquire if the jobseeker has been employed or the job has been filled. E-jobs has to this specifically for the local health sector jobs so as to determine the employment rate with this program. This is important to determine the success of the project. As mentioned, there are several secondary partners in this project. They will require different assistance or counterparts to commit them into regularly posting job vacancies or generate applicants. A team has yet to be organized to determine their specific concerns (i.e. administrative order for agencies under DOH, advertisement for private hospitals, MOA for LMP and the like). In general, the most common reason why agencies post online is advertisement. This has been a lucrative business for Sulit.com and Ayosdito.ph. Integrating job search and company advertisement would generate enthusiasm in the website. A single job posting could be given a free advertisement banner of the company. An update of the job vacancy could also be given a free ad to encourage them to inform phil-jobs if the job has been taken. D. PHASE IV: Evaluation and Enhancement An evaluation among stakeholders should be conducted, in particular, the percentage of jobs posted being filled should be determined to confirm the success of the program. As previously mentioned, future enhancements may be added such as: Resume Upload, BIR Cert Upload, Availability, improved matching. Other enhancements involving the other partners could also be done: PRC validation on the job seeker’s license, Creating Registration platforms for Associations of Health Professionals, BIR/SEC/CDA validation of employer’s registration.

V. REFERENCES
An Assessment of the Health Human Resource Development Provisions of the Philippine Nursing Act of 2002, Tiongco, 2008 4th International Health Conference on Primary Health Care/Family Health, Brazil, The Health Workforce: Scaling Up Through Primary Health Care, Dr Mubashar Sheikh, 2008 Bring Health Experts to the Barrios through Telehealth System, to aid RP in fighting Influenza A(H1N1) or Swine Flu, Senate of the Philippines 14th Congress, May 8, 2009. Family Planning Survey 2006 Human Resources for Health Migration in the Philippines: A Case Study and Policy Directions, Ronquillo et al, 2005 Midwifery in the Philippines : ‘A Laudable Service’ but there are Issues and Challenges, Alice de la Gente, former president of the Integrated Midwives Association of the Philippines (IMAP), International Midwifery Publication, December 1, 2008 More proof on RP Medical Brain Drain Offered, www.ofwjournalism.net, 2005

National Demographic and Health Survey, 2003 Not enough there, too many here: understanding geographical imbalances in the distribution of the Health Workforce, Human Resources for Health, Gilles Dussault, 2006 No Nurse Surplus, Only Unqualified Graduates-Recruiters, Philippine Daily Inquirer, Veronica Uy, September 1, 2008 Philippine Health Statistics 2000 Philippine Midterm Progress Report on the Millennium Development Goals 2007 Proportions of Births Attended by a Skilled Health Worker- World Health Organization 2008 Updates. Pinoys Dying from Lack of Doctors, The Philippine Star, August 11, 2008 Philippine Government Warns of Medical Crisis Due to Exodus of Professionals, November 24, 2005, http://english.peopledaily.com Philippine Midwife Opens Well-Family Clinic, USAID Telling Our Story, 2003, www.usaid.gov/stories/philippines The National Nursing Crisis: Seven Strategic Solutions, Dr. Jaime Galvez Tan, 2005