The government is mulling over introducing a standard organogram at medical college hospitals and medical institutes to address manpower crisis at the healthcare centres.
Acute manpower crisis has long been prevailing at the existing institutions, resulting in immense sufferings of the service seekers, mostly patients and attendants, and disrupting medical education system.Sources said the government will introduce a standard organogram at all the government medical colleges and hospitals, specialised hospitals and institutes, and district-level hospitals, taking cognizance of the severe manpower crisis.
The move has been taken by the directorate general of health services (DGHS) as the country’s government medical colleges and hospitals are mired with acute manpower crisis, hampering medical education and healthcare services.
Under the initiative, the new organogram model for hospitals and colleges is termed ‘standard setup for medical colleges and hospitals’.
Member-secretary of standard setup for medical colleges and hospitals and director human resource management of DGHS, Dr Amir Hossain Rahat, told the Daily Sun that they have prepared a proposal on standard organogram by setting some slots to mitigate the manpower crisis.
“The proposal has already been sent to health ministry to take further steps. The plan has been taken after a long discussion with the stakeholders,” he said.
Sources said after introduction of the new ‘standard setup’, no institution has to wait for the approval of the organogram from the government. As per the current system, each medical colleges and hospitals has to appoint manpower after getting nod from the government over the organogram.A committee-led by directorate general of DGHS held dozens of meetings with its stakeholders to fix the standard setup of manpower.
According to the move, the government has set few layers depending on the number of beds in the hospitals such as 500, 1000, 1500, 2000, 2500, 3000 and 4000.
Additional secretary to the education and family welfare division of health ministry, Md Shah Alam, told the Daily Sun that they have received a proposal from the DGHS.
“It’s a routine work and an initiative will be taken in this regard. We have been working on such issues round the year,” he said.
According to the sources, the health ministry will send the ‘standard setup’ proposal of DGHS to public administration ministry to get approval and then the proposal will be sent to finance ministry.
They said healthcare institutions do not have sufficient workforce in line with the existing organogram. Interestingly, eight medical colleges are yet to get any organogram since its establishment.
Owing to the fact, medical education system is struggling and students are not getting proper education, DGHS sources said.
A total of 37 government medical colleges along with dozens of hospitals at districts and upazilas are functioning in the country to provide healthcare services to people.
However, the medical colleges and hospitals having organograms are also facing manpower crisis as the organograms are decades old and there is no sufficient manpower as per the year-old organograms.
According to sources, organogram of Dhaka Medical College Hospital was approved in 1988 for 1600-bed hospital but later it turned into a 2600-bed hospital. Apart from these, the hospital does not have adequate manpower as per its existing 1600-bed organogram, though the hospital is currently giving service to over 4,200 patients.
The Sir Salimullah Medical College (SSMC) is also facing manpower crisis as the 900-bed hospital is running with two-third manpower and providing services to over 1,500 patients every day.
At least 150 posts of physicians remain vacant at Khulna Medical College and Hospital as per the approved organogram.
Some 236 posts, including 40 posts of physicians and 109 posts of third class employees, remained vacant at The Faridpur Medical College and Hospital.