Team Leader Packet

Uganda Health Workforce Retention Study

July 10, 2006Who’s Who?

Name / Organizational affiliation / Cell phones / Team #
Albert Ssebiddee / Resource Centre / 0772-968 889
Allen Meeme / Makerere Medical Faculty / 0772-366 435
Amy Hagopian / University of Washington / 0782-718 828
Anne Kajoina / AKU nursing alumna / 0772-605 316
Anneke Zuyderduin / Aga Khan University / 0772-749494
Charles Isabirye / Uganda Ministry of Health / 0772-893 011
Daniel Talemwa / Makerere Medical School / 0772 934 309
David Wajamburka / MOH Personnel / 0772 647 378
Emily Bancroft / University of Washington MPH student / 0774-030 181
Esther Nderitu / AKU faculty / 0772-363 307
Ivy Kagere / Resource Centre / 0772 912 001
Mercy Muwema / AKU faculty / 0712 497 184
Miriam Nakalembe / Makerere Medical Faculty / 0712-857 433
0772-857 433
Miriam Nansunga / Makerere Sch of Med / 0782-440 944
Patrick Bateganya / Nursing Association, also Mulago Nursing Dept. / 0772 522 293
Sanne Visser / PS Consulting intern / 0774-083 951
Sindhu Ramalingam / Aga Khan / 0712-852 805
Teophista Kabalisa / Virus Research Institute (UGRIG member) / 0772-262 148
Tom Ngabirano / Makerere Nursing Faculty / 0772-594 720
Tony Jolly Mukooyo / Resource Centre / 0712 994 086
0782-264 949
Wesley Too / AKU / 0712-994 086
Dr. Kiswezi, A / Muslim Medical Bureau / 0712-812 363
Emmanuel Mugume / AKU logistics / 0772-952 711
Fatu Yumkella / Capacity Project / 000 1 919 313 9163
John Arudo / AKU faculty, Kenya / 254-
203 747 483
Mahmoud El-Gazar / Kibuli Muslim Hospital / 0772-425 485
Neville Okuna / Pharmacy Council / 0772-619 895
Pam McQuide / Capacity Project / 0774-175 698
Paul Kiwanuka-Mukiibi & Winnie Lubega / PS consulting office
Winnie cell
Paul cell / 0412-269 572
0772-369 553
0712-200 401
Sam Luboga / Makerere Medical School / 0772-503 275
Sam Orach / Catholic Medical Bureau / 0772-437 154

Supplies list

Each team will be supplied:

Tub for carrying supplies and materials

Manuals for each member

Sufficient numbers of questionnaires for STAYERS, LEAVERS, MANAGERS

Name tags for each team member

Locking data storage box

Envelopes to store each day’s completed questionnaires

Funds accounting: money box, ledgers, receipt books, petty cash vouchers

CDs for backing up recordings

Small writing pads & pens for focus groups

Notebooks for focus group note takers

Office supplies for teams: masking tape, markers, A4 paper, bag for carrying blank questionnaires, plastic folders for carrying things, pens

Card stock for table tags

Cell phone minutes for team leaders

Focus group sign-in sheets, evaluation forms, and groundrule cards

Recruitment flyers for posting in the hospital

Consent form copies for managers and focus groups (one signed copy for the team, one blank copy for the respondent)

Equipment

Recording devices for focus groups (one per team, for a total of 3)

Lap top or hand-held PDA for storing digital recordings from focus groups

Flash drives

One digital audio transcribing machine

Batteries or other capacity to charge without electrical access

Extension cord power plugs

Torches

Cameras

Attention Hospital Employees

A study team from three universities will be at our hospital this week to interview hospital employees about their job satisfaction and what could be done to improve the satisfaction and morale of health workers in hopes of keeping them on the job.

The study team invites all hospital employees to complete a survey. You can complete the survey on your own, or you can ask one of us to complete it with you. It should take about 15-30 minutes.

The study team will also sponsor three focus groups: one for nurses, one for allied health personnel (including pharmacists) and one for physicians. These are scheduled as follows:

Physicians & Clinical Officers ______

Allied health:______

Nurses:______

We hope to learn what things the Ministry of Health and other health care employers could do to improve working conditions and other factors that would improve health worker retention in Uganda.

You are free to participate or not.

Please contact Dr. Amy Hagopian at 0782-718 828, Dr. Anneke Zuyderduin at 0772-749-494 or Dr. Edward Mukooyo at 077-400641 if you have any questions.

The funding for the study is provided through USAID and its agency, the Capacity Project, as well as another US government agency, the Health Resources and Services Administration.

Field Supervisor job description

Uganda Health Worker Retention Study

Field Supervisor Scope of Work

Background: The Uganda Health Worker Retention study will be conducted in 18 hospitals (or health centers, where no hospital is available) in nine districts of Uganda. There is a data collection questionnaire for people currently in health worker positions, a questionnaire for those who have left positions in the previous year, and a set of questions for focus group discussions for three separate focus groups (nurses, physicians or clinic officers or allied health professionals).

Mission: To provide leadership to field data collection teams and oversight that will ensure the quality and integrity of the assessment and data.

►Duration of Position and Estimated Level of Effort:

  • July 5 through 29, including some weekends for travel
  • Full-time

►Supervisor: Study Coordinator, Dr. Anneke Zuyderduin

►Responsibilities:

  • Confirm arrangements with facilities and Health District Directors prior to visits
  • Make initial contact with the Health District Directors as we enter each district.
  • Ensure there are no missed opportunities to collect information about LEAVERS; map the location of leavers from the lists so that we can find them for questionnaire administration
  • Provide logistical guidance in field for data collection team, including recruiting focus groups
  • Convene daily team meetings to ensure camaraderie, communication and quality control
  • Monitor data collection process to ensure field manual protocols and procedures are being followed, provide guidance to team workers
  • Ensure a sufficient quantity and availability of blank questionnaires
  • Ensure all completed questionnaires and tapes are collected and properly labeled and stored
  • Assign and document questionnaire tracking numbers
  • Ensure tapes are of good quality and will work for transcription
  • Review of all completed questionnaires to ensure clarity and accuracy
  • Participate actively in data collection alongside the field team workers
  • Keep daily summary record regarding activities of the day
  • Maintain contact with Study Coordinator
  • Review focus group notes daily for assessment of content depth and quality

►Requirements:

  • Successful completion of Needs Assessment Data Collection training, July 5-7, 2006
  • Subsequent meetings with study team coordinators
  • Commitment to quality and control of data
  • Experience in data collection
  • Experience in managing teams

Field team members job description

Uganda Health Worker Retention Study

Field Team Member Scope of Work

Background: The Uganda Health Worker Retention study will be conducted in 18 hospitals (or health centers, where no hospital is available) in nine districts of Uganda. There is a data collection questionnaire for people currently in health worker positions, a questionnaire for those who have left positions in the previous year, and a set of questions for focus group discussions for three separate focus groups (nurses, physicians or clinic officers or allied health professionals).

Mission: To gather complete and accurate data that will ensure the quality and integrity of the assessment.

►Duration of Position and Estimated Level of Effort:

  • July 5 through 29, including some weekends for travel
  • Full-time

►Supervisor: One of three field supervisors (Sindhu Ramalingam, Charles Isabirye, Catherine Tumusiime)

►Responsibilities:

The Data Collector is the most important team member for the study. Data collectors serve as the primary contact with all respondents. The primary function of the data collector is to ensure the gathering of accurate and complete data. Additionally, the data collector will

  • Meet with other team data collectors daily to review and summarize events, successes and problems encountered;
  • Maintain routine communication with designated field supervisor regarding progress or difficulties in meeting team fieldwork targets and objectives;
  • Take detailed and specific notes if assigned responsibility as notetaker of focus group (not too general);
  • Ensure the safekeeping of all completed written and taped interviews;
  • Ensure adherence to study fieldwork protocol and quality assurance guidelines regarding interview techniques and data collection and management;
  • Undertake daily quality assurance review of completed questionnaires and written transcripts;
  • Determine, in collaboration with the supervisor, actions to be taken in the event that significant problems are encountered in any questionnaire.

►Requirements:

  • Successful completion of Needs Assessment Data Collection training, July 5-7, 2006.
  • Commitment to quality and control of data.
  • Demonstrates respect for facility requests and guidance regarding site contacts.
  • Demonstrate respect for other team members and work collaboratively.

In-Depth Interviews with Managers

  • We will visit the District Directors of Health Services (DDHS) in each of the selected districts to get permission to visit the hospitals in his district.
  • During those visits, we also hope to gather information from the DDHS about the health workforce issues his facilities face.
  • Specifically, we will ask that individual to answer questions about the health professionals who left positions in the district over the year 2005

Questions for managers

1. Thank you for meeting with us. I’d like to review the purposes of the study with you and obtain your consent for the interview. (Have them sign consent form.)

2. Do have knowledge of the health workers who left employment in your district (or hospital, depending on where they are based) since July 1, 2005?

  1. Can you share with us a list of those workers?
  1. Can you tell us their: names, how to find them (specific contact information)?
  1. What employment do you think they have now?
  1. What cadre were each of them?
  1. Please tell us the gender and age of each one.
  1. Why do you think each of these people left employment here?

3. How long did it take to fill each of the positions that these individuals vacated?

At each facility, please obtain the following information

Names of administrator, medical superintendent, principal nursing officer

DDHS officials

Number of beds

Number of key licensed personnel: physicians, nurses, allied health, pharmacists

Number of vacancies, how long they have been open

How long did previous vacancies take to fill?

Average daily census

Number of babies delivered per month

Average length of stay

Field work team member assignments (revised 07.07.06)

WEEK 1 / Team 1
Mbarara/Ntungamo / Team 2
Kibale / Team 3
Kampala
Supervisor / Sindhu Ramalingam / Charles Isabirye / Daniel Talemwa
2 / Miriam Nakalenbe / Teophista Kabalisa / Esther Nderitu
Ivy Kagere
3 / David Wajumbuka / Tom Ngabirano
Albert Ssebidee / Miriam Nansunga
Allen Meeme
4 / Sanne Visser / Emily Bancroft / Tony Mukooyo
Patrick Bateganya

Volunteers welcome for data entry and for Kampala team, no stipends available

WEEK 2 / Team 1
Mbale/Sironko / Team 2
Nebbi / Team 3
Kabarole
Supervisor / Sindhu Ramalingam / Charles Isabirye / Daniel Talemwa
2 / Ivy Kagere / Anne Kajoina / Mercy Muwema
3 / Miriam Nansunga / Tom Ngabirano / Allen Meeme
4 / Sanne Visser / Emily Bancroft / Albert Ssebiddee

Stipends for data entry: Miriam Nakelenbe, Teophista Kabalisa, Tony Mukooyo

Volunteers may be available: David Wajumbuka, Patrick Bateganya, Wesley Too

WEEK 3 / Team 1
Apac* / Team 2
Gulu* / Team 3
Moyo*
Supervisor / Sindhu Ramalingam / Charles Isabirye / Daniel Talemwa
2 / Patrick Bateganya / Teophista Kabalisa / Tom Ngabirano
3 / Ivy Kagere / Tony Mukooyo / Albert Ssebiddee
4 / Sanne Visser / Anne Kajoina / Miriam Nansunga

Stipends for data entry: Miriam Nakalenbe, Allen Meeme

Volunteers welcome for data entry: David Wajumbuka, Mercy Muwema, Esther Nderitu Emily Bancroft

DDHS Contact Information

1 / 1 / Ntungamo / Dr. Kalikwiswa / 0782-521 787
2 / Kibale / Dr. Kyanyanya / 0772-490 345
3 / Kampala / Dr. Mubiru M / 0772-454-893
2 / 1 / Mbale / Dr. Francis Abwimo / 0772-415 913
2 / Nebbi / Dr. Oryema Jakor / 0772-619 078
3 / Kabarole
3 / 1 / Apac / Mathew Emer / 0772- 406 695
2 / Gulu / Dr. Onek / 0772-602 947
3 / Moyo / Dr. Adibaku

Hospital Contact Information

WEEK ONE

Team One

Ibanda Hospital
/ Director / Phone / Week/Team
Dr. E.K. Byaruhanga / Medical Director / 0772-460-945 / Week 1 Team 1
Itojo Hospital / Director / Phone / Week/Team
Hospital Administrator / Week 1
DR. NYEKENGANE? / Medical Superintendent / Team 1

Team 2

St. Ambrose Hospital / Director / Phone / Week/Team
Week 1
Team 2
Kagadi Hospital / Director / Phone / Week/Team
Dr.Kagwa / 0772-384 870 / Week 1
Dr. Bateganya / Medical Director / 0772-659-584 / Team 2

Team 3

Rubaga Hospital

/ Director / Phone / Week/Team
J.M. Bukenya / Medical Superintendent / 0772-719-585 / Week 1
Fred Lwanga / Administrator / 0772-627-531 / Team 3
Sr. Imelda Mary Nakitto / Principal Nursing Officer / 0782-824-546
Mulago Hospital / Director / Phone / Week/Team
Dr. Ezati / 0772-755 481 / Week 1
Dr. Edward Dumba / Executive Director / 0772-480 221
0772-755 480 / Team 3

WEEK TWO

Team 1

Ahamadiya Muslim Hospital – Mbale / Director / Phone / Week/Team
Administrator / Week 2
Medical Director / Team 1
Mbale Regional Hospital / Director / Phone / Week/Team
Administrator / Week 2
Dr. Gerard / Medical Director / Team 1

Team 2

Nebbi Hospital / Director / Phone / Week/Team
Administrator / Week 2
Dr. Oryema Jakor / Medical Director / 077-619078 / Team 2
Angal St. Luke Hospital
/ Director / Phone / Week/Team
Dr. B.R. Wadria / Medical Director / 0772-577 552 / Week 2
Sr. Emmy A.S. / Sr. Nursing Officer / 0782-432-080 / Team 2
Alfred Acanga / Hospital Director / 0772-390-197

Team 3

Virika Hospital
/ Director / Phone / Week/Team
Dr. Deogratius Munube / Medical Director / 0772-505-643 / Week 2
Sr. Theresa K.Kamugole / Administrator / 0772-666-943 / Team 3
Fort Portal Regional Hospital / Director / Phone / Week/Team
Administrator / Week 2
Dr. Wani Shaban / Medical Superintendent / 0772 649 311
0483-22671 / Team 3

WEEK 3

Team 1

Aber Hospital / Director / Phone / Week/Team
Dr. David Kitala / Medical Director / 0772-968-627 / Week 3
George Abeto / Ag. Administrator / 0782-815-240 / Team 1
Apac Hospital / Director / Phone / Week/Team
Administrator / Week 3
Dr. Ogwal Tom / Medical Superintendent / 0772 638 656?
0772-518 398? / Team 1

Team 2

Gulu Hospital / Director / Phone / Week/Team
Administrator / Week 3
Dr, Otim Tom / Medical Superintendent / 0772 439 057?? / Team 2
Dr. Acaye Geofrey / 0772-427 050
Lacor Hospital
/ Director / Phone / Week/Team
Dr. Martin Ogwang / Medical Director / 0772-593-901 / Week 3
Pier Paul Ocaya / Administrator / 0772-588-207 / Team 2

Team 3

Moyo Government Hospital / Director / Phone / Week/Team
Administrator / Week 3
Dr. Madraa Primo / Medical Superintendent / Team 3
Moyo Mission / Director / Phone / Week/Team
Hospital Administrator / Week 3
Medical Superintendent / Team 3

Data targets and tracking

ID NUMBER / District / ID NUMBER / Hospital / # STAYERS
collected / # LEAVERS collected / # MANAGERS collected / Code number range assigned / # Focus Groups Conducted
1 / Mbarara* / 01 / Itojho / 30?
02 / Ibanda
2 / Kibale / 03 / Kagadi
04 / St. Ambrose
3 / Kampala* / 05 / Mulago
06 / Rubaga
1 / Sironko- Mbale / 07 / Mbale Regional Referral
08 / AhamadiyaMuslim
2 / Nebbi / 09 / Nebbi
10 / Angal Hospital
3 / Kabarole / 11 / Ft. Portal
12 / Virika
1 / Apac / 13 / Apac
14 / Aber
2 / Gulu / 15 / Gulu*
16 / Lacor Hospital
3 / Moyo / 17 / Moyo
18 / Moyo Mission HC

The Uganda Health Workforce Retention Project, a collaborative effort of the:

Health Workforce Advisory Board

Uganda Ministry of Health

The Capacity Project (USAID)

Aga Khan University

Makerere University

University of Washington

US Health Resources and Services Administration

Uganda Catholic Medical Bureau

July 10, 2006

To Whom it May Concern:

We very much appreciate your willingness to participate in our study of health worker retention in Uganda health facilities.

The facilities selected for the study include the following:

Week / Team / District / Public hospital / Private hospital
1
July 10
2006 / 1 / Mbarara/Ntungamo / Itojo Hospital / Ibanda Hospital (Catholic)
2 / Kibale / Kagadi Hospital / St. Ambrose HC IV
3 / Kampala* / Mulago / Rubaga Hospital
2
July 17
2006 / 1 / Mbale (Sironko)
(rated hard, but not viewed as such) / Mbale Regional Referral Hospital / AhamadiyaMuslim Hospital
2 / Nebbi / Nebbi Hospital / Angal Hospital
3 / Kabarole* / Ft. Portal Regional / Virika Hospital
3
July 24
2006 / 1 / Apac (hard) / Apac Hospital / Aber (Pope John Paul) Hospital
2 / Gulu (hard) / Gulu* Regional Hosp / Lacor Hospital
3 / Moyo (not rated hard, but viewed as such) / Moyo Hospital / Moyo Mission HC IV

Continued…

The team in each facility will be as follows:

Field work team member assignments (revised 07.07.06)

WEEK 1
July 10, 2006 / Team 1
Mbarara/Ntungamo / Team 2
Kibale / Team 3
Kampala
Supervisor / Sindhu Ramalingam / Charles Isabirye / Daniel Talemwa
2 / Miriam Nakalenbe / Teophista Kabalisa / Esther Nderitu
Ivy Kagere
3 / David Wajumbuka / Albert Ssebidee / Miriam Nansunga
Allen Meeme
4 / Sanne Visser / Emily Bancroft / Tony Mukooyo
Patrick Bateganya
WEEK 2
July 17, 2006 / Team 1
Mbale/Sironko / Team 2
Nebbi / Team 3
Kabarole
Supervisor / Sindhu Ramalingam / Charles Isabirye / Daniel Talemwa
2 / Ivy Kagere / Anne Kajoina / Mercy Muwema
3 / Miriam Nansunga / Tom Ngabirano / Allen Meeme
4 / Sanne Visser / Emily Bancroft / Albert Ssebiddee
WEEK 3
July 24, 2006 / Team 1
Apac* / Team 2
Gulu* / Team 3
Moyo*
Supervisor / Sindhu Ramalingam / Charles Isabirye / Daniel Talemwa
2 / Patrick Bateganya / Teophista Kabalisa / Tom Ngabirano
3 / Ivy Kagere / Tony Mukooyo / Albert Ssebiddee
4 / Sanne Visser / Anne Kajoina / Miriam Nansunga

We very much appreciate your help with this project.

Sincerely,

Anneke Zuyderduin, PhD

Aga Khan University Prinicpal

Amy Hagopian, PhD

University of Washington and U.S. HRSA

1

Emergency Contact Information Retention Study/MOH
TEAM / Name Interviewer / Address / Emergency Contact / Phone number
1 / Sanne Visser / Lubowa / Dr. Anneke Zuyderduin / 077-2-794949
Wajembuka Giboyi David / Mulago Hospital PO Box 7051 Kampala / Dr. George W. Mukone / 0772-495-583
Nansunga Miriam / Makerere U. Medical School (Physiology) / Ms. Namulunga Joanne / 0772-627-137
Mrs. Sindu Ramalingam / AKU / Mr. Ramalingam /Dr. Annkeke / 0712-799-977/
0772-349-494
2 / Emily Bancroft / Makerere U Guest House/8228 15th Ave WE, Seattle, WA 98115 USA / Andy Johnson / 0001-206-356-4556
Charles Isabirye / MOH Box 7272 Kampala / Pelagia Nandawula / 256-712-8866-53/256-712-857-578
Anne Kojoina Kyaligonza / Juusi Clinic – Nsambya Kampala / Newton Akugizibwe / 0772-509-391
Kabaliisa Theopista Ateenyi / 49 Entebbe / Molly Birungi / 0712-866-881/320-305
Mukooyo Jolly Tony / PO Box 23069 Kampala / Dr. Eddie Mukooyo / 0722-400-641 or 0712-994-086/0782-264-949
3 / Mercy Muwema / AKU / Mr. Fred Muwema / 0772-445-529
Esther Nderitu / AKU 8842, Kampala / Dr. Anneke/Samwel Nderitu / 0256-779-494/
0254-722-577-058
Albert Ssebidde / Makimdye / Dr. Eddie Mukooyo / 0772-400-641
Bateganya, Patrick Sulaimon / Mulago Hospital Casuality / Salamuka Nanlyn / 0772-594-203
Talemwa Daniel / Makerere University / Kabahukya, Bridget T / 0712-722-732
Allen Meenie / 0772-366-435 / Mr. Richard Wasswa / 075-261-4569
Nakalembe Miriam Ivudria / Makerere University, Dept OB/GYN / Ivudria Godfrey / 0752-366-881
Kagere Ivy / 0772-912-001 / Naggadya Angelina / 0772-593-199
No Team / Amy Hagopian / Makerere Guest House / Anna Ludwig/Lisa Nguyen / 0774-140-587/
0774-138-221
Adongo, Janet / AKU / Mr. Tegwe Charles / 0772-429-179

1