joint-aus-us-gov-review-hamlin-fistula-ethiopia-final-report.doc

Hfes organisational structure is clear and has been

Info icon This preview shows pages 39–41. Sign up to view the full content.

View Full Document Right Arrow Icon
HFE’s organisational structure is clear, and has been graphically represented in an appropriate organogram. Lines of authority, responsibility and communication are established, and a new management structure with a clearer responsibility matrix is to be adopted. There is also an established pattern of regular management meetings (including medical planning, finance, purchasing and promotion committees). The current unitary structure and associated systems is centred on the AAFH. HFE’s subsidiary activities (such as the Outreach Centres or Desta Mender) operate as independent cost- centres with their own management teams. This unitary centre/subsidiary model ensures a degree of oversight and cohesion, but also creates some distortions as to the way overheads are allocated. Currently AAFH (where most core services are based) carries the burden of such overheads. A more equitable or representative cost-sharing or allocation model needs to be devised so that all subsidiaries carry more realistic overhead allocations – this in turn will empower them to have greater say and control over the way such core services operate or serve their needs. AusAID Health Resource Facility 22 Managed by HLSP in association with IDSS
Image of page 39

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
AID and USAID Review of Support to Hamlin Fistula Ethiopia (Ethiopia) 31/05/2018 Services Order 230 Draft report Staffing levels seem appropriate to support HFE’s decentralised health provision although there are concerns about the retention of specialist medical staff and others with specific skills. The majority of staff are women and there is an appropriate gender mix across the organisation. There are women in leadership roles (including the Director, the Chief Operating Officer, the Desta Mender Manager, the IT Manager, and senior medical staff) and there is an appropriate culture of empowerment. A competency and staffing audit needs to be commissioned to help HFE assess the appropriate balance between professional and support staff, and identify whether staffing levels are appropriate and cost-effective. HR strategies need be developed to support the recruitment and retention of key staff – this is not merely a matter of offering more money but also reinforcing HFE’s values and culture, and offering targeted training, secondments or exchange opportunities through which staff can develop their skill-base, access new learning and innovative practices. Consideration should also be given to the appointment of a dedicated HR Director to help develop and implement this strategy. In light of the increasing complexity and scale of HFE’s activities, its developing relationship with other partners and FMOH, and its growing international profile, it is proposed that two new management positions be considered: a Program Director to help coordinate HFE’s in-country activities and relations, and an International Relations Director to facilitate the development of HFE’s international links and partnerships.
Image of page 40
Image of page 41
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern