Bangladesh National Nutrition Services: Assessment of Implementation Status by Kuntal K. Saha Masum Billah Purnima Menon Shams El Arifeen Nkosinathi V. N. Mbuya

Author:Kuntal K. Saha, Masum Billah, Purnima Menon, Shams El Arifeen, Nkosinathi V. N. Mbuya
Language: eng
Format: epub

Recruitment and Retention o Frontline Workers, Including MOs

The need to recruit frontline workers was raised in a number of interviews. The current workloads of health assistants (HAs), family welfare volunteers (FWVs), family welfare assistants (FWAs), and community health care providers (CHCPs) were high. Furthermore, if these workers were not on post, or were moving there after they had received training, the implementation of NNS was hindered. Therefore, efforts to improve timely recruitment and retention of key frontline staff also should improve NNS implementation.

The widespread problem of medical officers (MOs) absenteeism at the upazila level was another key issue raised in both national-level and subnational-level interviews. These officers are the ones most often trained as trainers in the ToT program. However, it was reported that they often used the opportunity afforded them by Dhaka-based training to enhance their careers while in Dhaka, which led them to spend time away from their posts in upazila health complexes. The problem of MOs neglecting upazila posts is not easily resolved. NNS may need to consider approaches to cope with this widespread problem, perhaps by not relying so strongly on this cadre, particularly in the ToT program.

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