The purpose of this assignment was to support the Human Resources for
Health (HRH) Donor Working Group to review the implications of the
introduction of the medium-level pay scale for health workers on each of
the programmes they fund in Somalia (with a focus on the Global Fund,
GAVI, JHNP, Health Consortium for the Somali People (HCS), and UNICEF).
Governments have made progress on implementing human resource (HR) and
payroll process improvements and investing more in health staff
remuneration, while partners have made progress toward the ‘medium
scenario'; however, there has not been the coordinated plan of action
envisaged a year ago.
Partners fund remuneration for around 4,000 Somali health service
delivery staff, at a cost of around US$ 13.5 million per annum;
governments fund around 3,200 for around US$ 3 million per annum, which
is expected to rise to over 4,000 and US$ 5 million per annum in 2014.
The authors propose a complementary progress of practical improvements
to HR and payroll systems to give governments and partners more
assurance, and work to agree a costed trajectory for governments to take
up most of the remuneration burden of Somali health service delivery
workers within five years.
Charlie Goldsmith Associates. Assignment Report: Somalia: Support to donor working group on Human Resources for Health - Remuneration, HR and payroll process issues related to the introduction of the ‘medium scenario’. HEART, UK (2014) 43 pp.