Table 2 Major events related to MO training, recruitment and management
Year | Events and implications |
|---|---|
2010–2018 | Expansion of medical schools as only 2 medical school before 2010 and an increase to 11 in 2018, meanwhile number of annual outputs increased from 287 in 2006 to 628 in 2019 |
2010–2013 | New constitution in 2010, new government formed after general election in 2013 and devolution of the healthcare system, leading to the national government became responsible for planning and regulation for health and medical education and establishing norms and standards, while 47 devolved county governments are responsible for workforce planning and recruitment |
2013 | Collective bargaining agreement (CBA) drafted by the doctors’ union and the Ministry of Health on 300% pay-rise for doctors, review of job groups, recruitment, deployment and promotions of doctors; though county governments were not signatories to the agreement |
2014 | Ministry of Health published Human Resources for Health Norms and Standards Guidelines for the Health Sector, which required each Level 3 health centre to have at least two MOs and each Level 4 primary hospital to have 17 |