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Project family planning service staffing patterns
- Estimate the Demand for Family Planning Services
Women of reproductive age represent roughly twenty
percent of the total population. Calculate the number of potential female clients
there are in your service area by multiplying the population of your service area
by .20 to get twenty percent.
Once you determine the number of women of
reproductive age in your area, estimate how many of these women will actually seek
family planning services. Consider the following factors:
Level of knowledge of family planning: Answer the questions, "Are people aware of family planning?
Do they know how to get services?" Distinguish between awareness of
contraceptives and real understanding of contraception. Low levels of knowledge
mean that you will have to put resources into community outreach and education in
order to attract users to the service. If you don't have the resources to do
this, lower your estimate of demand accordingly.
Access: Put yourself in the place
of the client. Ask yourself, "How hard is it to get and continue to use a
modern contraceptive method?"
Other services: If other family planning
services of comparable quality and price exist, adjust your estimates downward.
Cultural and political barriers: Positive attitudes concerning family planning will
raise demand. Negative attitudes will lower demand. Ask the question, "To
what extent will political and cultural barriers prevent men and women from using
family planning?"
Use this analysis to estimate the percentage of women of
reproductive age that you think will seek services in your program.
- Analyze Contraceptive Choice
Estimate the percentage of acceptors for each contraceptive
method. Next, calculate the number of potential clients for each method by
multiplying the anticipated percentage of acceptors for each method by the number
of clients you are planning to serve.
- Establish Standards for Quality of Care
Describe in detail the kinds of
service that you will provide for each family planning method that your program
will offer:
What type of clinic staff, both medical and non-medical, will be
needed to provide each method and service? Your standards should specify which
type of personnel should be used for each type of visit (initial exam, checkup,
resupply, annual exam, problem visit, etc.) for each method or type of service that
is offered by your program. For example, if you are planning outreach activities
to inform the community about these services, you will need to ask yourself:
What activities will be carried out?
Who will carry them out?
What will these activities be?
Where will services be provided?
How many hours a day will services be offered?
What days of the week will services be offered?
For each method or service, how much time will be required for each category of staff involved in providing the service?
- Project Staff Requirements
Review the volume of activities that you
anticipate and the standards that you have developed. For each method or service,
compare your standards to the existing practice. Are there any changes that must
be made in existing practices in order to provide high-quality methods and services
to your clients? Use this information and your projected client load for each
method to calculate roughly the number of hours of staff time you will need.
Compare this with your existing staffing pattern. Do you need to make adjustments?
If you are starting up a new program, how many and what kind of staff do you need
to have in order to deliver this kind and quality of service?

Writing and Using Job Descriptions
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Job descriptions clarify tasks and responsibilities
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A job description outlines an employee's tasks and responsibilities, what
her or his authority is, and what skills and qualifications are necessary to do
the work. Without them, it may be that neither the supervisor nor the employee
has a clear idea of what the employee is expected to do.
Vignette - The Need for Job Descriptions: Part I
Job descriptions must be written before you select new staff members. These
planning documents should be written up for each staff position and should
describe thoroughly the duties and responsibilities assigned to each position.
For example, a CBD agent's duties and responsibilities might include:
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Duties and responsibilities
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- Visiting homes of community residents to inform them about family planning, to
motivate them to become family planning acceptors, and to sell
contraceptives;
- Keeping records of when clients will need to be visited again for resupply or
reminder of medical check-up.
The job description will serve as a guide for the person in charge of
recruiting new employees. Because it lists the qualifications necessary for
the position, it ensures that a qualified person will be selected.
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Skills and qualifications
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For example, if you are recruiting for a family planning promoter who will be
visiting homes and will be responsible for most of the recruitment of new
clients, the job description should tell you the skills and qualifications this
person must have, such as:
- A minimum level of literacy, so that she or he can do elementary
record-keeping and understand the training sessions and client educational
materials;
- The ability to travel during the day.
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Attitudes and personal qualities
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Job descriptions should tell you the attitudes and personal qualities you
should look for. You will probably have to think about the tasks and make your
own list. For the CBD agent's job, this list might look something like
this:
- Respected in the community, a mature person (and, in some settings,
married);
- Able to work well with colleagues, friendly, and outgoing personality;
- Dedicated to and enthusiastic about the work;
- Has favorable attitudes toward all of contraceptive methods she or he will be
promoting;
- Satisfied with her or his own experience with family planning.
All employees should have copies of their own job descriptions, as well as
those of the people they supervise. It is also helpful for employees to have
copies of the job descriptions of their supervisors, so that the division of
labor between them and their supervisors is clear. |
Uses of a job description
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A job description is important because it is useful in a number of management
tasks:
- Hiring, to ensure that the person who is hired has the necessary
qualifications;
- Training, to identify the training needs of employees by noting the
discrepancies between qualifications needed for a position and the
employee's actual capacities;
- Orientation, to help the new employees understand what is expected of
her or him;
- Supervision, to help the employee's supervisor monitor her or his
performance regularly;
- Performance evaluation, to help the supervisor to review systematically
the employee's performance on all assigned tasks;
- Workplace coordination, to help the manager ensure that all the
necessary tasks are being assigned to the right employee, and that no two
employees are inadvertently assigned to the same task;
- Contract obligations, to meet legal requirements in many countries that
job descriptions be attached to the work contract.
Tools and Techniques - Essential Elements of a Job Description
Vignette - The Need for Job Descriptions: Part II
Example from Thailand - Job Description of a Field Supervisor
Example from Thailand - Job Description of a family Planning Volunteer
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Developing job descriptions by observing other program
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If you are developing a job description for a new position or are writing job
descriptions for the first time for positions that already exist, it can be
useful to see how other family planning programs have set up their personnel
structure, what duties their staff perform, and how the duties have been
assigned to the various staff members. If there is an established family
planning program located nearby, you should set up a visit.
- Observe and interview representatives from various categories of family
planning personnel (for example, nurse-midwives, nurse-educators, physicians,
etc.) to develop a comprehensive list of the daily family planning duties
carried out by the program;
- Ask the program's supervisors and subordinates to review the list and to
add or delete duties as necessary, including those which are not carried out
daily or occur periodically during the year. Make a note of which staff member
performs which duties and whether this division of labor works well;
- Interview family planning clients about the ways in which they like to be
served (for example, only by female providers, in their homes, in conjunction
with child health services, etc.);
- Finalize the list and assign the duties in light of your program's goals
and objectives.
If family planning services are not available anywhere close to you, use the
examples of job descriptions in this chapter and revise them as necessary based
on discussions with your staff and clients.
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Using job descriptions to develop a system of promotion and
remuneration
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Job descriptions can be used to define organizational relationships and develop
a salary structure. A good system of promotion and remuneration will give
organizations a salary structure that is internally consistent and competitive
with other similar organizations. However, in organizations with volunteer
boards, there may be reluctance to agree to salary levels which exceeds the
salaries the board members themselves receive. Studies like the one in
Improving Staff Recruitment by Revising Job Description and Salary Scales are essential for documenting the need for consistent and
adequate remuneration of staff.
Example from Kenya - Improving Staff Recruitment by Revising Job Description and Salary Scales
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Interviewing job applicants
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Every organization will have to determine its own job interviewing process.
Some organizations may decide to have one individual conduct all the
interviews, or they may involve a number of interviewers, including individuals
in the department in which the person will work. It must also be determined
ahead of time who will make the final decision as to which candidate will be
hired.
The job description can also help you draw up a candidate assessment instrument
to help you recruit and select the best candidates for a position. This will
help you rank each candidate by qualifications, skills, attitudes, and personal
qualities. For example, you could use the job description for the Nurse
Coordinator to draw up a candidate assessment instrument to rank candidates
whom you might interview for the Nurse Coordinator position.
It is essential to check the candidates' references for former positions
they have held. Why did they leave their former jobs? How well did they
perform professionally? What problems did they have, if any? What were their
greatest strengths and weaknesses?
The final choice of a candidate should take the score of these rankings into
account, but you should use your own judgement as well. The person who ranks
highest in terms of objective score may not necessarily be the best person for
the job. Someone lower on the list may have a more intangible quality, such as
personality, enthusiasm, or personal rapport, which would make her or him the
best suited for the job.
Tools and Techniques - Candidate Assessment Form
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