Table 6. Human resource input by MVTs.
| Inputs/ incentives | Ghana | Kenya | Burkina Faso |
|---|---|---|---|
| Full time MVT staff (primary care facilities) | 114 project staff (13 doctors, 60 fieldworkers) | 59 project staff (2 doctors, 5 clinical officers, 4 nurses, 29 fieldworkers) | 68 project staff (10 doctors, 12 nurses, 16 fieldworkers) |
| MoH staff paid MVT salary/top-up (primary care facilities) | 23 MoH staff (nurses and community health officers) | 12 MoH staff (1 clinical officer, 11 nurses) | 20 MoH staff (16 nurses, 4 Lab assistants) |
| MoH staff paid MVT salary/top-up (referral hospitals) | 13 MoH staff (paediatricians, doctors and other health professionals) | 2 MoH staff (Paediatricians/doctors) | |
| MoH staff not paid MVT salary/top-up (primary care facilities) | 80 MoH non-clinical staff | 26 MoH staff: Public Health Officers, Pharmacy aide(s), support staff | 6 MoH staff: pharmacy aide(s), guards |
| MoH training and who considered (primary care facilities) | GCP, GLP and vaccine cold-chain management; MoH clinical staff | GCP, GLP, communication and research ethics; MoH clinical staff | GCP and GLP; MoH clinical and non-clinical staff |
| Perceived changes of procedures or routine services due to MVT (primary care facilities) | Presence of MVT activities led to extended facility operational hours | Presence of MVT activities led to extended facility operational hours | Presence of MVT activities led to extended facility operational hours |
| Constant availability of qualified medical staff improves disease surveillance and facilitate learning (for MoH staff) | Constant availability of qualified medical staff improves disease surveillance and facilitate learning (for MoH staff) | Constant availability of qualified medical staff improves disease surveillance and facilitate learning (for MoH staff) | |
| MoH clinicians trained on cold-chain management able to support MVT vaccination | MVT vaccines administered in the same location with routine childhood vaccines, strengthening integration and learning. MVT clinicians assist with routine childhood vaccination | ||
| Perceived concerns/ challenges | Additional workload due to MVT activities—filling MVT forms, working extra hours, providing back-up roles without pay (MoH non-trial staff) | Additional workload due to MVT activities—filling MVT forms, working extra hours, providing back-up roles without pay (MoH non-trial staff) | Additional workload due to MVT activities—filling MVT forms, working extra hours, providing back-up roles without pay (MoH non-trial staff) |
| Some MoH non-trial staff feel excluded in consideration of MVT training and allowances | Some MoH non-trial staff feel excluded in consideration of training and allowances | MoH staff lack supportive supervision once trained, need additional training to handle MVT purchased medical equipment, and high-staff turnover requires constant further training for newly posted MoH staff |
* GCP; Good clinical practice; GLP: Good Laboratory Practice—including training in microscopy use; MoH: Ministry of Health.