Licensure of Health Professionals: Practice and Its Predictors Among Health Professional Recruitment Agencies in Ethiopia | Human resources for health

The World Health Organization (WHO), as part of its “Global Strategy on Human Resources for Health 2030”, recognizes the following as one of its objectives: “To optimize performance, quality and health workforce impact through evidence-based resource policies” [1].

As we navigate today’s fast-paced times, we face new infectious, environmental and behavioral risks, as well as rapid demographic and epidemiological transitions that put everyone’s health and safety at risk. With these issues, it is clear that the healthcare system is failing to keep up, becoming more complex and costly, and putting more pressure on healthcare workers. [2].

To make matters worse, vocational training does not seem to keep up with these issues, due to fragmented, outdated and static curricula that generate ill-prepared graduates. [3]. Therefore, unless and until an adequate and appropriate regulatory structure is established and implemented, the first steps towards ensuring a well-resourced healthcare system will not be evident anytime soon. [3].

Implementing regulation can be a powerful weapon and policy tool to protect the public from unqualified, incompetent or dangerous healthcare professionals. [4].

While most countries have their own scope and organization when it comes to having health professional regulations in place, it is common for all to start by keeping a register or list of those who are registered. , setting standards of training as well as scope of practice, establishing a system of ethical review, renewing the license of previously registered professionals and ensuring continued competence to practice [5, 6].

Regardless of the wide global variations, most countries and regions have legislation that regulates doctors, dentists, nurses, midwives and, often, pharmacists; a few countries and regions regulate some paramedical professions separately (e.g. China, Hong Kong (SAR), New Zealand and Singapore) [7,8,9]; and a small number of countries and territories regulate certain traditional medicine professions (for example, Australia, Japan and the Republic of Korea) [10].

In Ethiopia, the government established the Food, Medicine, and Healthcare Administration and Control Authority (FMHACA) in 2010 with a mandate to protect the health of the population by ensuring the competence and ethics of healthcare professionals. [11]. Since then, the FMHACA and its branches have managed health professional registration and licensing, scope of practice, ethics, and continuing professional development. [11]. In addition, the licensing of healthcare professionals was governed by the FMHACA Proclamation (661/2009) until the end of 2018 and this mandate is divided into Food and Drug Administration, Clinical Services Regulation, and Medical Services Regulation. health professionals (Proclamation No. 1112/2019) .

The Health Professional Licensing Examination was introduced in July 2019 by the Ethiopian Ministry of Health as a critical step to undertake for the licensing of new graduates. [12].

It is stated that the main challenges faced at the level of human resources (HR) which hinder the appropriate recruitment and hiring are mainly attributed to the scarcity of health professionals, a high rate of attrition of professionals, the employee burnout and training and development challenges. [11, 13].

It is illegal to practice without a license in Ethiopia and most other countries [9, 11]. People who provide medical, nursing or other professional services without the required qualification or license can face penalties in most jurisdictions, including criminal charges and imprisonment. [9, 11].

Although Ethiopia has adopted various regulatory frameworks for health professionals, their implementation has lagged due to several factors, one of them being the visible gap in the gradual application of the regulation. Hiring of licensed professionals only in health facilities.

To our knowledge, there is little or no evidence in Ethiopia on the practice of hiring licensed health professional bodies. Furthermore, no evidence of the causes that led to the hiring of these unlicensed professionals has been found. This context requires primary research.

Therefore, this study mainly aims to determine the proportion of hiring organizations with good licensing practices in Ethiopia from March 24, 2021 to May 23, 2021. In addition, the study aimed to assess the knowledge and attitude of managers of recruiting organizations on the practice of health professional licensing in Ethiopia and to identify predictors of practice of licensing health professionals among recruiting organizations in Ethiopia from March 2021 to May 2021.

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