ABSTRACT

This study, evaluated the Skill Mix of Health Professionals in Government Regional Referral Hospitals in Uganda. Specifically, the study examined the skill mix in Government Regional Referral Hospitals. A field survey of four Government Regional Referral Hospitals was conducted using structured questionnaires, review of reports, in-depth interviews and observation. Descriptive analyses, Pearson’s correlation coefficient, single and multiple regression analyses were applied to achieve study objectives.  The study was underpinned on Bourdie’s Social Capital Theory and Human Capital Theory. Results indicated a shortage of qualified health professionals in all the four regional referral hospitals. Health workers were over-worked since most of the required positions were partially filled. At several regional referral hospitals, nurses, clinical officers, nursing assistants and medical officers worked under minimal supervision due to shortage of senior health workers. Consequently, there was a possibility of  health professionals at lower levels of training  offering  un-regulated task shifting services; made worse by lack of  a  policy and  legal framework framework  to  monitor  their  competencies and/or training  needs. The study also appreciated the need for soft skills so as to apply technical skills and knowledge effectively at work.  In conclusion, an appropriate skill mix will largely reduce the effects of health workforce shortages. The skill mix between different cadres of health professionals represents significant advancements in performance of health professionals amidst staff shortages.