部落社區營造中心 專任助理異動頻繁之我見

作者:李彩炤 衛生稽查員

任職機構:南投縣政府衛生局

日期:106年8月11日

 

    我於104年4月16日調任南投縣政府衛生局醫政科,負責山地醫療業務迄今2年多,本局所屬的信義鄉衛生所其部落社區專任助理已經更換4人,其中2人轉任本局企劃及長照中心相關單位,經深入了解原因,〝低薪資〞無法支付現實的經濟壓力是她們轉換跑道的主因。

    衛生福利部每年補助每家部落社區營造中心的經費總額上限為50萬元,其中包含了人事費與業務費,然而經費的編列又有諸多的限制,例如,人事費總金額以不超過補(捐)助計畫總經費50%為原則等等…,儘管專任助理的薪水會隨著年資增加,但上有鍋蓋(上限50萬),另外也會排擠業務費,俗語「有錢好辦事」,如果沒有適當的業務費編列,每多掣肘的結果,想要圓滿順利推動部落社區健康營造計畫有其困難度。

   反觀,仁愛鄉衛生所其部落社區專任助理一直沒有異動,分析其原因,專任助理表示:因個人健康因素,經考量離家近、工作氣氛佳,小孩已長大,經濟壓力已稍緩解,故不曾考慮跳槽,另外再找工作,截至目前,擔任現職將近10年之久。因此,對照信義鄉與仁愛鄉衛生所專任助理任職時間之長短,我個人覺得,求職與求才,關係是對等的,求才的需求單位,如果能營造良好的工作環境與氛圍,讓謀職的人感到舒服愉悅,建立良好的第一印象,才能吸引住優秀人才。

   透過縣市衛生局開會、研習等交流管道,探詢其他縣市衛生局承辦人員,不乏也有專任助理無法久待的困擾,原因也不外乎,拖延薪資、薪資太低等因素,雖然多次向衛生福利部反映,期盼有所改善,但公務單位制式化的作業流程,恐怕短時間內無解,然而山不轉,路轉,補助單位無法於每年年初撥款,衛生所採取的策略為先行代墊,減少對助理家庭經濟的衝擊,至於薪資太少的問題,對於身為基層的公務機關恐怕力有未逮,惟有決策的中央機關修改,方能真正解決。

   目前擔任信義鄉衛生所部落社區營造中心的幸雙杰專任助理,於今106年7月1日到職,好消息是,她來自本縣信義鄉新鄉村的布農族姑娘,夫家又在信義鄉的羅娜村,道地的信義鄉原住民,記得她剛就職不久,曾到衛生局洽公時,竟主動找我並自我介紹,她是信義鄉衛生所部落社區營造中心新任專任助理,再次見面時是8月7日實地輔導的會議中,雖然簡報過程中,不難察覺她的緊張,但在多位輔導委員的鼓勵下及其護理長的支持下,她說擔任此工作能為族人服務她感到很快樂,就讓我們拭目以待這位信義鄉在地的布農族姑娘,能夠服務信義鄉鄉民多久。

   綜合上述,我個人認為:既然提高薪資有其困難度,營造中心應該在徵人條件中就必須清楚的說明每月薪資的額度,讓應徵者先自行盤算對家中經濟的影響,如果此門檻能跨越,接下來就是盡量以在地原住民為優先,降低異動的可能性,最後就是營造中心應該建置一套完整的新人工作指引並營造良好的工作環境與氛圍,讓謀職的人感到舒服愉悅,才能留住人。

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