General Management Directorate of

Human Resources Development

GUARD SERVICE

General Management Direction of

Human Resources Development

25 de Febrero del 2015

 HUMAN RESOURCES IN THE HEALTH SECTOR BY INSTITUTION, POSITION OR
OCCUPATIONAL GROUP - PERU DEC 2014
TOTAL MINSA and Gob Reg
SECTOR
POSITION / OCCUPATIONAL GROUP EsSALUD PNP FFA SISOL
% PEA % PEA PRIVATE

% PERU 100.00 69.93 20.98 2.78 2.71 1.23 2.37

PERU 100 242,391 100 169,513 50,848 6,749 6,564 2,975 5,742

Health Professionals 46 112,196 43.04 72,961 26,838 2,119 3,451 1,085 5,742
DOCTOR 15.2 36,840 12.09 20,499 10,102 830 1,071 749 3,589
NURSE 16.19 39,231 15.22 25,803 10,391 797 1,343 206 691
OBSTETRICIAN 5.96 14,441 7.55 12,804 1,314 107 82 59 75
DENTIST 2.35 5,708 2.27 3,849 776 177 284 18 604
BIOLOGIST 0.77 1,856 0.99 1,680 123 27 21 0 5
SANITARY ENGINEER 0.01 27 0.02 27 0 0 0 0 0
NUTRITIONIST 0.71 1,731 0.68 1,151 494 8 32 17 29
PSYCHOLOGIST 1.04 2,532 1.03 1,739 377 95 233 18 70
Pharmaceutical Chemist 0.98 2,382 1.01 1,717 522 23 73 1 46
MEDICAL TECHNOLOGIST 1.88 4,564 1.14 1,930 2,240 18 209 4 163
VETERINARY DOCTOR 0.11 255 0.15 254 1 0 0 0 0
Social Worker 0.85 2,061 0.83 1,409 493 36 103 13 7
CHEMICAL 0.04 105 0.06 99 5 1 0 0 0
OTHER HEALTH PROFESSIONALS 0.19 463 0 0 0 0 0 0 463

TOTALPROF ADM, TECH AND AUX 54 130,195 56.96 96,552 24,010 4,630 3,113 1,890 0

TOTALTEC AND AUXILIARY ASSISTANCE 29 69,467 30.5 51,700 12,341 2,374 2,791 261 0
ASSISTANT TECHNICIAN 25.14 60,945 28.15 47,717 11,249 289 1,430 260 0
ASSISTANT AUXILIARY 3.52 8,522 2.35 3,983 1,092 2,085 1,361 1 0

TOTALPROF ADM, TECH AND AUX ADM. 25 60,728 26.46 44,852 11,669 2,256 322 1,629 0
Administrative Professionals 4.6 11,145 3.82 6,483 4,086 429 17 130 0
Administrative Technician 14.39 34,876 14.98 25,387 7,066 1,007 159 1,257 0
ADMINISTRATIVE AUXILIARY 6.07 14,707 7.66 12,982 517 820 146 242 0

SOURCE:
INFORHUS
 RHUS PLIABLE LIME AND REGIONAL GOVERNMENT, BY LABOR REGIME AND CATEGORY
CATEGORY OF [Link]. / HEADQUARTERS
Legislative Decree No. 276
EESS - YEAR 2014
REGIME 1057 (CAS)
SERVICE
NO
NAMED CONTRACT DE
REGIME
ADMINISTRATIVE / GROUP O/
RESIDENTSERUMS SUB TOTAL 1057
CONTRACT
MUNICIPAL SUB TOTAL CLASS THIRD
SPECIFIC TOTAL %
OCCUPATIONAL CONTRACT A
(CAS) (CAS) S
DO
Doctor 3829 22 2287 6138 1461 1461 106 99 1 7805 4.60
PS End, Obs,
… 9138 5183 14321 11631 9 11640 765 248 26974 15.91
Tech and Aux
I-1 to I-4
Assist. 16036 16036 8428 93 8521 1017 542 26116 15.41
Tech and Aux
Adm. 4997 4997 4267 24 4291 354 554 10196 6.01
SUB-TOTAL 34000 22 7470 41492 25787 126 25913 2242 1443 1 71091 41.94
Doctor 3661 225 13 3899 650 650 175 4724 2.79
PS Enf, Obs,
… 6373 216 6589 4798 1 4799 1 126 11515 6.79
II-1 AL II- Tech and Aux
E Assist. 8297 8297 3591 2 3593 1 192 12083 7.13
Tech and Aux
Adm. 6720 6720 4346 2 4348 324 11392 6.72
SUB-TOTAL 25051 225 229 25505 13385 5 13390 2 817 0 39714 23.43
EE.S
Doctor 4292 1714 6006 942 942 1 118 7067 4.17
S.
PS End, Obs,
… 6693 6693 3766 1 3767 124 8 10592 6.25
III-1 Al Tec and Aux
III-E Assistant. 8277 8277 2985 2 2987 1 123 11388 6.72
Tech and Aux
Adm. 7633 7633 2686 1 2687 1 246 10567 6.23
SUB-TOTAL 26895 1714 0 28609 10379 4 10383 3 611 8 39614 23.37
Doctor 4 4 26 26 1 2 33 0.02
PS End, Obs,
… 48 48 74 74 1 123 0.07
Sin
Tech and Aux
Category
Assist. 60 60 33 1 34 3 4 101 0.06
a
Tech and Aux
Adm. 34 34 46 46 80 0.05
SUB-TOTAL 146 0 0 146 179 1 180 4 7 0 337 0.20
Total [Link]. 86092 1961 7699 95752 49730 136 49866 2251 2878 9 150756 88.93
Doctor 172 1 173 96 96 1 7 277 0.16
PS End, Observe,
SOURCE:
… 1052 4 1056 1214 1214 1 80 2351 1.39
INFORHUS
 RHUS YOU PERFORM HOSPITAL AND COMMUNITY GUARD DUTIES
PLH AND INFORHUS RELATION - PERU DEC 2014

Regimen 276 Regimen 1057 (CAS) Total Service Regime

CATEGORY OF SOCIAL SERVICES Name Contract regime
ADMINISTRATIVE HEADQUARTERS Resident SERUMS in of generates %
do/Cont Total 1057 Municipal Total 728Third l
test 2014
treated (CAS) CAS
I-1 2,615 1,263 3,878 40 40 1 2 3,921 6.04
I-2 4,236 1,356 5,592 22 22 7 4 5,625 8.67
I-3 11,480 5 1,127 12,612 68 68 10 7 12,697 19.56
I-1 to I-4 I-4 7,582 1 263 7,846 48 48 3 6 7,903 12.18
Sub-Total
[Link]. 25,913 6 4,009 29,928 178 0 178 21 19 30,146 46.45
II-1 8,305 20 110 8,435 48 1 49 1 2 8,487 13.08
II-2 8,945 107 1 9,053 39 39 6 9,098 14.02
II-1 AL II-E II-E 297 5 302 3 3 305 0.47
Sub-Total
[Link]. 17,547 127 116 17,790 90 1 91 1 8 17,890 27.57
III-1 11,267 186 11,453 46 46 1 11,500 17.72
III-2 3,471 57 3,528 1 1 3,529 5.44
III-E 917 917 8 8 925 1.43
Sub -Total
[Link]. 15,655 243 0 15,898 55 0 55 0 1 15,954 24.58
Total [Link]. 59,115 376 4,125 63,616 323 1 324 22 28 63,990 98.60
WITHOUT CATEGORY 40 40 3 3 43 0.07
IGSS 1 1 1 0.00
DIRESA 91 1 92 1 93 0.14
HEADQUARTERS
GERESA 22 22 22 0.03
ADMINISTRATIVE
DISA 50 2 1 53 1 1 54 0.08
VA RED 672 1 2 675 14 14 1 1 691 1.06
INS 1 1 1 0.00
SIS 1 one 1 2 0.00
SUNASA 1 1 1 2 0.00
Total SEDE
ADMINISTRATIVE 875 875 875 875 875 875 875 875 875 875 1.35
Total general 59,990 381 4,128 64,499 344 1 345 25 30 64,899 100

SOURCE:
 WORKING DAY

. POLITICAL CONSTITUTION - ART.25°.- The regular workday of

work is eight hours a day or forty-eight hours a week,
at most. In case of cumulative or typical working hours, the average of
hours worked in the corresponding period cannot exceed that
maximum.
. Specific Career Regulations for Healthcare Professionals. The
established care shift of 6 uninterrupted hours daily
equivalente semanal a 36 horas o mensual de 150 horas.
. LAW 23536 - ART.7° The working hours of Professionals of the
Health will be the one in effect at the time of the promulgation of this law.
it will be scheduled according to the needs of the service. On this day
the work of Guard is understood.
. D.S. 024-83-PCM AMENDED, D.S. 029-84-SA - ART.10°.- The
Health professionals must work normally six hours a day.
from Monday to Saturday.
. [Link]. 276 - ART.21° INC. c).- The obligations of the servers
to attend punctually and observe the established schedules.
. [Link]. 559 – ART.9°.- The working hours of the Surgeon Physician are
6 uninterrupted hours daily to its weekly equivalent of 36 hours or
monthly 150 hours.
. In this shift, the work of Guard is included when the shift
work exceeds 150 hours per month, the excess is considered as
guardia extraordinaria.
 MINISTERIAL RESOLUTION No. 573-92-SA/DM
REGULATION ON HOSPITAL GUARD ADMINISTRATION FOR THE
PERSONAL ASSISTANCE OF THE ESTABLISHMENTS OF THE MINISTRY OF HEALTH

WHAT DOES R.M. 0573-92-SA/DM RESOLVE?

• Approve the Administration Regulations of G. H. For
the healthcare staff of the facilities of the
MINSA.
• Understand the Conceptualization, programming,
approval, supervision, control, payment and assumption of
responsibilities for the proper execution of the
CONCEPT
Hospital Guards.
Activity carried out in compliance with needs
essential services, fulfilling activities
multiple and differentiated from those carried out in days
ordinary, without exceeding 12 hours.
the on-call duty is fulfilled with physical presence and
permanent in service
 R. M. No. 573-92-SA/DM
FROM THE SCHEDULING OF HOSPITAL GUARDS

Article 8: The Scheduling of Hospital Guards is a technical activity.

administrative, that with criteria of rationality, the Head of the Department or
of Unit, schedule shifts and personnel for the continuity of services
basic care.

Article 10: The Duty Team's Schedule includes the personnel

appointed, hired and/or highlighted who provide services, in the
Health Establishments.

Article 12: "The scheduling of the shifts is done taking into account the
prioritization of the service needs and the human resources with which
count and the budget coverage of the item.
 R. M. No. 573-92-SA/DM
ON THE SCHEDULING OF HOSPITAL GUARD DUTIES

ORGANIC UNITS WHERE IT IS CARRIED OUT

HOSPITAL GUARDS

CARES
HOSPITALIZATION EMERGENCY
INTENSIVE

LEGAL WORKING DAY WORK JOURNEY WORK JOURNEY

ORDINARY C/GUARDIA HOSPITAL.
LEGAL JOURNEY OF Shifts G.H. No.
ORDINARY WORK: ROTATING: MONTHLY: L M M J V S D TOT L M M J V S D TOT
6 [Link] TOMORROW G. H. NORMAL: 8
36 WEEKLY AFTERNOON G. H. EXCEPTION:10
150 monthly NIGHT G. H. EMERG.:12 6 6 6 6 6 6 150 6 12 6 12 150

NOTE: The rest after G.H. is considered mandatory.

 HOSPITAL GUARDIANS - CRITERIA

G. PROGRAMMING CHANGE OF
HOSPITALITY PROGRAMMING
[Link] PROGRAM CON CRITERION DE 1. REQUEST OF THE SERVER 48 HOURS IN ADVANCE
RATIONALITY AUTHORIZED BY THE HEAD OF THE DEPARTMENT AND THE V.B.
2. THE HEAD OF DEPARTMENT PROGRAM SCHEDULES AND FROM THE DIRECTOR
GUARD PERSONNEL 3. ACCEPTANCE OF THE REPLACEMENT SERVER
3. ROTATION SYSTEM
4. INCLUDES NAMED, HIRED AND
HIGHLIGHTS
5. TAP with more than 50 years has the right to
BE EXONERATED
6. THE G.H. IS PROGRAMMED BASED ON THE REST AFTER SHIFT
NEED FOR SERVICE AND HR.
7. THE SHIFTS ARE 12 HOURS 1. END OF THE GUARD.
8. THE ESTABLISHMENT DIRECTOR 2. THE REST IS NOT ACCUMULABLE FOR
APPROVE WITH RESOLUTION GUARD.
3. IT MUST BE TAKEN MANDATORILY.

SERVICE IN CASES OF DISASTERS

1. HEALTH PROFESSIONALS AND NON-PROFESSIONALS ARE OBLIGATED TO
ATTEND THE CENTER.
2. DIFFICULTY IN TRANSPORTATION, NEAREST ESTABLISHMENT.
3. RETAIN - THEY PRESENT THEMSELVES FOR SERVICE.
HOSPITAL GUARDS - ORGANIC UNITS

FINAL DEPARTMENT:
HOSPITALIZATION SERVICE
[Link]
[Link]
3. GYNECOLOGY-OBSTETRICS
SUPPORT SERVICE :
[Link] NIGHT SHIFT
DEPARTMENT
INTERMEDIATE DEPARTMENT : 1. MAINTENANCE UNIT AND
TRANSPORTES
EMERGENCY SERVICE 2. UNIT DE CLEANING AND
1. PATHOLOGY AND LABORATORY SURVEILLANCE
2. IMAGING DIAGNOSIS AND RADIANT THERAPY 3. EMERGENCY BOX AND
[Link], GAS THERAPY Y CENTER PHARMACY
SURGICAL [Link] TELEPHONE
4. PHARMACY [Link] SERVICE
5. SOCIAL SERVICE
6. REGISTRATION AND STATISTICS OF PATIENTS
[Link] DEPARTMENT
[Link] CARE UNIT
9. SURGICAL CENTER AND HOSPITALIZATION
HOSPITAL GUARDS - BASIC TEAM
AND PERSONAL

BASIC GUARD TEAM PERSONAL NOT PROFESSIONAL

1. DOCTORS: GENERAL INTERNISTS, 1. TECHNICIAN AND ASSISTANT OF NURSING
SURGEON, GYNECOLOGIST-OBSTETRICIAN, PEDIATRICIAN 2. Pharmacy Technician and Assistant

ANESTHESIOLOGIST, TRAUMATOLOGIST. 3. TECH. AND AUX. OF STATISTICS

4. TECHNICAL AND ADMINISTRATIVE ASSISTANTS
2. PHARMACEUTICAL CHEMIST
5. TECH. AND AUX. OF NUTRITION
3. MIDWIVES
6. TECH. IN TRANSPORT AND DRIVERS
[Link]
5. MEDICAL TECHNOLOGIST AND SPEC. TECH. 7. TECH, AUX. OR HOUSEPOWER ARTISANS
8. TECH. IN SECURITY
[Link] WORKERS
10. TECH. AND LAB ASSISTANT
 COST OF HOSPITAL GUARDS

FACTOR COST OF GUARDIANSHIP BY LEVELS

TYPE OF GUARD %
N-5 N-4 N-3 N-2 N-1
45.90 42.50 40.57 39.66 37.84

GUARD DAYS
GD
DIURNAL ORDINARY 1.5 68,85 63.75 60.85 59.40 56.76

GUARD DAYS
Good Night
NOCTURNAL ORDINARY
2.0 91.80 85.00 81.14 79.32 75.68

GUARD SUNDAY DIAS. AND

GD
Daily FER.
2.5 114.75 106.25 101.42 99.15 94.60

GUARIA SUNDAYS AND

Good night
NIGHTTIME HOLIDAYS
3.0 137.70 127.50 121.71 118.98 113.52

GUARD SIN
GR
ON HOLD
PRESENCE 25 %G.H
PHYSICS

GUARDIA CON
GR OF RETENTION
PRESENCE 100% G.H.
PHYSICS
 COST OF HOSPITAL GUARDS
WITH 55%: DS. 216-2014-
BEFORE: With DS. 024-2001-SA
EF
CARGO DAY NIGHT DAY NOCTURNAL CARGO DIURNAL NOCTURNAL DIURNAL NOCTURNA
ORDINARY DIURNAL D. yF. D. yF. ORDINARY DIURNAL D. yF. D. yF.

DOCTOR 5 68.85 91.80 114.75 137.70 DOCTOR 5 106.72 142.29 177.86 213.44

DOCTOR 4 63.75 85.00 106.25 127.50 DOCTOR 4 98.81 131.75 164.69 197.63

DOCTOR 3 60.86 81.14 101.43 121.71 DOCTOR 3 94.33 125.77 157.22 188.65

DOCTOR 2 59.49 79.32 99.15 118.98 DOCTOR 2 92.21 122.95 153.68 184.42

DOCTOR 1 56.76 75.68 94.60 113.52 DOCTOR 1 87.98 117.30 146.63 175.96

WITH 55%: DS. 223-2013-

MIDWIVES: DS. 008-2003-SA
EF
CARGO DAY NIGHT DAY NOCTURNA CARGO DIURNAL NOCTURNAL DIURNAL NOCTURNA
ORDINARY Diurnal D. yF. D. yF. ORDINARY DAILY D. yF. D. yF.

V 63.75 85.00 106.25 127.50 V 98.81 131.75 164.69 197.63

IV 60.95 81.26 101.58 121.89 IV 94.47 125.95 157.45 188.93

III 59.54 79.38 99.23 119.07 III 92.29 123.04 153.81 184.56

II 58.10 77.46 96.83 116.19 II 90.06 120.06 150.09 180.09

I 56.55 75.40 94.25 113.10 I 87.65 116.87 146.09 175.31

WITH 55%: DS. 223-2013-

NURSES: Law 27669 - DS.004-2002-SA
EF
 MINISTERIAL RESOLUTION
No. 0232-91-SA-P.
Community Guards
ESTABLISH AND APPROVE DIRECTIVE Nº 09-91 THAT
REGULATE THE DAYTIME COMMUNITY GUARDS IN THE
CENTERS AND HEALTH POSTS OF THE MINISTRY OF HEALTH, THAT
PROVIDE PERMANENT PREVENTIVE CARE
OBJECTIVE
Establish norms for programming, execution, control and
payment of the Daytime Community Guards in the Centers and
Health posts of the Ministry of Health that provide
priority preventive and permanent attention to the
Community for 12 continuous hours.

SCOPE
This standard includes Health Centers and health posts,
dependents of the Ministry of Health, who provide care
preventive and permanent to the Community.
 Community Guards

GENERAL ASPECTS
They will be carried out within the jurisdictional scope of the C.S. and P.S. to carry out
preventive and permanent activities for the Community.
2. The activities will be aimed at extending Health Programs at the national level.
of the local scope in the Community within the Preventive Assistance aspect.
3. They will be held in the C.S. and P.S., 3 days a week including the days
Saturdays with a 12-hour work shift per guard, and in a manner
rotating. This shift will be included in the calculation of the schedule
working habit, involving the respective standby rest.
On exceptional occasions, they may take place on Sundays and
feriados, computándose la jornada de trabajo de seis horas como guardia
from twelve 12 hours.
5. The Day Community Guards will be carried out by a team.
composed of:
Surgeons
b) Health Professionals
c) Professionals of the Administrative Career and
d) Non-Professional Servers
6. The number of Day Community Guards will be scheduled in a
máximo de 5 (cinco )por mes de acuerdo a la normatividad vigente, y
 Community Guards

SPECIFIC ASPECTS.
• Health Programs will be developed:
Execution of Health Programs.
Health Education
Home visits in the relevant programs.
• The approval of Daytime Community Guards that pertains to the
Departmental Units will be properly supported and
documented; without this requirement
• this benefit will not proceed.
• The Health Territorial Units will refer to the Units
Health Departments, the scheduling of Community Guards
Daily reports together with the report of the shifts carried out in the month
previous, must contain the following points:
a) List of personnel who perform the shifts by day.
b) Activities carried out by each worker.
c) Number of beneficiaries per activity.
d) Report on Guard Supervision.
RESPONSIBILITY
• General Directors of the Departmental Health Units.
• Directors of the Territorial Health Units.
• Jefes de Centros y Puestos de Salud.
 DISTORTIONS OF THE APPLICATION OF THE GUARD SERVICE

1. The monthly scheduling of guards for the Prof. of the Sa. exceeds 5
regulated monthly.

2. The scheduling of guards in some health establishments of II and III

level of care masks the real need for specialist doctors in
health services.

3. Community watches are used as a mechanism of

compensation for health personnel who carry out interventions
extramural activities in communities and families.

4. In some health facilities at the II and III levels of care, the

health professionals who are in a functional position of
head responsibility, a greater number of shifts are scheduled
>10 per month.

5. The methodology for calculating guard was linked to one of the concepts
permanent compensation (main remuneration) and that is why their
the increase depended on the increase in remuneration.

6. Health personnel perceive on-call duty as a worker's right

y no como una necesidad del servicio.
Thank you very much!!!!!!