BACKGROUND: In Viet Nam, most of the public health staff (84%) currently works in rural areas, where 80% people live. To provide good quality care services, it is important to develop strategies influencing motivation for better performance. METHOD: An exploratory qualitative research was carried out among workers two provinces North Nam so as identify entry points developing that improve performance areas. The study aimed determine major motivating factors and first looks at workers' job...

Human resources for health (HRH) play a central role in improving accessibility to services and quality of care. Their motivation influences this. In Mali, operational research was conducted identify the match between range use performance management activities.To describe factors motivating demotivating workers Mali motivators with implementation management.First an exploratory qualitative study conducted: 28 interviews eight group discussions were held. This followed by cross-sectional...

Health care reforms require fundamental changes to the ways in which health workforce is planned, managed and developed within national systems. While issues involved such transition remain complex, their importance need address them a proactive manner are vital for achieve key policy objectives. For start, analysis of human resources context sector appraisal studies will improve depth, scope quality by incorporating functional, institutional dimensions.

Comprehensive reviews of health system strengthening (HSS) interventions are rare, partly because lack clarity on definitions the term but also potentially huge scale evidence. We reflect process undertaking such an evidence review recently, drawing out suggestions HSS and approaches to assessment, as well summarising some key conclusions from current base. The elements a clear definition include, in our view, consideration scope (with effects cutting across building blocks practice, even if...

Health care workers (HCWs) are essential for the delivery of health services in conflict areas and rebuilding systems post-conflict.

Like any other health worker, community workers (CHWs) need to be supported ensure that they are able contribute effectively programmes. Management challenges, similar those of managing relate improving attraction, retention and performance. Exploratory case studies CHW programmes in the Democratic Republic Congo, Ghana, Senegal, Uganda Zimbabwe were conducted provide an understanding practices for supporting CHWs from a multi-actor perspective. Document reviews (n = 43), in-depth interviews...

Abstract Background The last decade has seen widespread retreat from user fees with the intention to reduce financial constraints users in accessing health care and particular improving access reproductive, maternal newborn services. This had important benefits reducing barriers a number of settings. If policies work as intended, service utilization rates increase. However this increases workloads for staff at same time, loss fee revenues can imply that workers lose bonuses or allowances, it...

Devolution changes the locus of power within a country from central to sub-national levels.In 2013, Kenya devolved health and other services government 47 new subnational governments (known as counties).This transition seeks strengthen democracy accountability, increase community participation, improve efficiency reduce inequities.With changing responsibilities following devolution reforms, comes need for priority-setting at county level.Priority-setting arises consequence needs demand...

There is increasing interest amongst donors in investing the health sectors of fragile and conflict-affected states, although there limited research evidence funding to support this. Agreeing priority areas therefore critical. This paper describes an 18-month process develop a consultative agenda questions for systems research, providing reflections on as well its output.After scoping review had been conducted, primary data was collected from August 2014 September 2015. Data using mixture...

Abstract Background Community health workers (CHWs) are critical players in fragile settings, where staff shortages particularly acute, indicators poor and progress towards Universal Health Coverage is slow. Like other workers, CHWs need support to contribute effectively programmes promote equity. Yet the evidence base of what kind works best weak. We present from three settings—Sierra Leone, Liberia Democratic Republic Congo on managing CHWs, synthesise recommendations for approaches this...

Abstract Background A cohesive and strategic governance approach is needed to improve the health workforce (HW). To achieve this, WHO Global Strategy on Human Resources for Health (HRH) promotes mechanisms coordinate HRH stakeholders, structures capacity within sector support development implementation of a comprehensive HW agenda regular reporting through WHO’s National Workforce Accounts (NHWA). Methods Using an adapted framework guidance analysis, we explored existence operation...

The aim of this paper is to improve understanding about how district health managers perceive and use their decision space for human resource management (HRM) compares with national policies regulatory frameworks governing HRM. study builds upon work undertaken by PERFORM Research Consortium in Uganda using action-research strengthen resources the sector. To assess that have six areas HRM (e.g. policy, planning, remuneration incentives, performance management, education information) roles...

High quality health systems research (HSR) in fragile and conflict-affected states (FCAS) is essential to guiding the policies programmes that will improve access services and, ultimately, outcomes. Yet, conducting HSR FCAS challenging. An understanding of these challenges tackling them supporting conducted complex environments. Led by Thematic Working Group on Health Systems FCAS, primary aim this study was develop a agenda FCAS. The secondary identify associated with contexts. This paper...

Background To achieve Universal Health Coverage (UHC), more health workers are needed; also critical is supporting optimal performance of existing staff. Integrated human resource management (HRM) strategies, complemented by other systems needed to improve workforce performance, which possible at district level in decentralised contexts. strengthen the capacity teams develop and implement workplans containing integrated strategies for improvement, we introduced an action-research-based...

Universal health coverage (UHC) is growing as a national political priority, within the context of recently devolved decision-making processes in Kenya. Increasingly voices these discussions are highlighting need for actions towards UHC to focus on quality services, well improving through expansion insurance fund (NHIF) enrolment. Improving equity one most frequently described objectives devolution services. Previous studies, however, highlight complexity and unpredictability processes,...

Human resources for health are self-evidently critical to running a service and system. There is, however, wider set of social issues which is more rarely considered. One area hinted at in literature, particularly on fragile conflict-affected states, but examined detail, the contribution staff may or do play relation state-building processes. This article aims explore that relationship, developing conceptual framework understand what linkages might exist looking empirical evidence literature...

Practices of power lie at the heart policy processes. In both devolution and priority-setting, actors seek to exert through influence control over material, human, intellectual financial resources. Priority-setting arises as a consequence needs demand exceeding resources available, requiring some means choosing between competing demands. This paper examines use within priority-setting processes for healthcare sub-national level, following in Kenya. We interviewed 14 national level key...

Abstract The aim of this article is to explore the experiences human resources management in context health sector decentralization. initial review decentralization covers issues relating context, content, formulation/implementation and impact literature on (HRM) has identified a number key points that are organized around following HRM functions: HR planning/ staff supply, personnel administration employee relations, performance management. importance change also highlighted. concludes by...