World Health Organization Department of Human Resources for Health What can we learn from country studies? Barbara Stilwell Marjolein Dieleman.

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Presentation transcript:

World Health Organization Department of Human Resources for Health What can we learn from country studies? Barbara Stilwell Marjolein Dieleman

World Health Organization Department of Human Resources for Health Reviewed  11 country HR assessments  Varying methods – most document reviews  Assessments reviewed: Malawi, Lesotho, Ethiopia, Zambia, Botswana, Swaziland, Mozambique, The Gambia, Ghana, Tanzania  Heavy focus on WHO funded studies, but others included too

World Health Organization Department of Human Resources for Health Challenges identified  Poor information systems  Need to improve recruitment, retention, motivation  Lack of career pathways  Internal structural fragmentation  Impact of decentralization  Need for public-private sector cooperation  Linking pre-service education to national health policies

World Health Organization Department of Human Resources for Health Implementation  Poor record of policy implementation  The role of donors and other agencies in providing (and withdrawing) funds to support workforce development

World Health Organization Department of Human Resources for Health Technical inputs  Information systems and costing models  Educational methods and curriculum review  Feasibility studies  Monitoring and evaluation of changes  Improving management  Workload studies to improve performance and productivity

World Health Organization Department of Human Resources for Health Process expertise  Negotiation, ensuring stakeholder involvement, advocacy and communication, management, implementation of strategies, leadership and institutional strengthening  Setting up in-country discussion forums  Manage processes of change to ensure implementation – long term?

World Health Organization Department of Human Resources for Health Some comments  Fate of studies unknown – no follow-up identified – reference to other studies and their fate not known either  Is there a need for standards or checklist for reviews and reviewers?  How do we, as a community of practice, ensure that we build our knowledge base?  Can a network support knowledge generation?