Strengthening Human Resource Management Systems by Tim Martineau Liverpool School of Tropical Medicine, UK Human Resources for.

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Presentation transcript:

Strengthening Human Resource Management Systems by Tim Martineau Liverpool School of Tropical Medicine, UK Human Resources for Health Knowledge Hub Inaugural Forum on Human Resources for Health in the Asia and Pacific Regions Sydney, 8 th and 9 th April 2010

HRH is a major bottleneck to achieving MDGs and other health goals

Much effort it being put into scaling up the workforce

We need effective HRM systems to make new investments sustainable

We urgently need to be able to analyse the current problems and design better HRM systems

Systems concepts

The system and its components

Policy to outputs (& outcomes) Workforce with appropriate skills for the job

But to outsiders HRM systems can appear very opaque or unsystematic

Mapping processes e.g. promotion Source: Human Resources Development and Strategic Plan (Lesotho)

Additional components of the whole system

Looking at HR functions as adaptive systems InputOutput Standards CompareTake action Process

The system and the environment

Does the system contribute to the wider purpose? InputOutput Process Standards Outcome/ Purpose Standards

Integration with other HRM systems Job descriptions Performance Appraisal Recruitment & selection

Integration with wider health system

Other contextual factors Labour market Economic situation +++

‘Human activity’ systems

systems to influence human behaviour will have incentives and sanctions included

I can’t find your file! Good systems can be distorted

Potential application of systems approach in HR

Monitoring implementation

Checklist for a systems approach What is the system meant to produce (output)? To what standards? Does this system contribute to an improved health workforce (and health service)? How? How do I know the system is working (compare)? What action can be taken? (inputs, process or standards) Is the problem with the policy, or with the system for implementing it?

Systems improvement

Filling a vacancy can be a complex business! Source: Report of the Joint Design Mission to the Kenyan Health Sector, 2007.

Hiring process for the US Department of Housing and Urban Development Source: Washington Post, 26 March 2010

Possible application to the 4 HRH hub areas Migration Leadership and management HRH for maternal health etc HRH for public health emergencies

So how will a systems approach to HRM help?

Diagnose systems problems

Systems become discussable

Better HRM systems contribute to improved health workforce