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This book contains a method for assessing the financial educational and management systems and policy context essential for strategic planning and policy-development for human resources for health. This tool has been developed as an evidence-based comprehensive diagnostic aid to inform policy-making in low and middle income countries in regards to human resources for health. It does so in three stages by assessing the current status of the health workforce and capacities for health workforce policy implementation with a particular focus on four aspects - finance education management and policy-making; by identifying priority requirements and actions based on the current status of the health workforce and by showing how to sequence policies and draw up a prioritized action plan for human resources for health. This tool is designed as an initial diagnostic instrument to be used in a process of developing a national strategic plan on human resources for health. It helps to provide a rapid initial assessment and a preliminary strategic plan as part of a longer-term and sustained process of human resources planning. It is not intended to assess the appropriateness of a workforce's skills mix or the technical quality of pre-service curricula which are the subjects of several other assessment tools. Rather it focuses on determining - and providing sequenced recommendations to improve upon- system capacities to increase the effectiveness of the health workforce.
Managing Health Care Business Strategy is the definitive textbook on strategic planning and management for healthcare organizations. It offers all the basic information on strategic planning and management within the unique context of organizations concerned with the delivery and financing of health care. It does this by noting the singular strategic environment in health care, explaining the special procedures and options available to health care organizations, and providing real-life examples in the form of case studies. It includes not only a description of the basic multi-step process of creating and then managing a strategic plan, but also a detailed look at the role played by the key business functions (finance, marketing, human resources, information technology, and law) as well as specific strategic options (merger/acquisition, reorganization, joint venture) and some of the popular tools for analyzing strategic situations (balanced scorecard, Six Sigma, SWOT).
This book was produced to support the development of Ghana s Human Resources for Health (HRH) Strategy. It discusses the current picture on stock, distribution and performance of HRH, evidence based policy options, as well as fiscal and political challenges to be taken into consideration in developing policies or programs on HRH.
Sub-Saharan Africa has only 12 percent of the global population, yet this region accounts for 50 percent of child deaths, more than 60 percent of maternal deaths, 85 percent of malaria cases, and close to 67 percent of people living with HIV. Sub-Saharan Africa, however, has the lowest number of health workers in the world-significantly fewer than in South Asia, which is at a comparable level of economic development. The Labor Market for Health Workers in Africa uses the analytical tools of labor markets to examine the human resource crisis in health from an economic perspective. Africa's labor markets are complex, with resources coming from governments, donors, the private sector, and households. Low numbers of health workers and poor understanding of labor market dynamics are major impediments to improving health service delivery. Yet some countries in the region have developed innovative solutions with new approaches to creating a robust health workforce that can respond to the continent's health challenges. As Africa grows economically, the invaluable lessons in this book can help build tomorrow's African health systems.
East Asian and Pacific countries are growing rapidly. They need high quality, well-funded health systems to underpin their population growth and assure continued productivity and economic growth. But countries will need to spend wisely, using modern techniques of insurance and strategic contracting with providers.
This volume reviews the economic underpinnings (investment and financing) and institutional reforms needed to successfully scale up the education of health workers. In this regard, the book examines five major economic and institutional challenges that policy makers face: (1) governance of health education organizations and systems; (2) approaches to financing the education of health workers; (3) the special nature of capital investment in expanding the capacity of health education institutions; (4) public-private partnerships in health education; and (5) equity in accessing health education, with a special focus on issues that arise from private approaches to the education of health workers.Much of the existing literature focuses on the quality and contents of training health workers, and very little has been written on the institutional dimension of financing their training and education. This book examines the complex institutional and financial models and approaches that can impact the demand and supply of health worker education programs around the world.Building on the findings of the Independent Commission on the Education of Health Professionals for the 21st Century, which published on the foundations and the issues of global postsecondary professional education, this volume brings in new and in-depth aspects such as governance, capital investments, and the role of the private sector in the production of health professionals; thus allowing the reader to understand how the health worker education field has moved from theory to practice.
Several years have passed since the launch of the National Health Workforce Accounts (NHWA) in 2017. And following a global pandemic that disrupted healthcare services worldwide, it is an opportune time to reflect on the progress, priorities, gaps, and adaptations of the NHWA. The NHWA has witnessed unprecedented engagement from countries, partners, and all three levels of the World Health Organization, with focal points nominated by most Member States (90%). Thanks to collective efforts, there has been a significant improvement in the availability and quality of health workforce (HWF) data. Standardized measurement approaches, streamlined reporting mechanisms, and the involvement of multiple stakeholders from various sectors, including partner organizations, have played a vital role in this advancement. The data monitored and reported through NHWA has contributed to generating evidence on various policy issues, including HWF shortages, ageing, migration, and inequalities related to gender and subnational disparities. Furthermore, it has shed light on the significant contributions of the HWF in the response to the COVID-19 pandemic. NHWA has also facilitated the development of key global products, such as the State of the World’s Nursing report, the State of the World’s Midwifery report, as well as several national and regional reports. Since 2017, the World Health Assembly has adopted a series of new resolutions highlighting HWF issues, such as the Strategic Directives on Nursing and Midwifery, the Working for Health Action Plan, and the Global Health and Care Worker Compact, to name a few. Additionally, the COVID-19 pandemic led to a greater recognition of the role of the HWF for universal health coverage (UHC) and health security. The development of the Roadmap for building national workforce capacity to deliver the essential public health functions, initiatives on non-communicable diseases, community health workers (CHWs), primary health care (PHC), and traditional and complementary medicine, all recognized the centrality of the health and care workforce as well as the need for data and evidence to inform policies and planning. While ensuring continuity in the standardization of HWF statistics and maintaining the legacy of NHWA v1.0, this revision of NHWA incorporates necessary changes and adaptations to accommodate priority data needs for health and care workers (HCWs)-related new initiatives and challenges. The implementation of NHWA remains committed to core principles, which include a systems-strengthening approach, progressive implementation, multi-sectoral governance, and diversification of data sources. This revised version also provides more examples of NHWA data use.
The Oxford Handbook of Health Economics provides an accessible and authoritative guide to health economics, intended for scholars and students in the field, as well as those in adjacent disciplines including health policy and clinical medicine. The chapters stress the direct impact of health economics reasoning on policy and practice, offering readers an introduction to the potential reach of the discipline. Contributions come from internationally-recognized leaders in health economics and reflect the worldwide reach of the discipline. Authoritative, but non-technical, the chapters place great emphasis on the connections between theory and policy-making, and develop the contributions of health economics to problems arising in a variety of institutional contexts, from primary care to the operations of health insurers. The volume addresses policy concerns relevant to health systems in both developed and developing countries. It takes a broad perspective, with relevance to systems with single or multi-payer health insurance arrangements, and to those relying predominantly on user charges; contributions are also included that focus both on medical care and on non-medical factors that affect health. Each chapter provides a succinct summary of the current state of economic thinking in a given area, as well as the author's unique perspective on issues that remain open to debate. The volume presents a view of health economics as a vibrant and continually advancing field, highlighting ongoing challenges and pointing to new directions for further progress.