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Working in Health - Financing and Managing the Public Sector Health Workforce (Paperback)
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Working in Health - Financing and Managing the Public Sector Health Workforce (Paperback)
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'Working in Health' addresses two key questions related to health
workforce policy in developing countries: What is the impact of
government wage bill policies on the size of the health wage bill
and on health workforce staffing levels in the public sector? Do
current human resources management policies and practices lead to
effective use of wage bill resources in the public sector? Health
workers play a key role in increasing access to health services for
poor people in developing countries. Global and country level
estimates show that staffing levels in many developing countries
particularly in sub-Saharan Africa are far below what is needed to
deliver essential health services to the population. One factor
that potentially limits scaling up the health workforce in
developing countries is the government overall wage bill policy
which sometimes creates restrictions. Through a review of
literature, analysis of data, and country case studies in Kenya,
Zambia, Rwanda, and the Dominican Republic, this book examines the
process that determines the health wage bill budget in the public
sector, how this is linked to overall wage bill policies, how this
affects staffing levels in the health sector, and the relevant
policy options. But staff numbers are not everything and more money
for the health wage bill alone will not solve the health workforce
problems of developing countries. 'Working in Health' looks at how
effectively governments use the available wage bill resources in
the health sector and policy options. Policies and practices in
recruitment, deployment, promotion, transfer, sanctioning, and
remuneration for health workers are reviewed to identify their
influence on budget execution rates, geographic distribution, and
productivity of health workers."
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