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In the tradition of reformatory theology freedom is a leitmotiv for
the evolvement of the importance of Christianfaith for salvation.
Christoph Herbst studies the understanding of freedom through faith
in three 19th- and 20th-century protestant classics. The detailed
analysis of the concepts laid out by Wilhelm Herrmann, Rudolf
Bultmann and Eberhard Jungel reveals an extensive consensus in the
theological controversy: faith frees modern man from the fixation
on objectivising rationality and the problematic effects it has on
how he deals with himself and the world."
This book was produced to support the policy dialogue on Human
Resources for Health (HRH) in Ghana. Despite some recent successes,
further improvements in health outcomes are in part hampered by the
lack of skilled service providers, or human resources for health
(HRH), particularly in rural areas, that prevent critical health
services from being accessed and adequately delivered to those that
need them most. To address the lack of information to guide the
development of policies and programs on HRH, the book aims to paint
a comprehensive picture on HRH, consolidating new and existing
evidence on stock, distribution and performance of health workers
to focus on the "what", as in "What is the situation on HRH?" and
the "how", as in "How is this situation explained?" . The book
highlights in particular new evidence on some of the underlying
determinants impacting stock, distribution and performance of
health workers in Ghana, including health worker production and
attrition, management and accountability structures, the capacity
of health training institutions, and health worker compensation. As
is made clear, any potential policies to improve the situation on
HRH need to be well targeted, and take into account some of the
fiscal and political challenges that are specific to the health
labor market in Ghana. The data and findings presented in this book
are the result of extended and close collaboration between the
Ghana Ministry of Health, and the World Bank's Africa Region
Technical Team on HRH and will provide a better basis for Ghanaian
decision makers and external partners to dialogue on HRH and
related policies, resulting in concrete HRH actions. More broadly,
it will be of interest to all those working to improve Human
Resources for Health in Africa and beyond.
Health indicators particularly on child health and malaria in
Ethiopia have improved significantly in recent years, with the next
challenge now focused on improving maternal health indicators.
Improvements in Child health and Malaria in particular can be
attributed to strong government commitment towards health results
in the country, reflected in a number of notable policies and
programs related to Human Resources for Health (HRH), in particular
the health extension worker program. However, indicators related to
maternal health, remain problematic. Ethiopia has one of the lowest
levels of assisted deliveries in the region. Although increases in
the number of health workers particularly in rural areas may have
contributed to improving access to some health services, it is in
the government s interest to further improve the stock,
distribution and performance of relevant health workers in
Ethiopia, particularly to bring about improvement in access to
maternal health services for the poor. This document reviews the
current HRH situation in Ethiopia, summarizes the evidence on
population use of select health services, and offers relevant
policy options to assist the government finalize its new Human
Resources Strategy and address remaining health challenges."
'The Human Resources for Health Crisis in Zambia' is part of the
World Bank Working Paper series. These papers are published to
communicate the results of the Bank s ongoing research and to
stimulate public discussion. Despite reporting some health gains
since the 1990s, health outcomes remain poor in Zambia and it will
be very challenging to achieve the health-related Millennium
Development Goals by 2015. The Government of Zambia recognizes that
the improvement of child and maternal health and the reduction in
mortality from HIV/AIDs and malaria require better access to an
appropriate number of wellperforming health workers or human
resources for health (HRH). This paper compiles recent evidence on
the Zambian health labor market and provides some baseline
information on HRH to support the government as it addresses its
HRH challenges. In addition, the paper analyzes the available
evidence on the national health labor market to better understand
the number, distribution, and performance of HRH in Zambia.The
paper also explains HRH outcomes by mapping, assessing, and
analyzing pre-service education and labor market dynamics and well
as the core factors influencing these dynamics. This working paper
was produced as part of theWorld Bank s Africa Region Health
Systems for Outcomes (HSO) Program.The Program, funded by the World
Bank, the Government of Norway, the Government of the United
Kingdom, and the Global Alliance for Vaccines and Immunization
(GAVI), focuses on strengthening health systems inAfrica to reach
the poor and achieve tangible results related to Health, Nutrition,
and Population.The main pillars and focus of the program center on
knowledge and capacity building related to Human Resources for
Health, Health Financing, Pharmaceuticals, Governance and Service
Delivery, and Infrastructure and ICT. More information as well as
all the products produced under the HSO program can be found online
at www.worldbank.org/hso ."
The human resources crisis in the health sector has been gathering
attention on the global stage. To date, however, most of this
attention has focused on shortages of health human resources (HRH)
at the national level. At least as important are problems at the
sub-national level. Massive geographic and skill mix imbalances are
reflected in the perilous undersupply of HRH in most rural areas.
Virtually all Sub-Saharan African countries suffer from significant
geographic imbalances. Very little substantive information or
documentation exists on the problem. Even less is known about the
lessons from policies aimed at addressing urban-rural human
resource imbalances, let alone experiences of Sub-Saharan Africa
countries, with such policies. There also appears to be a
disconnect between the objectives and efforts of policymakers on
the one hand and the functioning of national health labor markets
and labor market behavior on the other hand. This disconnect
hinders policy effectiveness and the efficient utilization of
resources intended to narrow urban-rural inequities. In Sub-Saharan
Africa government policies, often limited to the management of
public sector vacancies, appear to be elaborated, prescribed, and
implemented independently of labor market considerations. Partly as
a result, they are unable to effectively address urban-rural
imbalances, which are an outcome of labor market dynamics. This
report discusses and analyzes labor market dynamics and outcomes
(including unemployment, worker shortages, and urban-rural
imbalances of categories of health workers) from a labor economics
perspective. It then use insights from this perspective as a basis
for elaborating policy options that incorporate the underlying
labor market forces. The goal of the study is to address
undesirable outcomes (including urban-rural HRH imbalances) more
effectively. The book is thus suitable for researchers, policy
analysts and policy makers with an interest in understanding and
improving the allocation of human resources for health in the
developing world.
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