PHM-Exch> Working in Health: Financing and Managing the Public Sector Health Workforce

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) <ruglucia at paho.org>
crossposted from: EQUIDAD at listserv.paho.org


 *Working in Health: Financing and Managing the Public Sector Health
Workforce***


*Marko Vujicic, Kelechi Ohiri, Susan Sparkes
Washington, DC: The World Bank – 2009*

Website: http://go.worldbank.org/PU86PVIEU0

*“…Working in Health* addresses two key questions related to health
workforce policy in developing countries:

1. 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?

2. 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….”

*Table of Contents*

*Chapter 1. Overview*<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter1.pdf>
(PDF
859kb)
The Wage Bill Budgeting Process in the Public Sector
The Effect of the Wage Bill Budgeting Process on the Health Workforce
Managing Health Wage Bill Resources in the Public Sector
Policy Options to Address Fiscal Constraints on the Health Wage Bill and to
Improve Management of the Health Workforce in the Public sector
Presentation<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/Chapter1.pptx>
(PPT
2.29MB)

*Chapter 2. Background Country Study for
Kenya*<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter2.pdf>
(PDF
773kb)
The Health Wage Bill in Kenya
Public Sector Employment of Health Workers
Key Messages Presentation<http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter2.pptx>
(PPT
1.80MB)

*Chapter 3. Background Country Study for
Zambia*<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter3.pdf>
(PDF
792kb)
The Health Wage Bill in Zambia
Public Sector Employment of Health Workers
Key Messages Presentation<http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter3.pptx>
(PPT
1.54MB)

*Chapter 4. Background Country Study for
Rwanda*<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter4.pdf>
(PDF
1.05MB)
The Health Wage Bill in Rwanda
Public Sector Employment of Health Workers
Donor Funding of Health and Education Workers' Salaries
Key Messages Presentation<http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter4.pptx>
(PPT
1.68MB)

*Chapter 5. Background Country Study for the Dominican
Republic*<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter5.pdf>
(PDF
813kb)
The Health Wage Bill in the Dominican Republic
Public Sector Employment of Health Workers
Key Messages Presentation<http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter5.pptx>
(PPT
1.59MB)

*Appendix A*
Comparative Analysis of Health Outcomes, Service Delivery, and Health
Workforce Levels in Kenya, Zambia, Rwanda, and the Dominican
Republic<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixA.pdf>

(PDF 474kb) - Presentation<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/AppendixA.pptx>
(PPT
1.66MB)

*Appendix B* Analysis of the Share of Government Health Expenditure Going to
the Health Wage Bill: Some Stylized
Facts<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixB.pdf>
(PDF
448kb)

*Appendix C* Decentralization and Human Resources for
Health<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixC.pdf>
(PDF
171kb)

*Appendix D* Review of Alternative Compensation Methods for Health
Workers<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixD.pdf>
(PDF
262kb)

*Appendix E* Review of GFATM Round 6 and GAVI HSS Round 1 Policies and
Practices for Funding Health Worker
Remuneration<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixE.pdf>
(PDF
336kb)
Presentation<http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/AppendixE.pptx>
(PPT
1.56MB)
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