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<div class="gmail_quote">From: <b class="gmail_sendername">Ruggiero, Mrs. Ana Lucia (WDC)</b> <span dir="ltr"><<a href="mailto:ruglucia@paho.org">ruglucia@paho.org</a>></span><br>crossposted from: <a href="mailto:EQUIDAD@listserv.paho.org">EQUIDAD@listserv.paho.org</a><br>
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<p style="MARGIN-LEFT: 0.5in"><a name="123edfbcb5b65a73_OLE_LINK1"></a><a name="123edfbcb5b65a73_OLE_LINK2"></a><b><font face="Arial" color="maroon" size="3"><span style="FONT-WEIGHT: bold; FONT-SIZE: 12pt; COLOR: maroon; FONT-FAMILY: Arial">Working in Health: Financing and Managing the Public Sector Health Workforce</span></font></b><b><font face="Arial" color="navy"><span style="FONT-WEIGHT: bold; COLOR: navy; FONT-FAMILY: Arial"></span></font></b></p>
<p style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in"><font face="Times New Roman" size="3"><span style="FONT-SIZE: 12pt"><br></span></font><b><font face="Arial" color="navy" size="2"><span style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Marko Vujicic, Kelechi Ohiri, Susan Sparkes<br>
Washington, DC: The World Bank – 2009</span></font></b></p>
<p style="MARGIN-BOTTOM: 12pt; TEXT-INDENT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Website: <a href="http://go.worldbank.org/PU86PVIEU0" target="_blank"><font color="navy"><span style="COLOR: navy">http://go.worldbank.org/PU86PVIEU0</span></font></a> </span></font></p>
<p style="MARGIN-LEFT: 0.5in"><i><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-STYLE: italic; FONT-FAMILY: Arial">“…Working in Health</span></font></i><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> addresses two key questions related to health workforce policy in developing countries:<br>
<br>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?<br><br>2. Do current human resources management policies and practices lead to effective use of wage bill resources in the public sector?<br>
<br>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.<br>
<br>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 <b><span style="FONT-WEIGHT: bold">Kenya, Zambia, Rwanda, and the Dominican Republic</span></b>, 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.<br>
<br>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….”</span></font><br>
<br><strong><b><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial">Table of Contents</span></font></b></strong></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter1.pdf" target="_blank"><strong><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">Chapter 1. Overview</span></font></b></strong></a> (PDF 859kb)<br>
</span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">The Wage Bill Budgeting Process in the Public Sector<br>The Effect of the Wage Bill Budgeting Process on the Health Workforce<br>
Managing Health Wage Bill Resources in the Public Sector<br>Policy Options to Address Fiscal Constraints on the Health Wage Bill and to Improve Management of the Health Workforce in the Public sector<br><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/Chapter1.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 2.29MB)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter2.pdf" target="_blank"><strong><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">Chapter 2. Background Country Study for Kenya</span></font></b></strong></a> (PDF 773kb)<br>
The Health Wage Bill in Kenya<br>Public Sector Employment of Health Workers<br>Key Messages <a href="http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter2.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 1.80MB)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter3.pdf" target="_blank"><strong><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">Chapter 3. Background Country Study for Zambia</span></font></b></strong></a> (PDF 792kb)<br>
The Health Wage Bill in Zambia<br>Public Sector Employment of Health Workers<br>Key Messages <a href="http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter3.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 1.54MB)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter4.pdf" target="_blank"><strong><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">Chapter 4. Background Country Study for Rwanda</span></font></b></strong></a> (PDF 1.05MB)<br>
The Health Wage Bill in Rwanda<br>Public Sector Employment of Health Workers<br>Donor Funding of Health and Education Workers' Salaries<br>Key Messages <a href="http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter4.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 1.68MB)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHChapter5.pdf" target="_blank"><strong><b><font face="Arial" color="navy"><span style="COLOR: navy; FONT-FAMILY: Arial">Chapter 5. Background Country Study for the Dominican Republic</span></font></b></strong></a> (PDF 813kb)<br>
The Health Wage Bill in the Dominican Republic<br>Public Sector Employment of Health Workers<br>Key Messages <a href="http://siteresources.worldbank.org/INTHSD/Resources/Presentations/454393-1244560839312/Chapter5.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 1.59MB)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><strong><b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Appendix A</span></font></b></strong><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> <br>
<a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixA.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Comparative Analysis of Health Outcomes, Service Delivery, and Health Workforce Levels in Kenya, Zambia, Rwanda, and the Dominican Republic</span></font></a> <br>
(PDF 474kb) - <a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/AppendixA.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 1.66MB)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><strong><b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Appendix B</span></font></b></strong><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> <a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixB.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Analysis of the Share of Government Health Expenditure Going to the Health Wage Bill: Some Stylized Facts</span></font></a> (PDF 448kb)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><strong><b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Appendix C</span></font></b></strong><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> <a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixC.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Decentralization and Human Resources for Health</span></font></a> (PDF 171kb)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><strong><b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Appendix D</span></font></b></strong><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"> <a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixD.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Review of Alternative Compensation Methods for Health Workers</span></font></a> (PDF 262kb)</span></font></p>
<p style="MARGIN-LEFT: 0.5in"><strong><b><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial">Appendix E</span></font></b></strong><font size="1"><span style="FONT-SIZE: 9pt"> </span></font><font face="Arial" color="navy" size="1"><span style="FONT-SIZE: 9pt; COLOR: navy; FONT-FAMILY: Arial"><a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/WIHAppendixE.pdf" target="_blank"><font color="navy"><span style="COLOR: navy">Review of GFATM Round 6 and GAVI HSS Round 1 Policies and Practices for Funding Health Worker Remuneration</span></font></a> (PDF 336kb)<br>
<a href="http://siteresources.worldbank.org/INTHSD/Resources/376278-1202320704235/4646906-1246031702513/AppendixE.pptx" target="_blank"><font color="navy"><span style="COLOR: navy">Presentation</span></font></a> (PPT 1.56MB)</span></font></p>
<p style="MARGIN-BOTTOM: 12pt; MARGIN-LEFT: 0.5in; MARGIN-RIGHT: 0in"><font face="Arial" color="navy" size="2"><span style="FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: Arial"> </span></font></p></div></div></div>