eBook

Working in health : financing and managing the public sector health workforce

Ohiri, Kelechi, Sparkes, Susan, Vujicic, Marko

2009

Overview

'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.

• Publisher: World Bank,World Bank Publications,The World Bank
• Subject: ABSENTEEISM / ACCESS TO HEALTH SERVICES / ACCOUNTING / ACQUIRED IMMUNODEFICIENCY SYNDROME / ACUTE RESPIRATORY INFECTION / ADMINISTRATIVE DATA / ADMINISTRATIVE EFFICIENCY / BANK DATA / BLOCK GRANTS / BUDGET CEILINGS / BUDGET PLANNING / BUDGETING / CALCULATIONS / CAPITATION / COMMODITY / CONTRIBUTION / CONTRIBUTIONS / Developing countries / Developing Countries -- Dominican Republic / Developing Countries -- Kenya / Developing Countries -- Rwanda / Developing Countries -- Zambia / DIARRHEA / DOCTORS / Dominikanische Republik / ECONOMIC DEVELOPMENT / Entwicklungsländer / EQUILIBRIUM / EXCHANGE RATE / EXPENDITURES / FEE-FOR-SERVICE / FEVER / FINANCES / FINANCIAL CRISIS / FINANCIAL INSTITUTIONS / FINANCIAL MANAGEMENT / FISCAL POLICIES / FISCAL POLICY / Gesundheitsberufe / GOVERNMENT POLICIES / HEALTH AUTHORITIES / HEALTH CARE / HEALTH CARE WORKERS / HEALTH CENTERS / HEALTH EXPENDITURE / HEALTH FACILITIES / HEALTH FINANCING / HEALTH MANAGEMENT / HEALTH MANPOWER / Health Manpower -- economics -- Dominican Republic / Health Manpower -- economics -- Kenya / Health Manpower -- economics -- Rwanda / Health Manpower -- economics -- Zambia / Health Manpower -- organization & administration -- Dominican Republic / Health Manpower -- organization & administration -- Kenya / Health Manpower -- organization & administration -- Rwanda / Health Manpower -- organization & administration -- Zambia / HEALTH ORGANIZATION / HEALTH OUTCOMES / HEALTH PROFESSIONALS / HEALTH SECTOR / HEALTH SERVICE / HEALTH SERVICE DELIVERY / HEALTH SERVICES / HEALTH SPENDING / HEALTH STRATEGIES / HEALTH SYSTEM / HEALTH SYSTEMS / HEALTH SYSTEMS STRENGTHENING / HEALTH WORKERS / HEALTH WORKFORCE / HIV / HOSPITALS / HUMAN DEVELOPMENT / HUMAN IMMUNODEFICIENCY VIRUS / HUMAN RESOURCE MANAGEMENT / HUMAN RESOURCES / HUMAN RESOURCES MANAGEMENT / IMMUNIZATION / IMMUNODEFICIENCY / INCOME / INFLATION / INSURANCE / INSURANCE SCHEME / Kenia / LABOR FORCE / LABOR MARKET / LOW-INCOME / LOW-INCOME COUNTRIES / MACROECONOMIC STABILITY / MALARIA / MEDICAL / MEDICAL DOCTOR / MEDICAL DOCTORS / MEDICAL ECONOMICS / Medical economics -- Developing countries / MEDICAL PERSONNEL / MEDICAL TREATMENT / MIGRATION / NATIONAL HEALTH / NATIONAL INSURANCE / NEGATIVE EFFECTS / NURSES / NUTRITION / PAYROLL SYSTEMS / PHYSICIANS / POOR INVESTMENT / PRIVATE SECTOR / PRODUCTIVITY / PROVIDER PAYMENT / PUBLIC EXPENDITURE / PUBLIC HEALTH / PUBLIC HEALTH PERSONNEL / Public health personnel -- Salaries, etc. -- Developing countries / PUBLIC INVESTMENTS / PUBLIC SECTOR / RECESSION / RESPONSIBILITIES / Ruanda / SALARIES / Salaries and Fringe Benefits -- legislation & jurisprudence -- Dominican Republic / Salaries and Fringe Benefits -- legislation & jurisprudence -- Kenya / Salaries and Fringe Benefits -- legislation & jurisprudence -- Rwanda / Salaries and Fringe Benefits -- legislation & jurisprudence -- Zambia / Salaries, etc / SALARY / Sambia / SHARE OF HEALTH EXPENDITURE / SHARE OF HEALTH SPENDING / SHARE OF PUBLIC SPENDING / SOCIAL ASSISTANCE / SOCIAL HEALTH INSURANCE / SOCIAL SECURITY / TERMINATION / TUBERCULOSIS / UNEMPLOYED / UNEMPLOYMENT / VACCINES / Vergütungssystem im öffentlichen Dienst / VISION / WAGE / WAGE COSTS / WAGES / WORKERS / Öffentlicher Sektor
• ISBN: 9780821378021, 0821378023, 0821378031, 9780821378038