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

ISBN: 9780821378021 | 0821378023
Edition: 1st
Format: Paperback
Publisher: World Bank
Pub. Date: 4/1/2009

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SummaryTable of Contents
'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 staffi... MORE
Forewordp. xv
Acknowledgmentsp. xix
Executive Summaryp. xxi
Abbreviationsp. xxvii
Overviewp. 1
The Wage Bill Budgeting Process in the Public Sectorp. 7
The Effect of the Wage Bill Budgeting Process on the Health Workforcep. 21
Managing Health Wage Bill Resources in the Public Sectorp. 24
Policy Options to Address Fiscal Const... MOREp. 37
Notesp. 55
Referencesp. 55
Background Country Study for Kenyap. 61
The Health Wage Bill in Kenyap. 62
Public Sector Employment of Health Workersp. 74
Key Messagesp. 87
Notesp. 90
Referencesp. 91
Background Country Study for Zambiap. 93
The Health Wage Bill in Zambiap. 94
Public Sector Employment of Health Workersp. 108
Key Messagesp. 121
Notesp. 123
Referencesp. 125
Background Country Study for Rwandap. 127
The Health Wage Bill in Rwandap. 127
Public Sector Employment of Health Workersp. 139
Donor Funding of Health and Education Workers' Salariesp. 148
Key Messagesp. 150
Annexp. 152
Notesp. 162
Referencesp. 162
Background Country Study for the Dominican Republicp. 165
The Health Wage Bill in the Dominican Republicp. 166
Public Sector Employment of Health Workersp. 182
Key Messagesp. 194
Notesp. 197
Referencesp. 197
Comparative Analysis of Health Outcomes, Service Delivery, and Health Workforce Levels in Kenya, Zambia, Rwanda, and the Dominican Republicp. 199
Analysis of the Share of Government Health Expenditure Going to the Health Wage Bill: Some Stylized Factsp. 207
Decentralization and Human Resources for Healthp. 215
Review of Alternative Compensation Methods for Health Workersp. 233
Review of GFATM Round 6 and GAVI HSS Round 1 Policies and Practices for Funding Health Workers Remunerationp. 253
Indexp. 265
Boxes
Overviewp. 1
Challenges of Civil Service and Administrative Reformp. 39
The Kenya Emergency Hiring Program: A Promising Practice in Using Donor Assistance to Scale Up the Health Workforcep. 45
Summary of Policies and Practices in GFATM and GAVI HSS for Remuneration of Health Workersp. 46
Political Economy of Removing Health Workers from the Civil Servicep. 53
Background Country Study for Zambiap. 93
Confirming That an Existing Post Has Become Vacantp. 113
Decentralization and Human Resources for Healthp. 215
A Tale of Two Ugandas: Successes and Failures in Administrative Efficiency under Decentralized Human Resources Managementp. 222
Review of Alternative Compensation Methods for Health Workersp. 233
Provider Payment Mechanisms and Performance: How Fee-for-Service, Capitation, and Salaried Systems Affect Health Worker Performancep. 238
Case Study: Performance Contracts with Physicians in Romaniap. 242
Table of Contents provided by Ingram. All Rights Reserved.


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