tailieunhanh - báo cáo sinh học:" Improving the implementation of health workforce policies through governance: a review of case studies"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Improving the implementation of health workforce policies through governance: a review of case studies | Dieleman et al. Human Resources for Health 2011 9 10 http content 9 1 10 HUMAN RESOURCES FOR HEALTH REVIEW Open Access Improving the implementation of health workforce policies through governance a review of case studies Marjolein Dieleman1 Daniel MP Shaw2t and Prisca ZwanikkenH Abstract Introduction Responsible governance is crucial to national development and a catalyst for achieving the Millennium Development Goals. To date governance seems to have been a neglected issue in the field of human resources for health HRH which could be an important reason why HRH policy formulation and implementation is often poor. This article aims to describe how governance issues have influenced HRH policy development and to identify governance strategies that have been used successfully or not to improve HRH policy implementation in low- and middle-income countries LMIC . Methods We performed a descriptive literature review of HRH case studies which describe or evaluate a governance-related intervention at country or district level in LMIC. In order to systematically address the term governance a framework was developed and governance aspects were regrouped into four dimensions performance equity and equality partnership and participation and oversight . Results and discussion In total 16 case studies were included in the review and most of the selected studies covered several governance dimensions. The dimension performance covered several elements at the core of governance of HRH decentralization being particularly prominent. Although improved equity and or equality was in a number of interventions a goal inclusiveness in policy development and fairness and transparency in policy implementation did often not seem adequate to guarantee the corresponding desirable health workforce scenario. Forms of partnership and participation described in the case studies are numerous and offer different lessons. Strikingly in none of the articles was .