New report on human resources for health in Ghana, Tanzania and Uganda

Wednesday, 26 Aug 2015

Supervision visit in Uganda

There is a complex interplay of factors influencing health worker performance, and no single “magic bullet” solution. A multifaceted, context-specific set of integrated strategies is called for. This is particularly the case in countries that are decentralising authority in planning and management to lower – particularly district/council levels. Although research has been conducted to establish how decentralisation can be leveraged for more efficient resource allocation at district level (e.g., Tanzanian Essential Health Interventions Project (TEHIP)), there has been less equivalent research when it comes to health workforce performance. To strengthen the evidence in this regard, the PERFORM project has applied a systems perspective to increase understanding of how, and under what conditions, a management strengthening intervention can improve workforce performance at district level. 

PERFORM has introduced health systems and workforce strategy options and an Action Research approach to equip health managers in selected districts in Ghana, Tanzania and Uganda with skills and tools to analyse their own unique health workforce situation, to better understand the systemic factors that are at play and to develop, implement and monitor a locally adapted set of responses. These responses are intended to both improve the performance of the existing workforce and reduce staff losses, while also increasing the effectiveness of further new health personnel trained and deployed in the frame investments made to scale up service delivery. 

You can read about the process and the outcomes of PERFORM in our comparative analysis.

Alternatively, if you don't have much time, you can read an overview in our short briefing.