New PERFORM publications

Wednesday, 18 Apr 2018

The PERFORM project may have ended but the outputs are still emerging in the form of two new papers.

The first, ‘Strengthening health district management competencies in Ghana, Tanzania and Uganda’, essentially summarises the PERFORM management strengthening intervention (MSI) approach. To strengthen the capacity of district management teams to develop and deliver integrated strategies for workforce performance improvement, the study introduced an action research-based MSI to nine districts across three countries. The study found the MSI to be an appropriate form of management strengthening for District Health Management Teams, but that to have significant impact on workforce performance and service delivery needs to be scaled up to cover many more districts in each country.

The second, ‘Decision space for health workforce management in decentralized settings’, aims to improve understanding about how district health managers perceive and use their decision space for human resource management (HRM) and how this compares with national policies and regulatory frameworks governing HRM. It found that in some areas District Health Management Team members make decisions beyond their conferred authority, while in others they do not use all the space allocated by policy. The study concluded that to improve workforce performance decentralisation needs to devolve power further down from district authorities onto district health managers.

Access the papers

Martineau T, Raven J, Aikins M, Alonso-Garbayo, A, Baine S, Huss R, Maluka S & Wyss K. Strengthening health district management competencies in Ghana, Tanzania and Uganda: lessons from using action research to improve health workforce performance. BMJ Global Health 2018;3: e000619. doi:10.1136/bmjgh-2017-000619

Alonso-Garbayo A , Raven J, Theobald S, Ssengooba F, Nattimba M & Martineau T.
Decision space for health workforce management in decentralized settings: a case study in Uganda. Health Policy and Planning, 32, 2017, iii59–iii66. doi: 10.1093/heapol/czx116