Working in Health

Susan Sparkes

ISBN 10: 0821378023 / ISBN 13: 9780821378021

Published by World Bank Publications Apr 2009, 2009

About this Item

Neuware - Working in Health focuses on two key human resources for health policy questions: What is the impact of government fiscal policy on health worker staffing levels, and how effectively do governments manage health wage bill resources in the public sector Through in-depth country case studies in Kenya, Zambia, Rwanda, and the Dominican Republic this book demonstrates how an analysis of wage bill budget trends, budget execution rates, and other factors helps determine whether wage bill ceilings are an important constraint to hiring health workers in the public sector. This book also reviews policies and practices related to recruiting, deploying, promoting, sanctioning, and paying health workers in the public sector in the four countries. In both of these policy areas, the options for reform are discussed. The health workforce challenges in developing countries are significant, but the evidence base for policy makers is weak. This book is an important contribution in the areas of fiscal policy and public sector management.

Seller Inventory # 9780821378021

Bibliographic Details

• Title: Working in Health
• Publisher: World Bank Publications Apr 2009
• Publication Date: 2009
• Language: English
• ISBN 10: 0821378023
• ISBN 13: 9780821378021
• Binding: Taschenbuch
• Condition: Neu
• Dimensions: 227W x 153H x 23D millimeters 227 millimeters width by 153 millimeters height by 23 millimeters depth
• Weight: 416 grams

About this title

Synopsis

'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.