Chapter 4
Making the most of existing health workers
A country’s health workforce is made up of health workers who are at many different stages of their working lives; they work in many different organizations and under changing conditions and pressures. Whatever the circumstances, an effective workforce strategy has to focus on three core challenges: improving recruitment, helping the existing workforce to perform better, and slowing the rate at which workers leave the health workforce. This chapter explores the second of these challenges: optimizing the performance of current workers.
In this chapter
- What is a well-performing health workforce?
- What determines how health workers perform?
- What influences health workers’ performance?
- How are levers linked to the four dimensions of workforce performance?
- Conclusion
Figures
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Infant mortality rate and per capita density of health professionals, by province, Viet Nam
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Patients’ perception of respectful treatment at health facilities in 19 countries
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Levers to influence the four dimensions of health workforce performance
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(a) Cross-country comparisons of annual salaries of physicians and nurses
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(b) Salary differentials between comparable professions
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(c) Comparisons of salaries between the public and private sectors
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Tables
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Dimensions of health workforce performance
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Human resource indicators to assess health workforce performance
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Pharmaceutical situations in public health facilities in Africa and South-East Asia
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Approaches to professional development and performance
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An aid to thinking through potential effects of levers on health workforce performance
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Health workforce performance: provisional assessment of implementation and effects of levers
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