World Health Organization : Technical Report Series, No. 783: Management of Human Resources for Health

By A. M. Fakhro

Book Id: WPLBN0000210897
Format Type: PDF eBook
File Size: 2.7 MB
Reproduction Date: 2005

Title:	World Health Organization : Technical Report Series, No. 783: Management of Human Resources for Health
Author:	A. M. Fakhro
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Fakhro, A. M. (n.d.). World Health Organization : Technical Report Series, No. 783. Retrieved from http://self.gutenberg.org/

Description
Medical Reference Publication

Excerpt
1. INTRODUCTION 1.1 Human resources for health in the context of health for all and primary health care The Expert Committee's charge was to make recommendations to the Director-General on how WHO could best cooperate with Member States in their efforts to strengthen national and subnational (especially district) systems for health personnel management in order to attain the goal of health for all by the year 2000. This is the goal which the World Health Assembly in 1977 proclaimed to be the main social target of governments and WHO in the coming decades. Resolution WHA30.43 spells out that health for all means the attainment by all citizens of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life (4). The Declaration of Alma-Ata, adopted in 1978, further specifies that the key to attaining this goal is primary health care, defined as essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community can afford to maintain at every stage of their development in the spirit of self-reliance and selfdetermination (5). After endorsing the Declaration of Alma-Ata in 1979, the World Health Assembly in 1981 adopted the Global Strategy for Health for All by the Year 2000 (6). Member States were invited to formulate and implement their own health-for-all strategies, with particular emphasis on the development of infrastructures for the provision of health services which would reach their entire population.

Table of Contents
CONTENTS Page 1 . Introduction .................................................................................................. 7 1.1 Human resources for health in the context of health for all and primary health care ................................................................................. 7 1.2 Management of human resources for health: priority problems ............ 9 1.3 The case for better personnel management in health systems ................ 12 2 . Scope and context of health personnel management .................................... 13 2.1 Integrated health systems and manpower development (HSMD) .......... 13 2.2 Management of health systems ............................................................... 15 2.3 Health personnel management: scope and purpose ............................... 15 2.4 Who are the managers of the health workforce? ................................... 17 3. Health personnel management: definition. components and principles ........18 3.1 Definition ................................................................................................18 3.2 Components of personnel management ..................................................18 3.2.1 Leadership .....................................................................................19 3.2.2 Employment practices ...................................................................19 3.2.3 Staff development ..........................................................................20 3.2.4 Managementlstaff relations ...........................................................21 3.3 Principles of effective personnel management .......................................21 4 . The environment of health personnel management ...................................... 25 4.1 Influence of society and culture ......................................................... 25 4.2 Bureaucracy and organizational design ................................................. 26 4.3 Economics of health personnel management ........................................ 29 4.4 Health system management and the private sector ................................ 30 4.5 The infiuence of legislation ..................................................................... 32 5 . Towards better health personnel management: issues and approaches ........ 34 5.1 Overcoming resistance to change ............................................................ 35 5.2 Establishing or strengthening an institutional base for personnel management ............................................................................................ 37 5.3 Developing managerial competence ........................................................ 38 5.4 Monitoring personnel management ........................................................ 39 5.5 Using research as a strategy for improving management ...................... 41 6 . Strategies for improving health personnel management ............................... 42 7. The role of WHO .......................................................................................... 52 7.1 Past and current efforts to improve health personnel management ....... 52 7.2 The potential role of WHO .................................................................... 56 8. Recommendations ......................................................................................... 57 References .......................................................................................................... 58