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Transforming a Thai Hospital through Pay for Performance

Paul MarsdenAboard a tour bus covered in enormous fuchsia flowers, we traveled through the Bangkok morning rush hour. This we knew: we were in for an eye-opening field trip as part of the Second Global Forum on Human Resources for Health.

Our destination that day was Chachoengsao Province—130 km (or 81 miles) from Bangkok— where we had the opportunity to see firsthand the transformation of the Phanom Sarakham Community Hospital and how it’s working toward establishing a pay for performance scheme.

Charismatic leadership
The hospital was previously considered one of the most run-down in Thailand, beset by persistently poor service quality and low staff morale. Read more »

Health Workforce Action after Bangkok

Maurice MiddlebergRecently a thousand people gathered in Bangkok for the Second Global Forum on Human Resources for Health. Since then many of us have been reflecting on where to focus our energies. Here’s what’s been on my mind.

Communicating about the crisis and its solutions
The forum opened with a wonderful video on health workers—the best piece in any medium I have ever seen in terms of communicating the essence of the health workforce crisis.

Effective communication about the issues—and how to resolve them—is vital to garnering the support we need to make real progress. To the extent possible, we should commit sufficient resources to this effort. Read more »

Retaining Health Workers in Rural Kenya: What We Can Learn from Other Countries

This is an excerpt from an original post on the IntraHealth International blog.

Achim ChiajiIn the northern arid lands and other remote parts of Kenya, the Capacity Kenya project has been working with the Ministry of Health to design simple packages to attract health workers and encourage them to stay. Starting with a selected list of diverse pilot sites, the project set out to design intervention packages, implement them, and systematically evaluate their impact on health worker retention over time.

A couple of weeks ago I attended the Second Global Forum on Human Resources for Health in Bangkok, which gave me a unique opportunity to learn about the struggles, successes, and constraints of other countries. As I listened to the experiences of others and what they see as best practices, I kept thinking about what new interventions might work best in the Kenyan context. Read more »

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