Work Climate Improvement

Beyond Vacancies: Improving Performance and Productivity to Strengthen Health Systems

Mesrak BelatchewTypically, a health workforce strengthening approach looks at the number of available health workers in comparison to the required number and then advises decision-makers on the need for health workforce development. Existing health workers are considered a given whereby adjustments are made in the form of additions to the system. This approach assumes that optimal health care delivery will be achieved when all the vacancies are filled.

However, these measures may not guarantee that staff turnover, performance, and/or productivity are adequately addressed. Read more »

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 »

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