The Knowledge library

Knowledge Library

Developing a Human Resources for Health (HRH) Effort Index to Measure Country-Level Status in HRH

Human resources for health (HRH) are an essential component of health systems and crucial to increased accessibility and quality of services. However, there is a scarcity of HRH indicators and the few that exist are often unreliable, inconsistently related to outcomes, or do not inform on the multidimensional nature of the area. Based on HRH and performance-based frameworks, CapacityPlus and a technical advisory group developed the HRH Effort Index to measure inputs and outputs in HRH. Presented at the Prince Mahidol Award Conference in Bangkok (January 26–31, 2015), this poster highlights preliminary results from testing the HRH Effort Index in Kenya and Nigeria.

Optimizing Performance and Quality: Stages, Steps, and Tools

Optimizing Performance and Quality (OPQ) is a stakeholder-driven, cyclical process for analyzing human and organizational performance and setting up interventions to improve performance and quality or build on strengths and successes. It has been used by country leaders in over 15 countries to strengthen health-sector governance through greater accountability and transparency, broadened partnerships, and measurable results in improved service quality. The OPQ process builds capacity within an organization to recognize and address problems or performance gaps on an ongoing basis. Each of the seven stages provides evidence-based guidance and steps to follow, with a suite of tools to help users through the process.

MEPI Connect—An Open Source Graduate Tracking Software System: Resource Requirements to Customize and Implement the System

MEPI Connect is a software system that supports medical schools to track and engage with their graduates. The system allows users to view and analyze graduates’ demographic and professional information. The information is obtained initially from the school registrar’s office, then from the graduates themselves, and, when possible, from human resources information systems at ministries of health and/or professional councils. The software was developed by the PEPFAR-funded Medical Education Partnership Initiative (MEPI) Physician Tracking Technical Working Group in collaboration with CapacityPlus and the MEPI Coordinating Center. This document describes resource requirements to customize and implement the system.

HRH Global Resource Center

HRH Global Resource CenterThe HRH Global Resource Center is CapacityPlus’s digital library of human resources for health (HRH) information. The world‘s largest online digital library dedicated to HRH issues in developing countries, it contains approximately 5,000 resources and offers free librarian support. Users can browse by subject, resource type, and geographic area as well as access HRH overviews and special collections. The HRH Global Resource Center’s eLearning platform offers free courses in English, French, and Spanish with certificates of completion.

Estimating the Cost of Educating and Training Nurses and Midwives: Balancing Quantity and Quality

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. Knowledge about the cost of educating and training health workers is needed to support education program planning and management and to inform advocacy for increased investment. Ethiopia’s federal ministries of health and education collaborated with CapacityPlus and the Nursing Education Partnership Initiative to conduct a cost analysis of the nursing and midwifery programs at two colleges. The objectives were to estimate the cost of producing a graduate; identify fixed-asset constraints to scaling up the quantity and/or improving quality of graduates; and simulate the new cost per graduate for interventions to increase the quality of graduates.

Gender Equality and Health Workforce Development Advocacy Tool

This forthcoming online tool focuses on aspects of gender discrimination in health workforce development specifically related to preservice education, such as issues affecting health professional students and faculty. If you would like us to contact you when we publish this tool, please let us know.

Rapid Retention Survey Toolkit: Designing Evidence-Based Incentives for Health Workers

Rapid Retention Survey ToolkitThe Rapid Retention Survey Toolkit is designed to help countries determine what would motivate health workers to accept and remain in rural posts. It builds on the World Health Organization global policy recommendations for rural retention and is based on the discrete choice experiment (DCE), a powerful research method that identifies the trade-offs professionals are willing to make between specific job characteristics and determines their preferences for various incentive packages, including the probability of accepting a post in a rural facility. Employing a simplified version of the DCE methodology, the toolkit guides HR managers through the survey process to quickly assess health students’ and health workers’ motivational preferences to accept a position and continue working in underserved facilities. The results can be used to create evidence-based incentive packages that are appropriate within a country’s health labor market. Read more »

Dominican Republic Human Resources for Health

The Office of Health Systems in USAID’s Global Health Bureau selected CapacityPlus’s collaboration with the Dominican Republic as one of its Top Ten Health Systems Strengthening Cases. CapacityPlus supported the Ministry of Health in a process of payroll reform and increased transparency in budgeting practices. The process revealed nearly 10,000 ghost workers—individuals who receive a salary but are not working—who represented approximately 30% of the Ministry’s budget. The Ministry began a phased approach to clean its payroll by reclaiming the salaries of the ghost workers, resulting in savings of over $6 million annually. These savings are being used to improve HIV and other health services through hiring of new health workers, increasing salaries by 10% to provide more equitable remuneration and increase motivation, eliminating user fees, and investing in other health sector reforms, such as setting up a better procurement process for HIV testing kits and antiretroviral drugs. In turn, this reinvestment is contributing to improved service delivery and health status.