Bottlenecks

Scaling Up Health Workforce Education and Training: Guide for Applying the Bottlenecks and Best Buys Approach

Bottlenecks and Best BuysCapacityPlus’s Bottlenecks and Best Buys Approach is designed to help educational institutions identify obstacles to increasing the production of competent and qualified health workers that can be overcome through limited yet strategic investments. This guide identifies the stakeholders who should be involved, the steps in conducting a bottlenecks assessment, and a method for using the results to identify and build consensus on the most effective and affordable actions (best buys) for overcoming bottlenecks. It also provides tools and examples for strategic steps in the approach, such as engaging stakeholders, conducting a situation analysis, defining the school’s scale-up goal, leading group interviews, analyzing the results, and presenting the final bottlenecks and best buys report to external stakeholders and potential investors. Access the guide and annexes, along with related resources.

A Mixed Method Approach to Identifying Bottlenecks in the Production of Health Workers

Provision of quality health services starts with health workers and the training they receive. Given resource limitations, it is essential to ensure that investments in preservice education are the most efficient and effective in producing quality health workers. Presented at the Second Global Symposium on Health Systems Research in Beijing on November 2, 2012, this poster describes results from a needs assessment at six institutions in Mali using a mixed method approach to identify the key bottlenecks to providing quality preservice education in family planning and reproductive health for nurses and midwives.

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