1 / 4

HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA

HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA. Edward Elmendorf and Kathryn LaRusso Oct. 28, 2004. BASIC HYPOTHESIS AND METHDODOLOGY. Hypothesis: Bank involvement in Human Resources for Health (HRH) in HNP Investments has been limited, at best

shadow
Download Presentation

HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA Edward Elmendorf and Kathryn LaRusso Oct. 28, 2004

  2. BASIC HYPOTHESIS AND METHDODOLOGY • Hypothesis: Bank involvement in Human Resources for Health (HRH) in HNP Investments has been limited, at best • Methodology: Systematic compilation and synthesis of HRH data from all completion reports and OED project evaluation studies • Data set: 63 studies, 1974-2002 • Limitations: desk study, ICRs/OED evaluaations, no field work or interviews

  3. KEY FINDINGS • IBRD HRH ENGAGEMENT SURPRISINGLY WIDE, BUT NOT DEEP • HNP OPERATIONS HAVE SOME HEALTH WORKFORCE ACTIVITY (HWA) IN ALMOST ALL CASES • ONLY 50% OF ICRs HAVE HWA COST DATA, WITH HWA 10% OF COST AND TOTAL $93 MILLION

  4. KEY FINDINGS, cont. • FOCUS OF HWA ON TRAINING, MOSTLY IN-SERVICE, FREQUENTLY OF PROJECT PERSONNEL • WIDE, IMAGINATIVE RANGE OF HWA SUPPORTED AD HOC BUT APPARENTLY NOT SYSTEMATICALLY • IMPLICIT PARADIGM: NARROW FOCUS ON PROJECT NEEDS • LITTLE ATTENTION TO HEALTH WORKFORCE POLICY, PLANNING, PAY, DEPLOYMENT, OR ENGAGEMENT WITH PROFESSIONS • WHY? NEW HYPOTHESES AND NEED FOR INTERVIEWS

More Related