GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries

Shortages, geographic imbalances, and poor performance of health workers pose major challenges for improving health service delivery in developing countries. In response, development agencies have increasingly recognized the need to invest in Human...

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Main Authors: Vujicic, Marko, Weber, Stephanie E., Nikolic, Irina A., Atun, Rifat, Kumar, Ranjana
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2011/05/14461665/analysis-gavi-global-fund-world-bank-support-human-resources-health-developing-countries
http://hdl.handle.net/10986/13592
id okr-10986-13592
recordtype oai_dc
spelling okr-10986-135922021-04-23T14:03:08Z GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries Vujicic, Marko Weber, Stephanie E. Nikolic, Irina A. Atun, Rifat Kumar, Ranjana AIDS RELIEF BEHAVIOR CHANGE CAPACITY BUILDING CHILD HEALTH CHILD HEALTH SERVICES CLINICS COMMUNITY HEALTH DESCRIPTION DEVELOPING COUNTRIES DEVELOPMENT ASSISTANCE DISEASE DISEASE BURDEN DISEASES DOCTORS EMERGENCY PLAN ESSENTIAL HEALTH SERVICES EXPENDITURES GLOBAL DEVELOPMENT GLOBAL HEALTH HEALTH INITIATIVES HEALTH ORGANIZATION HEALTH PLANNING HEALTH PLANS HEALTH POLICY HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH STRATEGIES HEALTH SYSTEM HEALTH SYSTEM GOALS HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH SYSTEMS STRENGTHENING HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOSPITAL HOUSING HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RIGHTS IMMUNIZATION INCENTIVE SCHEMES INCOME INEQUITIES INFORMATION SYSTEMS INTEGRATION INTERVENTIONS LABOR MARKET MALARIA MATERNAL AND CHILD HEALTH MEDICAL STAFF MIDWIVES MILLENNIUM DEVELOPMENT GOALS MINISTRIES OF HEALTH MINISTRY OF HEALTH MOTHER NATIONAL HEALTH SYSTEMS NATIONAL PLANS NURSES NURSING NUTRITION PARTICULAR COUNTRY PHYSICIANS PRIMARY CARE PROGRESS PUBLIC HEALTH QUALITY OF CARE RURAL AREA RURAL AREAS SCARCE RESOURCES SHORT-TERM TRAINING TB TECHNICAL ASSISTANCE TECHNICAL CAPACITY TRAINING HEALTH WORKERS TUBERCULOSIS UNEMPLOYMENT VACCINES WORKERS WORLD HEALTH ORGANIZATION Shortages, geographic imbalances, and poor performance of health workers pose major challenges for improving health service delivery in developing countries. In response, development agencies have increasingly recognized the need to invest in Human Resources for Health (HRH) to assist countries in achieving their health system goals. In this paper we analyze the HRH-related activities of three multilateral agencies the Global Alliance for Vaccines and Immunization (GAVI); the global fund for AIDS, Tuberculosis, and Malaria (the global fund); and the World Bank. First, we reviewed the type of HRH-related activities that are eligible for financing within each agency. Second, we reviewed the HRH-related activities that each agency is actually financing. Third, we reviewed the literature to understand the impact that GAVI, the global fund, and the World Bank investments in HRH have had on HRH in developing countries. Our analysis found that by far the most common activity supported across all agencies is short-term, in-service training. There is relatively little investment in expanding pre-service training capacity, despite large health worker shortages in developing countries. We also found that the majority of GAVI and the global fund grants finance health worker remuneration, largely through supplemental allowances, with little information available on how payment rates are determined, how the potential negative consequences are mitigated, and how payments are to be sustained at the end of the grant period. Based on the analysis we argue that there is an opportunity for improved coordination between the three agencies at the country level in supporting HRH-related activities. Existing initiatives, such as the international health partnership and the health systems funding platform, may present viable and timely vehicles for the three agencies to implement this improved coordination. 2013-05-28T22:03:35Z 2013-05-28T22:03:35Z 2011-05 http://documents.worldbank.org/curated/en/2011/05/14461665/analysis-gavi-global-fund-world-bank-support-human-resources-health-developing-countries http://hdl.handle.net/10986/13592 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic AIDS RELIEF
BEHAVIOR CHANGE
CAPACITY BUILDING
CHILD HEALTH
CHILD HEALTH SERVICES
CLINICS
COMMUNITY HEALTH
DESCRIPTION
DEVELOPING COUNTRIES
DEVELOPMENT ASSISTANCE
DISEASE
DISEASE BURDEN
DISEASES
DOCTORS
EMERGENCY PLAN
ESSENTIAL HEALTH SERVICES
EXPENDITURES
GLOBAL DEVELOPMENT
GLOBAL HEALTH
HEALTH INITIATIVES
HEALTH ORGANIZATION
HEALTH PLANNING
HEALTH PLANS
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH STRATEGIES
HEALTH SYSTEM
HEALTH SYSTEM GOALS
HEALTH SYSTEM STRENGTHENING
HEALTH SYSTEMS
HEALTH SYSTEMS STRENGTHENING
HEALTH WORKERS
HEALTH WORKFORCE
HIV
HIV/AIDS
HOSPITAL
HOUSING
HUMAN DEVELOPMENT
HUMAN RESOURCES
HUMAN RIGHTS
IMMUNIZATION
INCENTIVE SCHEMES
INCOME
INEQUITIES
INFORMATION SYSTEMS
INTEGRATION
INTERVENTIONS
LABOR MARKET
MALARIA
MATERNAL AND CHILD HEALTH
MEDICAL STAFF
MIDWIVES
MILLENNIUM DEVELOPMENT GOALS
MINISTRIES OF HEALTH
MINISTRY OF HEALTH
MOTHER
NATIONAL HEALTH SYSTEMS
NATIONAL PLANS
NURSES
NURSING
NUTRITION
PARTICULAR COUNTRY
PHYSICIANS
PRIMARY CARE
PROGRESS
PUBLIC HEALTH
QUALITY OF CARE
RURAL AREA
RURAL AREAS
SCARCE RESOURCES
SHORT-TERM TRAINING
TB
TECHNICAL ASSISTANCE
TECHNICAL CAPACITY
TRAINING HEALTH WORKERS
TUBERCULOSIS
UNEMPLOYMENT
VACCINES
WORKERS
WORLD HEALTH ORGANIZATION
spellingShingle AIDS RELIEF
BEHAVIOR CHANGE
CAPACITY BUILDING
CHILD HEALTH
CHILD HEALTH SERVICES
CLINICS
COMMUNITY HEALTH
DESCRIPTION
DEVELOPING COUNTRIES
DEVELOPMENT ASSISTANCE
DISEASE
DISEASE BURDEN
DISEASES
DOCTORS
EMERGENCY PLAN
ESSENTIAL HEALTH SERVICES
EXPENDITURES
GLOBAL DEVELOPMENT
GLOBAL HEALTH
HEALTH INITIATIVES
HEALTH ORGANIZATION
HEALTH PLANNING
HEALTH PLANS
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH STRATEGIES
HEALTH SYSTEM
HEALTH SYSTEM GOALS
HEALTH SYSTEM STRENGTHENING
HEALTH SYSTEMS
HEALTH SYSTEMS STRENGTHENING
HEALTH WORKERS
HEALTH WORKFORCE
HIV
HIV/AIDS
HOSPITAL
HOUSING
HUMAN DEVELOPMENT
HUMAN RESOURCES
HUMAN RIGHTS
IMMUNIZATION
INCENTIVE SCHEMES
INCOME
INEQUITIES
INFORMATION SYSTEMS
INTEGRATION
INTERVENTIONS
LABOR MARKET
MALARIA
MATERNAL AND CHILD HEALTH
MEDICAL STAFF
MIDWIVES
MILLENNIUM DEVELOPMENT GOALS
MINISTRIES OF HEALTH
MINISTRY OF HEALTH
MOTHER
NATIONAL HEALTH SYSTEMS
NATIONAL PLANS
NURSES
NURSING
NUTRITION
PARTICULAR COUNTRY
PHYSICIANS
PRIMARY CARE
PROGRESS
PUBLIC HEALTH
QUALITY OF CARE
RURAL AREA
RURAL AREAS
SCARCE RESOURCES
SHORT-TERM TRAINING
TB
TECHNICAL ASSISTANCE
TECHNICAL CAPACITY
TRAINING HEALTH WORKERS
TUBERCULOSIS
UNEMPLOYMENT
VACCINES
WORKERS
WORLD HEALTH ORGANIZATION
Vujicic, Marko
Weber, Stephanie E.
Nikolic, Irina A.
Atun, Rifat
Kumar, Ranjana
GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries
relation Health, Nutrition and Population (HNP) discussion paper;
description Shortages, geographic imbalances, and poor performance of health workers pose major challenges for improving health service delivery in developing countries. In response, development agencies have increasingly recognized the need to invest in Human Resources for Health (HRH) to assist countries in achieving their health system goals. In this paper we analyze the HRH-related activities of three multilateral agencies the Global Alliance for Vaccines and Immunization (GAVI); the global fund for AIDS, Tuberculosis, and Malaria (the global fund); and the World Bank. First, we reviewed the type of HRH-related activities that are eligible for financing within each agency. Second, we reviewed the HRH-related activities that each agency is actually financing. Third, we reviewed the literature to understand the impact that GAVI, the global fund, and the World Bank investments in HRH have had on HRH in developing countries. Our analysis found that by far the most common activity supported across all agencies is short-term, in-service training. There is relatively little investment in expanding pre-service training capacity, despite large health worker shortages in developing countries. We also found that the majority of GAVI and the global fund grants finance health worker remuneration, largely through supplemental allowances, with little information available on how payment rates are determined, how the potential negative consequences are mitigated, and how payments are to be sustained at the end of the grant period. Based on the analysis we argue that there is an opportunity for improved coordination between the three agencies at the country level in supporting HRH-related activities. Existing initiatives, such as the international health partnership and the health systems funding platform, may present viable and timely vehicles for the three agencies to implement this improved coordination.
format Publications & Research :: Working Paper
author Vujicic, Marko
Weber, Stephanie E.
Nikolic, Irina A.
Atun, Rifat
Kumar, Ranjana
author_facet Vujicic, Marko
Weber, Stephanie E.
Nikolic, Irina A.
Atun, Rifat
Kumar, Ranjana
author_sort Vujicic, Marko
title GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries
title_short GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries
title_full GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries
title_fullStr GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries
title_full_unstemmed GAVI : The Global Fund and World Bank Support for Human Resources for Health in Developing Countries
title_sort gavi : the global fund and world bank support for human resources for health in developing countries
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2011/05/14461665/analysis-gavi-global-fund-world-bank-support-human-resources-health-developing-countries
http://hdl.handle.net/10986/13592
_version_ 1764423842881601536