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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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 |
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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 |