The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania

This paper introduces a simple framework for understanding the dimensions and determinants of health worker performance based on the idea that there can be three different gaps affecting performance: a knowledge gap, the knowledge-capacity gap and the capacity-performance gap. The paper argues that...

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Main Authors:	Leonard, Kenneth L., Masatu, Melkiory C., Herbst, Christopher H., Lemiere, Christophe
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2016
Subjects:	PHARMACY HEALTH CARE PROVIDERS INFANT MORTALITY RATES SUTURES DETERMINANTS OF HEALTH ACCESS TO HEALTH CARE EMPLOYMENT TREATMENT HEALTH SERVICE DELIVERY DIAGNOSIS DEATHS INCOME QUALITY OF HEALTH CARE DRUG SUPPLY PUBLIC SECTOR DOCTORS HEALTH ECONOMICS HEALTH RESEARCH HEALTH CARE DRUGS HEALTH CARE WORKERS EFFECTS HEALTH CARE FACILITIES INCENTIVES HEALTH HEALTH WORKERS BREAST CANCER PRESCRIPTIONS HEALTH FACILITIES SYMPTOM PUBLIC HEALTH QUALITY OF HEALTH HEALTH SECTOR KNOWLEDGE CHOICE ANIMAL HEALTH WORKPLACE DISEASES COSTS VOLUNTARY SECTOR PATIENTS PATIENT LIFE DEMAND FOR HEALTH SERVICES INTERVENTION PROBABILITY HEALTH SYSTEMS HEALTH CENTERS MEDICATION NURSES OBSERVATION MEDICAL CARE HEALTH CARE QUALITY MEDICAL OFFICERS SYMPTOMS WORK ENVIRONMENT OUTPATIENT SERVICES HEALTH CARE OUTCOMES HIV/AIDS HEALTH SERVICES RESEARCH INTERVIEW MORTALITY HEALTH CARE SYSTEM MEDICAL SERVICE PROVIDERS CANCER AVAILABILITY OF DRUGS INFANT MORTALITY DIAGNOSES HEALTH CARE SECTOR CLINICIAN EMERGENCY MEDICINE HEALTH SPECIALIST WORKERS FEVER QUALITY OF CARE PATIENT SATISFACTION AMODIAQUINE BASIC NEEDS CARE HEALTH POLICY MEDICINE DEMAND DIARRHEA STD PREVENTIVE HEALTH SERVICES INCOME COUNTRIES ADEQUATE CARE MEDICAL PERSONNEL MALNUTRITION PRIVATE SECTOR MEASUREMENT NUTRITION MEDICAL OFFICER SYRINGES MALARIA REST PRIMARY HEALTH CARE PNEUMONIA INTERNET EXPOSURE HEALTH SYSTEM OUTPATIENT CARE LOW INCOME HEALTH CARE DELIVERY CHILDREN MALARIA SYMPTOMS CLINICIANS CLINICS EVALUATION BANDAGES HUMAN RESOURCES DEMAND FOR HEALTH ILLNESS INFANTS ALL POPULATION MEDICAL DOCTORS CHILD DEATHS FEES FAMILIES MEDICINES FORCEPS HOSPITALS CERTIFICATION ILLNESSES HEALTH SERVICE HEALTH SERVICES PRIVATE SECTORS DEMAND FOR SERVICES FINANCIAL INCENTIVES VISITS NURSING MEDICAL TRAINING
Online Access:	http://documents.worldbank.org/curated/en/2016/03/26097351/systematic-assessment-health-worker-performance-framework-analysis-application-tanzania http://hdl.handle.net/10986/24076

id	okr-10986-24076
recordtype	oai_dc
spelling	okr-10986-240762021-04-23T14:04:19Z The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania Leonard, Kenneth L. Masatu, Melkiory C. Herbst, Christopher H. Lemiere, Christophe PHARMACY HEALTH CARE PROVIDERS INFANT MORTALITY RATES SUTURES DETERMINANTS OF HEALTH ACCESS TO HEALTH CARE EMPLOYMENT TREATMENT HEALTH SERVICE DELIVERY DIAGNOSIS DEATHS INCOME QUALITY OF HEALTH CARE DRUG SUPPLY PUBLIC SECTOR DOCTORS HEALTH ECONOMICS HEALTH RESEARCH HEALTH CARE DRUGS HEALTH CARE WORKERS EFFECTS HEALTH CARE FACILITIES INCENTIVES HEALTH HEALTH WORKERS BREAST CANCER PRESCRIPTIONS HEALTH FACILITIES SYMPTOM PUBLIC HEALTH QUALITY OF HEALTH HEALTH SECTOR KNOWLEDGE CHOICE ANIMAL HEALTH WORKPLACE DISEASES COSTS VOLUNTARY SECTOR PATIENTS PATIENT LIFE DEMAND FOR HEALTH SERVICES INTERVENTION PROBABILITY HEALTH SYSTEMS HEALTH CENTERS MEDICATION NURSES OBSERVATION MEDICAL CARE HEALTH CARE QUALITY MEDICAL OFFICERS SYMPTOMS WORK ENVIRONMENT OUTPATIENT SERVICES HEALTH CARE OUTCOMES HIV/AIDS HEALTH SERVICES RESEARCH INTERVIEW MORTALITY HEALTH CARE SYSTEM MEDICAL SERVICE PROVIDERS CANCER AVAILABILITY OF DRUGS INFANT MORTALITY DIAGNOSES HEALTH CARE SECTOR CLINICIAN EMERGENCY MEDICINE HEALTH SPECIALIST WORKERS FEVER QUALITY OF CARE PATIENT SATISFACTION AMODIAQUINE BASIC NEEDS CARE HEALTH POLICY MEDICINE DEMAND DIARRHEA STD PREVENTIVE HEALTH SERVICES INCOME COUNTRIES ADEQUATE CARE MEDICAL PERSONNEL MALNUTRITION PRIVATE SECTOR MEASUREMENT NUTRITION MEDICAL OFFICER SYRINGES MALARIA REST PRIMARY HEALTH CARE PNEUMONIA INTERNET EXPOSURE HEALTH SYSTEM OUTPATIENT CARE LOW INCOME HEALTH CARE DELIVERY CHILDREN MALARIA SYMPTOMS CLINICIANS CLINICS EVALUATION BANDAGES HUMAN RESOURCES DEMAND FOR HEALTH ILLNESS INFANTS ALL POPULATION MEDICAL DOCTORS CHILD DEATHS FEES FAMILIES MEDICINES FORCEPS HOSPITALS CERTIFICATION ILLNESSES HEALTH SERVICE HEALTH SERVICES PRIVATE SECTORS DEMAND FOR SERVICES FINANCIAL INCENTIVES VISITS NURSING MEDICAL TRAINING This paper introduces a simple framework for understanding the dimensions and determinants of health worker performance based on the idea that there can be three different gaps affecting performance: a knowledge gap, the knowledge-capacity gap and the capacity-performance gap. The paper argues that performance is determined by a combination of competence, capacity and effort, and that any of these elements may lead to poor performance, and applies this framework to the measurement of health worker performance in Tanzania. Whilst discussing and highlighting key findings related to the assessment of health worker performance in Tanzania, the overarching objective of the paper is to offer a systematic way to analyze health worker performance through primary data collection and analysis to benefit researchers and countries beyond Tanzania. 2016-04-18T20:26:32Z 2016-04-18T20:26:32Z 2015-08 Working Paper http://documents.worldbank.org/curated/en/2016/03/26097351/systematic-assessment-health-worker-performance-framework-analysis-application-tanzania http://hdl.handle.net/10986/24076 English en_US Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Tanzania
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	PHARMACY HEALTH CARE PROVIDERS INFANT MORTALITY RATES SUTURES DETERMINANTS OF HEALTH ACCESS TO HEALTH CARE EMPLOYMENT TREATMENT HEALTH SERVICE DELIVERY DIAGNOSIS DEATHS INCOME QUALITY OF HEALTH CARE DRUG SUPPLY PUBLIC SECTOR DOCTORS HEALTH ECONOMICS HEALTH RESEARCH HEALTH CARE DRUGS HEALTH CARE WORKERS EFFECTS HEALTH CARE FACILITIES INCENTIVES HEALTH HEALTH WORKERS BREAST CANCER PRESCRIPTIONS HEALTH FACILITIES SYMPTOM PUBLIC HEALTH QUALITY OF HEALTH HEALTH SECTOR KNOWLEDGE CHOICE ANIMAL HEALTH WORKPLACE DISEASES COSTS VOLUNTARY SECTOR PATIENTS PATIENT LIFE DEMAND FOR HEALTH SERVICES INTERVENTION PROBABILITY HEALTH SYSTEMS HEALTH CENTERS MEDICATION NURSES OBSERVATION MEDICAL CARE HEALTH CARE QUALITY MEDICAL OFFICERS SYMPTOMS WORK ENVIRONMENT OUTPATIENT SERVICES HEALTH CARE OUTCOMES HIV/AIDS HEALTH SERVICES RESEARCH INTERVIEW MORTALITY HEALTH CARE SYSTEM MEDICAL SERVICE PROVIDERS CANCER AVAILABILITY OF DRUGS INFANT MORTALITY DIAGNOSES HEALTH CARE SECTOR CLINICIAN EMERGENCY MEDICINE HEALTH SPECIALIST WORKERS FEVER QUALITY OF CARE PATIENT SATISFACTION AMODIAQUINE BASIC NEEDS CARE HEALTH POLICY MEDICINE DEMAND DIARRHEA STD PREVENTIVE HEALTH SERVICES INCOME COUNTRIES ADEQUATE CARE MEDICAL PERSONNEL MALNUTRITION PRIVATE SECTOR MEASUREMENT NUTRITION MEDICAL OFFICER SYRINGES MALARIA REST PRIMARY HEALTH CARE PNEUMONIA INTERNET EXPOSURE HEALTH SYSTEM OUTPATIENT CARE LOW INCOME HEALTH CARE DELIVERY CHILDREN MALARIA SYMPTOMS CLINICIANS CLINICS EVALUATION BANDAGES HUMAN RESOURCES DEMAND FOR HEALTH ILLNESS INFANTS ALL POPULATION MEDICAL DOCTORS CHILD DEATHS FEES FAMILIES MEDICINES FORCEPS HOSPITALS CERTIFICATION ILLNESSES HEALTH SERVICE HEALTH SERVICES PRIVATE SECTORS DEMAND FOR SERVICES FINANCIAL INCENTIVES VISITS NURSING MEDICAL TRAINING
spellingShingle	PHARMACY HEALTH CARE PROVIDERS INFANT MORTALITY RATES SUTURES DETERMINANTS OF HEALTH ACCESS TO HEALTH CARE EMPLOYMENT TREATMENT HEALTH SERVICE DELIVERY DIAGNOSIS DEATHS INCOME QUALITY OF HEALTH CARE DRUG SUPPLY PUBLIC SECTOR DOCTORS HEALTH ECONOMICS HEALTH RESEARCH HEALTH CARE DRUGS HEALTH CARE WORKERS EFFECTS HEALTH CARE FACILITIES INCENTIVES HEALTH HEALTH WORKERS BREAST CANCER PRESCRIPTIONS HEALTH FACILITIES SYMPTOM PUBLIC HEALTH QUALITY OF HEALTH HEALTH SECTOR KNOWLEDGE CHOICE ANIMAL HEALTH WORKPLACE DISEASES COSTS VOLUNTARY SECTOR PATIENTS PATIENT LIFE DEMAND FOR HEALTH SERVICES INTERVENTION PROBABILITY HEALTH SYSTEMS HEALTH CENTERS MEDICATION NURSES OBSERVATION MEDICAL CARE HEALTH CARE QUALITY MEDICAL OFFICERS SYMPTOMS WORK ENVIRONMENT OUTPATIENT SERVICES HEALTH CARE OUTCOMES HIV/AIDS HEALTH SERVICES RESEARCH INTERVIEW MORTALITY HEALTH CARE SYSTEM MEDICAL SERVICE PROVIDERS CANCER AVAILABILITY OF DRUGS INFANT MORTALITY DIAGNOSES HEALTH CARE SECTOR CLINICIAN EMERGENCY MEDICINE HEALTH SPECIALIST WORKERS FEVER QUALITY OF CARE PATIENT SATISFACTION AMODIAQUINE BASIC NEEDS CARE HEALTH POLICY MEDICINE DEMAND DIARRHEA STD PREVENTIVE HEALTH SERVICES INCOME COUNTRIES ADEQUATE CARE MEDICAL PERSONNEL MALNUTRITION PRIVATE SECTOR MEASUREMENT NUTRITION MEDICAL OFFICER SYRINGES MALARIA REST PRIMARY HEALTH CARE PNEUMONIA INTERNET EXPOSURE HEALTH SYSTEM OUTPATIENT CARE LOW INCOME HEALTH CARE DELIVERY CHILDREN MALARIA SYMPTOMS CLINICIANS CLINICS EVALUATION BANDAGES HUMAN RESOURCES DEMAND FOR HEALTH ILLNESS INFANTS ALL POPULATION MEDICAL DOCTORS CHILD DEATHS FEES FAMILIES MEDICINES FORCEPS HOSPITALS CERTIFICATION ILLNESSES HEALTH SERVICE HEALTH SERVICES PRIVATE SECTORS DEMAND FOR SERVICES FINANCIAL INCENTIVES VISITS NURSING MEDICAL TRAINING Leonard, Kenneth L. Masatu, Melkiory C. Herbst, Christopher H. Lemiere, Christophe The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania
geographic_facet	Africa Tanzania
relation	Health, Nutrition and Population Discussion Paper;
description	This paper introduces a simple framework for understanding the dimensions and determinants of health worker performance based on the idea that there can be three different gaps affecting performance: a knowledge gap, the knowledge-capacity gap and the capacity-performance gap. The paper argues that performance is determined by a combination of competence, capacity and effort, and that any of these elements may lead to poor performance, and applies this framework to the measurement of health worker performance in Tanzania. Whilst discussing and highlighting key findings related to the assessment of health worker performance in Tanzania, the overarching objective of the paper is to offer a systematic way to analyze health worker performance through primary data collection and analysis to benefit researchers and countries beyond Tanzania.
format	Working Paper
author	Leonard, Kenneth L. Masatu, Melkiory C. Herbst, Christopher H. Lemiere, Christophe
author_facet	Leonard, Kenneth L. Masatu, Melkiory C. Herbst, Christopher H. Lemiere, Christophe
author_sort	Leonard, Kenneth L.
title	The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania
title_short	The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania
title_full	The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania
title_fullStr	The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania
title_full_unstemmed	The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania
title_sort	systematic assessment of health worker performance : a framework for analysis and its application in tanzania
publisher	World Bank, Washington, DC
publishDate	2016
url	http://documents.worldbank.org/curated/en/2016/03/26097351/systematic-assessment-health-worker-performance-framework-analysis-application-tanzania http://hdl.handle.net/10986/24076
_version_	1764455574851813376

The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania

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