Optimizing Staffing Models and Team Structure : For Quality Care Amidst Infrastructure and Resource Constraints

In low, and middle-income countries, policymakers have long struggled to extend quality frontline care to remote, rural communities. Confronting poor infrastructure, health worker shortages, and limited fiscal space, many countries have used expand...

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Bibliographic Details
Main Author: World Bank Group
Format: Brief
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/643931560319414100/Optimizing-Staffing-Models-and-Team-Structure-for-Quality-Care-Amidst-Infrastructure-and-Resource-Constraints
http://hdl.handle.net/10986/31851
Description
Summary:In low, and middle-income countries, policymakers have long struggled to extend quality frontline care to remote, rural communities. Confronting poor infrastructure, health worker shortages, and limited fiscal space, many countries have used expanded community-based health worker cadres to improve ‘last mile’ access to essential services. Yet to date, many such initiatives have been hampered by poor service quality, insufficient support, and lack of wider integration, ultimately yielding disappointing results. To harness the potential of frontline health staff in these settings, innovative staffing models are needed to integrate community health workers (CHWs) and mid-level cadres within effective frontline health teams.