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Key Issues In
Human Resources For Health
Dr.Elsheikh Badr
July 2006
Why are HRH important?
• Health workforce absorbs 60-80% of
recurrent budget
• Health workers are vehicle and
object for change
• Health sector is a labour-intensive
industry
• Management of HRH is difficult
Yet! There is under-investment in
HRH:
• Underestimation of HR dep.
• Dichotomy between health planning
and HRH planning
• Health sector reform (HSR) focus on
financing/organizational structure
HRH domains:
• HR policy
• HR planning
• HR training
• HR management
HRD
HRH framework for analysis:
Key issues:
• HRH database
• Strategic functions
• Coordination
• Management capacity
HR Planning
To ensure that there is the right number of
personnel with the appropriate skills
available in the right place at the right
time.
HR Planning
Common problems:
• Too few trained and available personnel
• Too many trained and unemployable
personnel
• Distributional difficulties
• Inappropriate use of personnel
• Unproductive or demoralized staff
HR Planning
Approaches:
• Health care demands approach
• Health needs approach
• Personnel to population ratios approach
• Service targets approach
HR Training
• Matching between planning and training
- numbers
- curriculum
- skill mix
- new types of personnel
• Quality and accreditation
• International or local standards??
HR Management
• Recruitment
• Deployment
• Retention
• Performance appraisal
• Personnel administration
HR Management: schools of
thought
Scientific management
• F.W.Taylor in 1880s
• Plan ahead
• Count things and movements
• Allocate tasks and responsibilities
• Limit your span of control
• Review results
Human relations
• Chester Barnard, 1930s
• Organizations are not machines
• Cooperative communities
• People to be persuaded
• Authority comes from people not from
above
• Importance of informal groups
bureaucracy
• Max Weber, 1940s
• Hierarchy
• Span of control
• Rules and regulations
• Lengthy processes
Technology
• John Woodward, 1960s
• Technology of work decides type of
organization
• A stable environment needs a
bureaucratic organization while a fast
changing one requires a more flexible
enterprise.
systems
• Organizations as open systems
• Inputs, processes, outputs and outcomes
• In systems thinking everything affect
everything else, everything is part of
something bigger…. Nothing can stand
on its own…
Institutional
• Based on sociology and anthropology
• Each organization is a unique bit of
history….its own goals, environment, and
ways of doing things
• Culture is the fashionable word here
Hierarchies and job descriptions
• Hierarchical organization
• Line management
• Flatter organizations
• Cells
• Informal organization
• Job description
• Job specification

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Key issue in human resources for health- الشيخ بدر

  • 1. Key Issues In Human Resources For Health Dr.Elsheikh Badr July 2006
  • 2. Why are HRH important? • Health workforce absorbs 60-80% of recurrent budget • Health workers are vehicle and object for change • Health sector is a labour-intensive industry • Management of HRH is difficult
  • 3. Yet! There is under-investment in HRH: • Underestimation of HR dep. • Dichotomy between health planning and HRH planning • Health sector reform (HSR) focus on financing/organizational structure
  • 4. HRH domains: • HR policy • HR planning • HR training • HR management HRD
  • 5. HRH framework for analysis:
  • 6. Key issues: • HRH database • Strategic functions • Coordination • Management capacity
  • 7. HR Planning To ensure that there is the right number of personnel with the appropriate skills available in the right place at the right time.
  • 8. HR Planning Common problems: • Too few trained and available personnel • Too many trained and unemployable personnel • Distributional difficulties • Inappropriate use of personnel • Unproductive or demoralized staff
  • 9. HR Planning Approaches: • Health care demands approach • Health needs approach • Personnel to population ratios approach • Service targets approach
  • 10. HR Training • Matching between planning and training - numbers - curriculum - skill mix - new types of personnel • Quality and accreditation • International or local standards??
  • 11. HR Management • Recruitment • Deployment • Retention • Performance appraisal • Personnel administration
  • 12. HR Management: schools of thought Scientific management • F.W.Taylor in 1880s • Plan ahead • Count things and movements • Allocate tasks and responsibilities • Limit your span of control • Review results
  • 13. Human relations • Chester Barnard, 1930s • Organizations are not machines • Cooperative communities • People to be persuaded • Authority comes from people not from above • Importance of informal groups
  • 14. bureaucracy • Max Weber, 1940s • Hierarchy • Span of control • Rules and regulations • Lengthy processes
  • 15. Technology • John Woodward, 1960s • Technology of work decides type of organization • A stable environment needs a bureaucratic organization while a fast changing one requires a more flexible enterprise.
  • 16. systems • Organizations as open systems • Inputs, processes, outputs and outcomes • In systems thinking everything affect everything else, everything is part of something bigger…. Nothing can stand on its own…
  • 17. Institutional • Based on sociology and anthropology • Each organization is a unique bit of history….its own goals, environment, and ways of doing things • Culture is the fashionable word here
  • 18. Hierarchies and job descriptions • Hierarchical organization • Line management • Flatter organizations • Cells • Informal organization • Job description • Job specification