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Working in Health : Financing and Managing the Public Sector Health Workforce

Author

Listed:
  • Marko Vujicic
  • Kelechi Ohiri
  • Susan Sparkes

Abstract

The health workforce plays a key role in increasing access to health services for the poor in developing countries. Recent evidence has demonstrated an important link between staffing levels and both service delivery and health outcomes. Various global and country-level estimates have also shown that current staffing levels in developing countries, particularly in Sub-Saharan Africa, are often well below those required to deliver essential health services. This study focuses on two main aspects of health workforce policy. First, it examines how overall government wage bill policies affect the size of the health wage bill, the hiring of health workers in the public sector, and the related policy options. This focus is important because despite the importance of fiscal constraints on the wage bill, and the persistent debate at the global level, very little documented evidence describes how health wage bill budgets in the public sector are determined, how this action is linked to overall wage bill policies, and how it affects the ability of governments to increase staffing levels in the health sector. Second, this report looks at how well health wage bill resources are used in the public sector.

Suggested Citation

  • Marko Vujicic & Kelechi Ohiri & Susan Sparkes, 2009. "Working in Health : Financing and Managing the Public Sector Health Workforce," World Bank Publications - Books, The World Bank Group, number 2621, December.
    • Handle: RePEc:wbk:wbpubs:2621
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    File URL: https://openknowledge.worldbank.org/bitstream/handle/10986/2621/483400PUB0Work101OFFICIAL0USE0ONLY1.pdf?sequence=1
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    References listed on IDEAS

    as
    1. Pablo Gottret & George Schieber, 2006. "Health Financing Revisited : A Practitioner's Guide," World Bank Publications - Books, The World Bank Group, number 7094, December.
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    Cited by:

    1. Sameh El-Saharty & Susan Powers Sparkes & Helene Barroy & Karar Zunaid Ahsan & Syed Masud Ahmed, 2015. "The Path to Universal Health Coverage in Bangladesh," World Bank Publications - Books, The World Bank Group, number 21633, December.
    2. Christopher H. Herbst & Monique Vledder & Karen Campbell & Mirja Sjöblom & Agnes Soucat, 2011. "The Human Resources for Health Crisis in Zambia : An Outcome of Health Worker Entry, Exit, and Performance within the National Health Labor Market," World Bank Publications - Books, The World Bank Group, number 5938, December.
    3. Lewis, Maureen & Pettersson, Gunilla, 2009. "Governance in health care delivery : raising performance," Policy Research Working Paper Series 5074, The World Bank.
    4. Berhanu Feysia & Christopher H. Herbst & Wuleta Lemma & Agnes Soucat, 2012. "The Health Workforce in Ethiopia : Addressing the Remaining Challenges," World Bank Publications - Books, The World Bank Group, number 2226, December.
    5. Khim, Keovathanak & Annear, Peter Leslie, 2013. "Strengthening district health service management and delivery through internal contracting: Lessons from pilot projects in Cambodia," Social Science & Medicine, Elsevier, vol. 96(C), pages 241-249.

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