Documents & Reports

Buying Results? Contracting for Health Service Delivery in Developing Countries

Contracting with non-state entities, including non-governmental organisations, has been proposed as a means for improving health care delivery, and the global experience with such contracts is reviewed here. The ten investigated examples indicate that contracting for the delivery of primary care can be very effective and that improvements can be rapid. [from author]

HIV/AIDS, Human Resources and Sustainable Development

This report, written for the World Summit on Sustainable Development, Johannesburg 2002, discusses the impact of HIV on the workforce and calls for governments to live up to the benchmark of action agreed to in the 2001 Declaration of Commitment to HIV/AIDS.

Costs of HIV/AIDS Among Professional Staff in the Zambian Public Health Sector

Despite their high level of training and medical knowledge, health professionals remain a population that is vulnerable to HIV/AIDS. AIDS-related mortality has been recognized as a significant factor in the loss of trained health staff in high prevalence countries, but little empirical research has been done to quantify the damage. In this study, we applied a case/comparison methodology to estimate the costs of HIV infection in the professional workforce at three Zambian healthcare institutions: Lusaka District Health Management Team, University Teaching Hospital (the national tertiary care hospital) and Kasama District Hospital and Health Management Team. Deaths or medical retirements among professional staff were analyzed wherever the complete personnel records were available, with the exclusion of cases resulting from violence, accident or disease of sudden onset. 108 cases were identified over a three-year period ending in October 2003. Each case was matched with two comparisons of similar age, sex and professional training. Data were collected for both cases and comparisons on absenteeism, compensation and medical care and reimbursement. Data were also collected on death and retirement benefits paid, or owed, to the cases. [author’s description]

HIV/AIDS and the Workforce Crisis in Health in Africa: Issues for Discussion

This paper summarizes the key issues confronting human resources (HR) in the health sector in sub-Saharan Africa and the role that HIV/AIDS has played in exacerbating this crisis. Section I reviews the causes and consequences of this crisis. Section II focuses on the effects of the HIV/AIDS epidemic on the crisis. Section III analyzes the constraints faced by recent health initiatives in addressing HR issues. Finally, Section IV provides recommendations on how donors and other partners can address HR issues in a more intensive, sustained, and concerted manner. [summary]

Human Resources Crisis in the Zambian Health System: A Call for Urgent Action

Over the past few years, the human resources situation in the Zambia public sector has reached a point of severe crisis and inability to provide basic health services, primarily due to three interrelated factors. First, the country is losing substantial numbers of health workers to countries that offer better conditions of service, or are changing professions to ones that offer more attractive opportunities. Second, Zambia’s medical and professional schools have a limited capacity to train additional staff.

Selecting Partners: Practical Considerations for Forming Partnerships

This handbook, developed for the Consultative Group on International Agricultural Research, describes the nature of successful partnerships: their characteristics, their benefits, their challenges, and provides practical guidance to leaders, managers, and professionals in agricultural research who are using or considering partnerships as a way to achieve greater results. While geared toward the agricultural sector, the material has wide applicability to other sectors.

Guide to Health Workforce Development in Post-Conflict Environments

Designed to assist in re-establishing health services in a context of political and economical instability, this guide provides practical information and tools for rebuilding a health workforce, as well as examples from post-conflict countries. [publisher’s description]