Strategic management of the health workforce in developing countries: what have we learned?
Peer reviewed article
This is a review of literature relating to the emerging challenges in strategic management of health workforce that affect the overall performance of health care systems.
The lessons emerge in these areas, the imbalances in workforce structure whether from supply/demand, professional/specialty, geographical, institutional, public/private sector and gender/ethnical imbalance. Second group of lessons concerns overly centralized health systems with weak capacities for strategic planning, resulting in constraining the potential role of local and district levels participation in the development of human resource management strategies. The challenges in the motivation and performance of health worker and range of reforms from contracting of services to improvement of HR management.