Table 2 |
||
|
Estimated size of HRH-related constraints for typical low-income countries in Africa |
||
| Level |
Constraint |
Estimated size of the constraints in the context of scaling-up in low- and middle-income
countries |
|
|
||
| Individual characteristics |
||
| Gender |
++ |
|
| Social class and ethnicity of staff |
+++ |
|
| Demand for medical training |
+ |
|
| Disease* |
++ |
|
| Health service level |
||
| Team building and interaction |
++ |
|
| Surpluses, shortages and skill mix at health service level |
++ |
|
| Physical working environment |
+ |
|
| Health sector level |
||
| Salary level and monetary incentives |
++ |
|
| Performance management and productivity |
+++ |
|
| Composition of workforce and skill mix |
++ |
|
| Geographical imbalances |
+++ |
|
| Retention policy |
++ |
|
| Health sector reform |
++ |
|
| HRH policy |
+++ |
|
| Training capacities |
||
| Initial training |
+++ |
|
| Re-training |
+++ |
|
| Sociopolitical and economic context of a country |
||
| Multisectoral approaches |
++ |
|
| Migration |
++ |
|
| Governance and overall policy framework |
+++ |
|
|
|
||
|
* Heavily influenced by the epidemiological situation of HIV/AIDS for a given country +++ = very important; ++ = important; + = moderate |
||
|
Wyss Human Resources for Health 2004 2:11 doi:10.1186/1478-4491-2-11 |
||
