Health Systems in Action: an eHandbook for Leaders and Managers

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5. MANAGiNG hUMAN ReSOURCeS 5:13 Incentive programs build employee satisfaction and motivation Research on the factors that contribute to employee satisfaction and motivation has provided powerful evidence that organizations should provide a mix of financial and nonfinancial incentives. Studies show that well-designed and administered financial incentives are likely to prevent employee dissatisfaction but do not necessarily lead to employee motivation. It is the combination of financial and nonfinancial incentives that both prevents job dissatisfaction and motivates employees. developing incentive programs A good incentive system provides: ■■ basic financial incentives, such as reasonable wages, salaries, and conditions of employment; ■■ additional financial incentives, if appropriate (e.g., for achieving certain targets or being posted to a remote location); ■■ nonfinancial incentives (e.g., providing a positive work environment, providing flexible employment arrangements, supporting professional development, providing intrinsic job rewards). types of incentives Box 1 gives examples of the types of incentives that fall under each of the two categories. In addition, the incentive system should: ■■ have clear objectives and well-designed strategies that fit the purpose; ■■ be realistic and contextually appropriate; ■■ reflect health professionals’ needs and preferences; ■■ be fair, equitable, and transparent; ■■ be monitored on a regular basis to see how well it is working. if you want to learn more about incentive programs, “Guidelines: incentives for health Professionals,” produced by the Global health Workforce Alliance, provides detailed information about incentives for health professionals. Managing volunteer staff In many health systems, paid staff members are not the only people who provide services. Community health workers, community volunteers, and other unpaid staff are also involved in health care delivery. Some do receive a small salary or allowance, but many are unpaid. Volunteers and unpaid staff are a critical part of basic health education and care in many countries. Just like paid staff, they must be supported by good HRM policies, systems, and practices. © 2010 MANAGeMeNt SCieNCeS fOR heALth HeAltH SySteMS In ACtIon
5. MANAGiNG hUMAN ReSOURCeS 5:14 BoX 1. types of Incentives Financial Incentives nonfinancial Incentives terms and Conditions of employment ■■ Salary/wages ■■ Pension ■■ insurance (e.g., health) ■■ Allowances (e.g., housing, clothing, transport, parking, child care) ■■ Paid leave (e.g., holidays, vacation, sick leave) Performance Payments ■■ Achievement of performance targets ■■ Length of service ■■ Location or type of work (e.g., remote locations) other Financial Support ■■ fellowships ■■ Loans Positive Work environment ■■ Work autonomy and clarity of roles and responsibilities ■■ Recognition of work and achievement ■■ Supportive management and peer structures ■■ Manageable workload and effective workload management ■■ effective management of occupational health and safety risks, including a safe and clean workplace ■■ effective employee representation and communication ■■ enforced equal opportunity policy ■■ Maternity/paternity leave ■■ flexible work hours ■■ Planned sabbaticals or career breaks Support for Development ■■ effective supervision ■■ Coaching and mentoring structures ■■ Access to and support for training and education ■■ Sabbatical and study leave Access to Services ■■ health ■■ Child care and schools ■■ Recreational facilities ■■ housing ■■ transportation ■■ Other services Intrinsic Rewards ■■ Job satisfaction ■■ Personal achievement Source: Used with permission. Global health Work Alliance/WhO, 2008, p. 12. ■■ Commitment to shared values ■■ Respect of colleagues and community ■■ Membership in a team and a sense of belonging www.msh.org/resource-center/health-systems-in-action.cfm HeAltH SySteMS In ACtIon
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Health Systems in Action an ehandbo
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Health Systems in Action an ehandbo
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contents List of Figures viii Healt
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Glossary of human resource manageme
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Figure 3. Typical Stock Card 7:27 F
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The Health Extension Program, which
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What People Are Saying about Health
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We wrote this book for health care
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acknowledgments Health Systems in A
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Acronyms ACf allocable cost factor
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CHAPteR 1 Achieving Results by Stre
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1. AChieViNG ReSULtS BY StReNGtheNi
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1. Achieving Results by stRengtheni
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2. LeADiNG AND MANAGiNG: CRitiCAL C
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3. PROMOtiNG GOOD GOVeRNANCe iN PUB
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7. MANAGiNG MeDiCiNeS AND heALth PR
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CHAPteR 8 Managing Information: Mon
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8. MANAGiNG iNfORMAtiON: MONitORiNG
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9. MANAGiNG heALth SeRViCe DeLiVeRY
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9. Managing HealtH Service Delivery
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