MAXIMIZING POSITIVE SYNERGIES - World Health Organization

Types of fundable HRH interventions
Table 2, below, shows where language was found that pertained to a specific aspect of HRH.
Language can be very broad and subject to an inclusive interpretation or alternatively quite
specific and directive. Some highlights:
• Overall, the four GHIs combined addressed in some respect most of the domains related to
HRH although they varied by the amount of on-line guidance available to countries.
• All GHIs had some level of general guidance on pre-service education for direct, clinical
health workers and three GHIs had guidance on in-service education for these workers,
and all GHIs had guidance on general workforce capacity strengthening for all health
workers as well as for general infrastructure improvements and training of health
managers.
• PEPFAR had explicit guidance on training different types of direct, clinical health workers.
• GAVI and WB more frequently addressed specific areas of financial incentives, such as topups,
pay-for-performance, and general recruitment support.
• None of the GHIs had explicit guidance in relation to the use of funding for rural
allowances.
• WB had explicit guidance on supporting continuous professional development and career
paths for all types of health workers.
Table 2. Guidance by GHI and HRH Intervention Categories (as of May 2009)
HRH Intervention Categories
EDUCATION
Pre-service education
GAVI (G) 1 , GFAMT (GF) 2, World Bank
MAP Program (WB) 3 , PEPFAR (P) 4
DIRECT PROVIDERS INDIRECT
Clinical Non-Clinical All
G, GF, WB, P G, GF, WB, P G, GF, WB
In-service education GF, WB, P GF, WB, P GF, WB
Producing different types of health workers P
General Workforce Capacity Strengthening
FINANCIAL INCENTIVES
G, GF, WB, P G, GF, WB, P G, GF, WB, P
Salary payment GF, WB, P GF, P GF, WB
Top-ups G WB G WB G WB
Rural allowances (P) 5
Pay for performance G WB G WB, P G WB
General Recruitment Support
MANAGEMENT
G WB G WB G WB
General infrastructure improvements G, GF, WB, P G, GF, WB, P G, GF, WB, P
Training of health managers G, GF, WB, P G, GF, WB, P G, GF, WB, P
Support for continuous professional
development, career paths
WB WB WB
1 GAVI (2009). Revised GAVI HHS Guidelines for: GAVI Alliance Health System Strengthening Applications (page 8).
Information retrieved on January 15, 2009 from:
www.gavialliance.org/resources/HSS_Guidelines___2009_UPDATE___Final.pdf
224