Partnerships

This brief provides a retrospective view of the Project’s contributions and recommendations in the area of global partnering. [from author]

This report provides a short summary of the key discussion points from a meeting in Addis Ababa, Ethiopia on the 10th and 11th of January 2008. The meeting followed on from the launch of the WHO Guidelines on Task-Shifting and was attended by participants who are actively involved in addressing HRH. [adapted from author]

In response to the critical HRH shortages in Africa, the UK Department for International Development (DFID) and Office of the US Global Aids Coordinator (OGAC) have been in discussion with a number of African countries to develop strategies and country level actions. The aim is to demonstrate the maximum flexibility of disease specific programmes to support broad based primary care in line with countries’ health plans. This report presents a summary of the main findings from the country visit to Kenya. [from introduction]

This case study looks at the contribution of the Observatório and its members to the development of the public health sector in Brazil. [from introduction]

The Argentine Maternal-Child Health Insurance Program uses an interesting approach of combining output-based contracting with an output-based funding mechanism. Particularly innovative is the combination of enrollment numbers and performance indicators as a way to address the trade off between quantity and quality.

The webcasts and transcripts from the 2006 Annual Meeting of the Clinton Global Initiave address the issues of “Extending Physical and Human Capacity” for global health and “Maximizing Returns Through Increased Public/Private/NGO Coordination.”

In response to the HIV/AIDS crisis, Namibia’s public health sector is carrying out a comprehensive strategy to rapidly hire and deploy professional and non-professional health workers with the aim of providing comprehensive care, counseling and testing, as well as antiretroviral therapy (ART) and prevention of mother-to-child transmission (PMTCT). [from executive summary]

The complex and wide ranging challenges related to human resources for health in developing countries necessitate that stakeholders work together through inclusive alliances and networks. This kit aims to offer those wanting to create a partnership, as well as those already working in one, some easily accessible tools to support that process. [from introduction]

This report sets out many stories of individual and National Health Service partnerships working to improve health and share learning. Already the UK has an impressive record and reputation on international development, in health and in other areas. But to get the best out of all the enthusiasm and the work that is being done, the report identifies a need for better coordination and more strategic partnerships, and makes recommendations for improvement. [from foreword]

This is a summary report from the Africa Health Workforce Observatory meeting held September 26-29, 2006, at the ECSA headquarters in Arusha, Tanzania. The meeting focused on developing mechanisms to create up-to-date and reliable information that enables evidence-based decision making for HRH. [adapted from author’s description]

This working paper evaluates th success of the Quality of Care Management Center in Nepal and highlights the fact that even in resource-poor settings, quality of care in health service delivery can be achieved. This model for a quality of care center that provides timely, appropriate, and ongoing support to clinical facilities may be especially useful in countries where centralized systems are in place for allocation of resources or where maintenance and supply capacity is limited to central locations.

This presentation was part of the ECSA Workforce Observatory Meeting in Arusha. It describes the Health Workforce Observatory’s purpose to “bring together stakeholders involved in HR for Health at country level to collect, collate, process, analyze and disseminate evidence based HR information for HR development and networking at country and sub regional levels for health improvement.” It outlines the strategies from a country level and international level including stakeholders and support.

This presentation was part of the ECSA Workforce Observatory Meeting in Arusha. It outlines the role of national observatories “to convene and mobilize the relevant stakeholders, to identify sources of information and ensure further analysis, research, to prioritize the main issues, and to build consensus over policy interventions.” The author also discusses some possible functions of the obervatories, critical success factors, key activities, and lessons learned.

This presentation was part of the ECSA Workforce Observatory Meeting in Arusha. It describes the Africa Health Workforce Observatory as a cooperative initiative and partnership (public sector, NGO/ CSOs, academy, professional associations, international & subregional organizations, development partners) to improve human resources development through promoting and facilitating evidence-based policy-making.

This report documents the efforts of the Institute for Reproductive Health (IRH) to integrate natural family planning methods into the health delivery system in the Phillipines. It discusses the venues used for implementation such as government and NGO partnerships as well as IRH’s training resources and activities for nurses and midwives on family planning. Finally, the report details best practices and lessons learned from the multi-year project.

This issue of the HST Update covers topics such as: care from within the community; the Khayelihle example; and the role of organizations outside the government in community-based care.

This presentation was part of the Planning, Developing and Supporting the Health Workforce: Human Resources for Health Action Workshop. It gives an overview of the Southern Africa Capacity Initiative (SACI) Framework, provides examples of SACI applications and discusses the Africa HRH agenda.


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Health care labor is central to managing and delivering health services. Because recruitment and retention policies are key issues for purchasers, gaining insights into labor-purchasing mechanisms may permit them to be addressed more effectively. This paper is intended to provide a brief introduction to health care labor purchasing and the mechanisms through which it can have an impact on the delivery of health services and on health system performance. A framework is developed to foster understanding of health labor purchasing mechanisms. [abstract]

This issue of The Manager discusses the role of local resources in strengthening health services. It will help health managers at the local level to identify types of local resources that may be available to them, decide on strategies for mobilizing these resources, and assess the value of such resources to their organization or program. [author’s description]

There is currently much debate about the role Global Health Initiatives (GHI) should play in strengthening health systems. There is increasing realization that without more support to help countries build health system capacity, the resources mobilized by GHIs are unlikely to reach their full potential. This paper argues that health-system strengthening requires improving capacity in critical components of health systems in order to get more equitable and sustained improvement across health services and outcomes. This paper discusses these critical components, including human resource development within the broader context of health system strengthening. [adapted from author]

NGOs that provide basic health care to the poor must become less dependent on donor support by diversifying their funding. The NGO Service Delivery Program (NSDP), a USAID-funded health care program in Bangladesh, is working with NGOs to find corporate sponsorship. [publisher’s description]

This report focuses on HIV/AIDS home and community care projects and programs that have been able to scale up or reach out, and in doing so have brought an improved quality of life to people living with or affected by HIV/AIDS. The initiatives are widely spread geographically, with five from Africa, two from Asia, and one from Latin America. The final chapter of this report revisits some of the main lessons learned through the practices, and examines both commonalities and differences. [adapted from author]

This case study documents Indonesia’s family planning experience with a view to understanding the factors and conditions that led to the remarkable growth in the private sector’s role in delivering family planning services. [from abstract]

This report describes highlights from the Doctors We Trust Project in St. Petersburg and the Together We Are Stronger Project in Kaliningrad. Both projects focused onthe limitations of health care for vulnerable groups in St. Petersburg and Kaliningrad. The key strategy was to build cooperative links between government agencies and NGOs, uniting those who control public medical facilities and those who work most closely with vulnerable populations. The goal was to strengthen the NGOs’ capacity to provide care, while helping the governmental sector and medical personnel better understand and respond to the needs of people living with HIV and AIDS (PLHA) and other vulnerable groups.

This report identifies innovative approaches countries are using to address the shortages of health care workers and describes efforts to achieve long-term sustainability. [author’s description]

This report describes global progress on the “3 by 5” (Treating 3 million by 2005: making it happen) project in scaling up access to [HIV/AIDS] antiretroviral therapy and outlines the areas in which important progress has been made and lessons learned. It also outlines the remaining challenges and roadblocks to treatment access. [author’s description]

Chapter 2 (Strengthening Health Systems) provides an overview of HRH related approaches and progress.

The purpose of this technical brief is to offer best practices and lessons learned from a combination of key themes in current literature and practice regarding the benefits of collaborative ventures. The brief provides information on the benefits of participating in a collaborative venture, the challenges and common pitfalls that can occur and what it takes to collaborate productively and to sustain the collaboration. [adapted from author]

This is an overview of the Asian Action Learning Network on Human Resources for Health. Its objectives were: to share and discuss country problems, experiences, and priority actions required on human resource for health, to build up commitment on the establishment of the Asian Action Learning Network on HRH as a probable regional hub of the Global HRH platform, to develop the shared vision on the common goal of the Asian Action Learning Network on HRH, and to o develop a work plan for the Asian Action Learning Network on HRH, which covers the areas of information, research, capacity building and networking.

The Asian Action Learning Alliance is a response to international recognition of the need for global and regional action to strengthen country planning and action. There have been several key events and meetings, which have highlighted the issue. The meeting of key global and regional health development experts held in Oslo in February 2005 is an important global landmark which called for Global and Regional Platforms of action to be formed. [author’s description]

Most South Asian governments have concentrated on emulating a Western style of healthcare service, with the result that an elite few are overmedicalised whereas the majority are neglected. However, community participation in the development of local health services could provide a solution. [abstract]