Resource Spotlight: Human Resource Governance: What Does Governance Mean for the Health Workforce in Low- and Middle-Income Countries?

Training for government transparency in Mali
Training for government transparency in Mali

A growing understanding of how the different parts of a health system interact is highlighting how human resource constraints are impeding system strengthening in low- and middle-income countries, but research on practical and effective governance of the health workforce is limited.

This paper examines health system strengthening as it occurs in the intersection between the health workforce and governance by presenting a framework to examine health workforce issues related to eight governance principles: strategic vision, accountability, transparency, information, efficiency, equity/fairness, responsiveness and citizen voice and participation in order to bridge the gap between health workforce and governance, to maximize the effectiveness of service delivery. [adapted from author]

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