Resource Spotlight: Health Sector Reforms and Human Resources for Health in Uganda and Bangladesh: Mechanisms of Effect

Dynamic Responses Model
Dynamic Responses Model

Despite the expanding literature on how reforms may affect health workers and which reactions they may provoke, little research has been conducted on the mechanisms through which health sector reforms either promote or discourage health worker performance. How do reforms affect the health workforce and create responses that are likely to encourage the success or failure of reform objectives? How does context influence the routes through which reforms affect provider incentive environments and eventually motivation and performance? To address these questions, this paper seeks to trace these mechanisms of effect and examines health workers' responses to the changes in their working environments by taking a realistic evaluation approach.

Adapted from abstract

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