Assessment of human resources for health programme implementation in 15 Latin American and Caribbean countries

被引:14
作者
Dal Poz, Mario Roberto [1 ]
Sepulveda, Hernan Rodrigo [2 ]
Costa Couto, Maria Helena [1 ]
Godue, Charles [2 ]
Padilla, Monica [3 ]
Cameron, Rick [4 ]
Vidaurre Franco, Thais De Andrade [1 ]
机构
[1] Univ Estado Rio De Janeiro, Inst Social Med, BR-20550013 Rio De Janeiro, Brazil
[2] Pan Amer Hlth Org, Human Resources Hlth Programme, Washington, DC USA
[3] Pan Amer Hlth Org, Human Resources Hlth, San Salvador, El Salvador
[4] Cameron Hlth Strategies Grp, Halifax, NS, Canada
来源
HUMAN RESOURCES FOR HEALTH | 2015年 / 13卷
关键词
Americas; Health evaluation; Health manpower; Health plan Implementation; Health programmes and plans; WORKFORCE;
D O I
10.1186/s12960-015-0016-4
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: The health systems in the Americas region are characterized by fragmentation and segmentation, which constitute an important barrier to expanding coverage, achieving integrated primary health care, and reducing inefficiency and discontinuity of care. An assessment of the human resources for health (HRH) programmes that have been implemented at the country level was developed as part of the measurement of the 20 HRH regional goals for 2007-2015, adopted in 2007 by the Pan American Sanitary Conference (CSPA). Methods: The exercise was a combination of academic research and the development/application of an advocacy tool involving policy makers and stakeholders to influence the decision-making in the development, implementation, or change of HRH programmes while building evidence through a structured approach based on qualitative and quantitative information and the exchange and dissemination of best practices. Results: This paper covers the methodological challenges, as well as a summary of the main findings of the study, which included 15 countries: Belize, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua and Panama in the Central America, Dominican Republic in the Caribbean, Chile, Colombia, Ecuador and Peru in the Andean sub region, and Argentina, Paraguay, and Uruguay in the South Cone. Despite the different contexts, the results showed that the programmes evaluated faced common challenges, such as lack of political support and financial unsustainability. Conclusions: The evaluation process allowed the exchange and dissemination of practices, interventions, and programmes currently running in the region. A shared lesson was the importance of careful planning of the implementation of programmes and interventions. The similarities in the problems and challenges of HRH among the participating countries highlighted the need for a cooperation programme on the evaluation and assessment of implementation strategies in the Americas region.
引用
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页数:9
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