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HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA

HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA. Edward Elmendorf and Kathryn LaRusso Oct. 28, 2004. BASIC HYPOTHESIS AND METHDODOLOGY. Hypothesis: Bank involvement in Human Resources for Health (HRH) in HNP Investments has been limited, at best

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HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA

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  1. HEALTH WORKFORCE ISSUES UNDER IBRD HNP PROJECTS IN AFRICA Edward Elmendorf and Kathryn LaRusso Oct. 28, 2004

  2. BASIC HYPOTHESIS AND METHDODOLOGY • Hypothesis: Bank involvement in Human Resources for Health (HRH) in HNP Investments has been limited, at best • Methodology: Systematic compilation and synthesis of HRH data from all completion reports and OED project evaluation studies • Data set: 63 studies, 1974-2002 • Limitations: desk study, ICRs/OED evaluaations, no field work or interviews

  3. KEY FINDINGS • IBRD HRH ENGAGEMENT SURPRISINGLY WIDE, BUT NOT DEEP • HNP OPERATIONS HAVE SOME HEALTH WORKFORCE ACTIVITY (HWA) IN ALMOST ALL CASES • ONLY 50% OF ICRs HAVE HWA COST DATA, WITH HWA 10% OF COST AND TOTAL $93 MILLION

  4. KEY FINDINGS, cont. • FOCUS OF HWA ON TRAINING, MOSTLY IN-SERVICE, FREQUENTLY OF PROJECT PERSONNEL • WIDE, IMAGINATIVE RANGE OF HWA SUPPORTED AD HOC BUT APPARENTLY NOT SYSTEMATICALLY • IMPLICIT PARADIGM: NARROW FOCUS ON PROJECT NEEDS • LITTLE ATTENTION TO HEALTH WORKFORCE POLICY, PLANNING, PAY, DEPLOYMENT, OR ENGAGEMENT WITH PROFESSIONS • WHY? NEW HYPOTHESES AND NEED FOR INTERVIEWS

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