Royal Tropical Institute, Amsterdam, the Netherlands.
Hum Resour Health. 2011 Nov 24;9:29. doi: 10.1186/1478-4491-9-29.
Despite an increase in efforts to address shortage and performance of Human Resources for Health (HRH), HRH problems continue to hamper quality service delivery. We believe that the influence of governance is undervalued in addressing the HRH crisis, both globally and at country level. This thematic series has aimed to expand the evidence base on the role of governance in addressing the HRH crisis. The six articles comprising the series present a range of experiences. The articles report on governance in relation to developing a joint vision, building adherence and strengthening accountability, and on governance with respect to planning, implementation, and monitoring. Other governance issues warrant attention as well, such as corruption and transparency in decision-making in HRH policies and strategies. Acknowledging and dealing with governance should be part and parcel of HRH planning and implementation. To date, few experiences have been shared on improving governance for HRH policy making and implementation, and many questions remain unanswered. There is an urgent need to document experiences and for mutual learning.
尽管为解决卫生人力短缺和业绩问题做出了更多努力,但卫生人力问题仍在阻碍着优质服务的提供。我们认为,在全球和国家层面上,治理对解决卫生人力危机的影响都被低估了。本专题系列旨在扩大关于治理在解决卫生人力危机方面的作用的证据基础。该系列的六篇文章展示了一系列的经验。这些文章报告了与制定共同愿景、增强遵行和加强问责制以及规划、实施和监测方面的治理相关的内容。还需要关注其他一些治理问题,如卫生人力政策和战略制定中的决策腐败和透明度问题。承认和处理治理问题应成为卫生人力规划和实施的一部分。迄今为止,关于改善治理以制定和实施卫生人力政策的经验分享很少,许多问题仍未得到解答。现在迫切需要记录经验并开展相互学习。