Novametrics Ltd, Derby, United Kingdom.
World Health Organization - Health Workforce Department, Geneva, Switzerland.
Hum Resour Health. 2017 Nov 9;15(1):79. doi: 10.1186/s12960-017-0252-x.
In their adoption of WHA resolution 69.19, World Health Organization Member States requested all bilateral and multilateral initiatives to conduct impact assessments of their funding to human resources for health. The High-Level Commission for Health Employment and Economic Growth similarly proposed that official development assistance for health, education, employment and gender are best aligned to creating decent jobs in the health and social workforce. No standard tools exist for assessing the impact of global health initiatives on the health workforce, but tools exist from other fields. The objectives of this paper are to describe how a review of grey literature informed the development of a draft health workforce impact assessment tool and to introduce the tool.
A search of grey literature yielded 72 examples of impact assessment tools and guidance from a wide variety of fields including gender, health and human rights. These examples were reviewed, and information relevant to the development of a health workforce impact assessment was extracted from them using an inductive process.
A number of good practice principles were identified from the review. These informed the development of a draft health workforce impact assessment tool, based on an established health labour market framework. The tool is designed to be applied before implementation. It consists of a relatively short and focused screening module to be applied to all relevant initiatives, followed by a more in-depth assessment to be applied only to initiatives for which the screening module indicates that significant implications for HRH are anticipated. It thus aims to strike a balance between maximising rigour and minimising administrative burden.
The application of the new tool will help to ensure that health workforce implications are incorporated into global health decision-making processes from the outset and to enhance positive HRH impacts and avoid, minimise or offset negative impacts.
在采纳世界卫生大会第 69.19 号决议时，世界卫生组织会员国要求所有双边和多边倡议对其用于人力资源开发的供资进行影响评估。卫生就业和经济增长高级别委员会同样提议，用于卫生、教育、就业和性别问题的官方发展援助，最好是与在卫生和社会劳动力中创造体面工作岗位相协调。目前尚无用于评估全球卫生倡议对卫生劳动力影响的标准工具，但其他领域存在一些工具。本文旨在描述如何通过审查灰色文献为制定卫生人力影响评估工具草案提供信息，并介绍该工具。
对灰色文献的搜索产生了 72 个来自包括性别、卫生和人权等广泛领域的影响评估工具和指南示例。对这些示例进行了审查，并使用归纳过程从中提取了与制定卫生人力影响评估相关的信息。
从审查中确定了一些良好实践原则。这些原则为基于既定卫生劳动力市场框架制定的卫生人力影响评估工具草案提供了信息。该工具旨在在实施之前使用。它由一个相对简短和集中的筛选模块组成，适用于所有相关倡议，然后是一个更深入的评估，仅适用于筛选模块表明预期对卫生人力资源有重大影响的倡议。因此，它旨在在最大限度地提高严谨性和最小化行政负担之间取得平衡。
新工具的应用将有助于确保从一开始就将卫生劳动力影响纳入全球卫生决策进程，并增强积极的人力资源影响，避免、最小化或抵消负面影响。
