Funded by the Advisory Board of Irish Aid.
This research was exploring the critical factors influencing human resource capacity to deliver equitable effective health care efficiently at the district level. The identification of constraints to HR planning and management at the district level as well as the key factors influencing staff retention and attrition contributed to the development of more effective human resource strategies that ultimately strengthen health systems at the district level. The research identified the critical factors influencing human resource capacity and performance at the district level. The research was focused on the District Health System (DHS) as the vehicle for the delivery of primary health care. As the research was concerned with motivational factors amongst conventional health workers and new cadres of health workers, the research population included district health managers, doctors and nurses (as the predominant conventional health workers) and new cadres of health workers (which include medical assistants, extension and community workers) working at DHS level.
Preparatory work was undertaken with Ministry of Health and district level personnel in Malawi to actively engage key stakeholders in the design of the research, in the interpretation of the findings and in the formulation of practical recommendations to improve human resource performance at the district level. This was in keeping with the action research methodology adopted in this research. A key contribution of the research process was its potential to build institutional research capacity to work in partnership with the health services towards finding practical solutions to difficult problems. This approach increased the likelihood of service improvements resulting from the research because of the shared ownership of the problem and the greater understanding generated through an active, ongoing involvement with the principal researchers. It also had greater potential (than traditional research approaches) to bridge the research to policy gap because ongoing dialogue with policy makers is inherent to the process. The work was focused on Malawi and Lesotho.
- Department of Community Health, College of Medicine, University of Malawi
- Ministry of Health and Social Welfare, Lesotho
- Faculty of Health Sciences, National University of Lesotho
- Irish Aid Lesotho
- Centre for Health Informatics, The University of Dublin, Trinity College
- Department of Health Promotion, National University of Ireland, Galway
- Health Policy Unit, London School of Hygiene and Tropical Medicine
The Research Team
|Eilish McAuliffe||Centre for Global Health, TCD|
|Dr. Ogenna Manafa||Centre for Global Health, TCD|
|Prof. Malcolm MacLachlan||Centre for Global Health and School of Psychology, TCD|
|Prof. Charles Normand||Centre for Global Health and Health Policy and Management, TCD|
|Prof. Jane Grimson||Centre for Health Informatics, TCD|
|Prof. Cameron Bowie||Department of Community Health, College of Medicine, University of Malawi|
|Dr. Diarmuid O'Donovan||Department of Health Promotion, NUI Galway|
|Prof. Ruari Brugha||Department of International Health, Royal College of Surgeons in Ireland|
|Prof. Barbara McPake||Departament of International Health, Queen Margaret College, Edinburgh|
The MaxHR Project was led by Prof. Eilish McAuliffe, Principal Investigator.
Other Research Projects
|mHealth for CHWs|