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ICHRN Knowledge Library

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ICHRN Knowledge Library
  • Date
    2009-03-17
  • Title
    Leveraging human capital to reduce maternal mortality in India: enhanced public health system of public-private partnership?
  • Journal

  • Publisher
    Human Resources for Health
  • Year
    2009
  • Author
    Krupp K & Madhivanan P
  • Description
    "Developing countries are currently struggling to achieve the Millennium Development Goal Five of reducing maternal mortality by three quarters between 1990 and 2015. Many health systems are facing acute shortages of health workers needed to provide improved prenatal care, skilled birth attendance and emergency obstetric services - interventions crucial to reducing maternal death. The World Health Organization estimates a current deficit of almost 2.4 million doctors, nurses and midwives. Complicating matters further, health workforces are typically concentrated in large cities, while maternal mortality is generally higher in rural areas. Additionally, health care systems are faced with shortages of specialists such as anaesthesiologists, surgeons and obstetricians; a maldistribution of health care infrastructure; and imbalances between the public and private health care sectors. Increasingly, policy-makers have been turning to human resource strategies to cope with staff shortages. These include enhancement of existing work roles; substitution of one type of worker for another; delegation of functions up or down the traditional role ladder; innovation in designing new jobs; and transfer or relocation of particular roles or services from one health care sector to another. Innovations have been funded through state investment, public-private partnerships and collaborations with nongovernmental organizations and quasi-governmental organizations such as the World Bank. This paper focuses on the success of two large health systems in India - Gujarat and Tamil Nadu - in successfully applying human resources strategies in uniquely different contexts to the challenge of achieving Millennium Development Goal Five."
  • Categories
    Workforce Assessment, Planning and Policy, General HR Overview Documents
  • Keywords
    public-private, resources, finance
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