Posting and transfer: key to fostering trust in government health services

Human Resources for Health

Marta Schaaf⁷  Surekha Garimella⁵  Walter Flores⁸  Mario dal Poz⁶  Jean-Pierre Olivier de Sardan⁹  Jim McCaffery³  Fadi el-Jardali⁴  Bruno Marchal²  Abdul Ghaffar¹  Lynn Freedman⁷  Kabir Sheikh⁵ 

[1] Alliance for Health Policy and Systems Research, WHO, Geneva, Switzerland;Institute of Tropical Medicine, Antwerp, Belgium;TRG, Washington, DC, USA;American University of Beirut, Beirut, Lebanon;Public Health Foundation of India, New Delhi, India;Social Medicine Institute, University of Rio de Janeiro, Rio de Janeiro, Brazil;Mailman School of Public Health, Columbia University, New York, USA;Center for the Study of Equity and Governance in Health Systems, Guatemala City, Guatemala;Laboratoire d’études et de recherches sur les dynamiques sociales et le développement local, Niamey, Niger

关键词: Qualitative methods;    Posting and transfer;    Health systems research;    Health systems governance;   

Others  :  1230062
DOI  :  10.1186/s12960-015-0080-9

 received in 2015-03-18, accepted in 2015-09-28,  发布年份 2015

【 摘 要 】

Appropriate deployment or posting and transfer (P&T) of health workers – placing the right people in the right positions at the right time – lies at the heart of fostering communities’ faith in government health services and cementing the role of the health system as a core social institution. The authors of this paper have been involved in an ongoing transnational dialogue about P&T practices and determinants. This dialogue seeks to call attention to the importance of P&T as a health system function; to urge donors and policy-makers working in health systems, HRH and public administration governance to consider how to address issues around P&T; and to suggest avenues and approaches to research.

P&T is a vexed and unresolved issue in many low- and middle-income countries that requires, above all, political commitment to improving public sector services and to new thinking and research. It holds promise as a focal point for inter-disciplinary collaboration in research and implementation that can inform other areas in HRH and health systems strengthening. Innovative social science and management theorizing, and iterative, locally driven interventions that focus on establishing transparent professional norms and building the credibility of government administration, including the health services, are likely the way forward.

【 授权许可】

   
2015 Sheikh et al.

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