The good functioning of all health care systems are fundamentally reliant on the competencies and behaviours of health workers.

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The good functioning of all health care systems are fundamentally reliant on the competencies and behaviours of health workers.

For this reason, academics, Ministries of Health and organisations like the World Health Organisation have stressed the importance of ‘making the most of existing health workers’. For your essay assignment, you’re being asked to assess the state of the health workforce in the your assigned country. As part of this assessment, you should include: a) a description of the workforce (e.g. types of workers, absolute number of workers and relative rates compared to other similar countries);

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b) a description of the payment methods and financial incentives for healthcare workers, and how you think they are applied in your assigned country;

c) what is known about the level of performance of the workforce; and

d) what recommendations you would make to the Ministry of Health in order to improve the level of performance.

You should consider using the frameworks developed by chapter 4 of the 2006 World Health Report, as well as referring to the non-financial determinants of performance described by Lucy Gilson in her paper on trust. You will need also to consider how you would define and assess ‘performance’.

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