oa South African Health Review - Human resource development : human resources



Human resource development is increasingly being recognised as being key to improved health service delivery and health sector transformation. Policies do acknowledge that health is a human system, and that reforms have to address themselves centrally to the personnel staffing the service, improving planning, capacity and management. Yet, concern continues to be raised about a lack of strategy and implementation, leading to ever increasing strains on the health sector. <br>This chapter highlights some success stories and traces reasons for and the impact of the unsatisfactory human resource situation in the health sector, based on a number of case studies. It specifically looks at issues affecting quality of care, such as capacity and skills; workloads; management, support and supervision; HIV / AIDS and its impact on human resources; and the reasons for and extent and effect of the brain drain. It furthermore outlines selected components of a human resource strategy, which could address some of the identified issues.


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