Human Resources for Health in Maternal, Neonatal and - HRH ...

Appropriate long term investment in HRH at community level in MNRH is required
Relevant indicators concerning HRH in MNRH at community level should be
included in a national HRH information system
Monitoring and evaluation systems must include the community level and employ
rigorous methods drawing on perspectives from analytical studies including
epidemiological evidence as well as qualitative research.
Knowledge concerning HRH in MNRH at community level should be strategically
communicated to facilitate stakeholder engagement and enhance opportunities for
application and exchange.
HRH practices and their respective indicators need to be aligned or horizontally
integrated with other HRH components as well as vertically integrated with the HRH
objectives of the organisation.
HRH initiatives need to be horizontally aligned with other building blocks of the
health system and vertically integrated with MNRH targets in order to achieve health
system strengthening and progress towards MDG 5.
HRH performance monitoring and evaluation must take context into consideration
and performance in key areas that are linked to district, provincial and national
objectives and at individual, team and management levels including the participation
of community members.
Structural and economic change is required to ensure successful implementation of
HRH interventions. This must be well monitored, incremental and aligned with a
whole of system approach to change that is both bottom up and top down
Superstructure factors can have a major impact upon HRH; however, a whole of
system approach may help to ameliorate this through effective monitoring and
evaluation systems that facilitate on-going modifications.
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