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

Figure 25 Leadership outcomes focused on human resource development
(Shaw 2007)
MSH has developed a leadership and management framework (MSH 2001) to assist
organisation achieve outcomes in this area. Despite the fact that this tool provides no special
context for HRH in MNRH at the community level they have been used in these contexts
with reported success. The Challenges Program in the Nampula Province of northern
Mozambique used simple management and leadership tools including the MSH framework to
assist the health units and their communities to address health service challenges in family
planning, maternal and child health. One outcome measure of this programme one unit
included an increased the percentage of attended births from 25% to 35%; (Perry 2008).
Community health personnel in the municipality of Aquiraz in the state of Ceará, in Brazil’s
northeast participated in a leadership development program funded by the Department for
International Development (DFID). This focused on reducing infant mortality in the 37
poorest performing municipalities. The program brought together mayors, community
leaders, health care managers and providers. Each team developed an action plan to address
the problem of high infant mortality in the municipality, and teams were encouraged to work
with other sectors including the private and education sectors. Between 2000 and 2004, 70%
of the municipalities reduced their infant mortality by as much as 50% (MSH 2008).
Summary
HRH management covers a wide range of interventions from performance management, to
workforce planning, task shifting, selection and recruitment processes remuneration and
incentives. There are some useful lessons that have been learned with respect to HRM at
community level in MNRH that may be transferable to other contexts in the Asia and Pacific
regions. These are summarised below:
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