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Coherence between health policy and human resource strategy: lessons from maternal health in Vietnam, India and China
Martineau, Tim1; Mirzoev, Tolib2; Pearson, Stephen2; Bui Thi Thu Ha3; Xu, Qian4; Ramani, K. V.5; Liu, Xiaoyun6
关键词Health policy human resources maternal health policy analysis
刊名HEALTH POLICY AND PLANNING
2015-02-01
DOI10.1093/heapol/czt102
30期:1页:111-120
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Health Care Sciences & Services ; Health Policy & Services
资助者European Community ; European Community
研究领域[WOS]Health Care Sciences & Services
关键词[WOS]COUNTRIES
英文摘要

The failure to meet health goals such as the Millennium Development Goals (MDG) is partly due to the lack of appropriate resources for the effective implementation of health policies. The lack of coherence between the health policies and human resource (HR) strategy is one of the major causes. This article explores the relationship and the degree of coherence between health policy-in this case maternal health policy-processes and HR strategy in Vietnam, China and India in the period 2005-09. Four maternal health policy case studies were explored [skilled birth attendance (SBA), adolescent and sexual reproductive health, domestic violence and medical termination of pregnancy] across three countries through interviews with key respondents, document analysis and stakeholder meetings. Analysis for coherence between health policy and HR strategy was informed by a typology covering ′separation′, ′fit′ and ′dialogue′. Regarding coherence we found examples of complete separation between health policy and HR strategy, a good fit with the SBA policy though modified through ′dialogue′ in Vietnam, and in one case a good fit between policy and strategy was developed through successive evaluations. Three key influences on coherence between health policy and HR strategy emerge from our findings: (1) health as the lead sector, (2) the nature of the policy instrument and (3) the presence of ′HR champions′. Finally, we present a simple algorithm to ensure that appropriate HR related actors are involved; HR is considered at the policy development stage with the option of modifying the policy if it cannot be adequately supported by the available health workforce; and ensuring that HR strategies are monitored to ensure continued coherence with the health policy. This approach will ensure that the health workforce contributes more effectively to meeting the MDGs and future health goals.

语种英语
所属项目编号INCO-CT-2005-517746
资助者European Community ; European Community
WOS记录号WOS:000350133600011
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67618
专题北京大学中国卫生发展研究中心
作者单位1.Hanoi Sch Publ Hlth, Hanoi, Vietnam
2.Fudan Univ, Sch Publ Hlth, Shanghai 200032, Peoples R China
3.Univ Liverpool, Liverpool Sch Trop Med, Dept Int Publ Hlth, Liverpool L3 5QA, Merseyside, England
4.Univ Leeds, Nuffield Ctr Int Hlth & Dev, Leeds LS2 9LJ, W Yorkshire, England
5.Indian Inst Management, Ctr Management Hlth Serv, Publ Syst Grp, Ahmadabad 380015, Gujarat, India
6.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China
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GB/T 7714
Martineau, Tim,Mirzoev, Tolib,Pearson, Stephen,et al. Coherence between health policy and human resource strategy: lessons from maternal health in Vietnam, India and China[J]. HEALTH POLICY AND PLANNING,2015,30(1):111-120.
APA Martineau, Tim.,Mirzoev, Tolib.,Pearson, Stephen.,Bui Thi Thu Ha.,Xu, Qian.,...&Liu, Xiaoyun.(2015).Coherence between health policy and human resource strategy: lessons from maternal health in Vietnam, India and China.HEALTH POLICY AND PLANNING,30(1),111-120.
MLA Martineau, Tim,et al."Coherence between health policy and human resource strategy: lessons from maternal health in Vietnam, India and China".HEALTH POLICY AND PLANNING 30.1(2015):111-120.
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