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국회도서관 홈으로 정보검색 소장정보 검색

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Title page

Contents

ACKNOWLEDGEMENTS 6

ABBREVIATIONS 7

EXECUTIVE SUMMARY 9

1. NTRODUCTION 12

Conceptual Framework 13

Structure of the Report 14

2. DRIVERS OF WORKER PERFORMANCE IN HEALTH FACILITIES 15

Staffing 16

Merit-Based Recruitment 20

Performance Management 22

Work Environment: Group Problem Solving 23

Financial Incentives 25

Performance-Based Financing 25

Nonfinancial Incentives 30

Training 31

Health Worker Motivation 33

Mental Health and Resilience 36

3. DRIVERS OF WORKER PERFORMANCE IN THE HEALTH ADMINISTRATION 37

Facility Funding 38

Supportive Supervision 39

Data-Informed Management 41

4. CONCLUSION 45

APPENDIX: DETAILED SURVEY METHODOLOGY 47

REFERENCES 49

Figures

Figure 1. Conceptual framework 14

Figure 2. Perceptions on staffing challenges 16

Figure 3. Participation in a recruitment competition (percentage of respondents that said "Yes"), overall and by occupation 21

Figure 4. Salary increases over the past 2 years by performance-based financing participation 28

Figure 5A. Comparison of wages between men and women in top-earning occupations 29

Figure 5B. Comparison of wages between men and women in lower-paid occupations 29

Figure 6. Gender differences in on-the-job training, Mali 33

Figure 7. Facility staff's views on turnover 35

Figure 8. Experiences with receiving facility funding 38

Figure 9. Average interval between supervisory visits 41

Figure 10. Share of respondents agreeing with "Data often captures too many indicators, creating challenges when compiling, interpreting, and effectively utilizing the findings." 42

Figure 11. Percentage of respondents who did not have training on digital skills and data for budgetary decisions 44

Boxes

BOX 1. Guidance to develop rural pathways for health workers in LICs and LMICs 19

BOX 2. Examples of group problem solving interventions 24