Decentralization and HRH - WHO

1 Round table Decentralization and human Resources : Implications and Impact Riitta-Liisa Kolehmainen-Aitken, MD, DrPH Senior Program Associate Management Sciences for Health, Boston Abstract : Decentralization of political and administrative power, combined with a civil service reform, are increasingly prevalent components of health sector reform. The wider implications of Decentralization for human resources development are, however, poorly researched and inadequately understood. This paper analyzes these implications from the experience of the author, her colleagues at Management Sciences for Health, and published literature. Four important human resource issues are found to emerge as a part of the process of transferring power to lower management levels. They are the adequacy of available information on human resources, the complexity of transferring staff, the impact of professional associations, unions and registration bodies on the design and implementation of management structures and jobs, and the morale and motivation of health workers.

3 organizational structures and institutions, such as National Ministries of Health or the Civil Service, have fundamental human resource implications.

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  Human, Resource, Decentralization, Human resources, Decentralization and

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