Health workforce governance for compassionate and respectful care: a framework for research, policy and practice

The progressive realisation of universal health coverage requires that health services are not only available and accessible, but also that they are rendered to the population in an acceptable, compassionate and respectful manner to deliver quality of care. Health workers’ competencies play a centra...

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Main Authors: Özge Tunçalp, Jennifer Nyoni, Giorgio Cometto, Shamsuzzoha Syed, Samuel Assegid, Geta Abiyu, Mesfin Kifle, Melissa Kleine Bingham, Onyema Kester Ajuebor
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/7/3/e008007.full
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author Özge Tunçalp
Jennifer Nyoni
Giorgio Cometto
Shamsuzzoha Syed
Samuel Assegid
Geta Abiyu
Mesfin Kifle
Melissa Kleine Bingham
Onyema Kester Ajuebor
author_facet Özge Tunçalp
Jennifer Nyoni
Giorgio Cometto
Shamsuzzoha Syed
Samuel Assegid
Geta Abiyu
Mesfin Kifle
Melissa Kleine Bingham
Onyema Kester Ajuebor
author_sort Özge Tunçalp
collection DOAJ
description The progressive realisation of universal health coverage requires that health services are not only available and accessible, but also that they are rendered to the population in an acceptable, compassionate and respectful manner to deliver quality of care. Health workers’ competencies play a central role in the provision of compassionate and respectful care (CRC); but health workers’ behaviour is also influenced by the policy and governance environment in which they operate. The identification of relevant policy levers to enhance CRC therefore calls for actions that enable health workers to optimise their roles and fulfil their responsibilities.This paper aims at exploring the health workforce policy and management levers to enable CRC. Through an overview of selected country experiences, concrete examples are provided to illustrate the range of available policy options. Relevant interventions may span the individual, organisational, or system-wide level. Some policies are specific to CRC and may include, among others, the inclusion of relevant competencies in preservice and in-service education, supportive supervision and accountability mechanisms. Other relevant actions depend on a broader workforce governance approach, including policies that target health workforce availability, distribution and working conditions, or wider system -level factors, including regulatory and financing aspects.The selection of the appropriate system-wide and CRC-specific interventions should be tailored to the national and operational context in relation to its policy objectives and feasibility and affordability considerations. The identification of performance metrics and the collation and analysis of required data are necessary to monitor effectiveness of the interventions adopted.
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spelling doaj.art-240f687308a742349cfbb387a784780d2023-09-30T13:30:08ZengBMJ Publishing GroupBMJ Global Health2059-79082022-03-017310.1136/bmjgh-2021-008007Health workforce governance for compassionate and respectful care: a framework for research, policy and practiceÖzge Tunçalp0Jennifer Nyoni1Giorgio Cometto2Shamsuzzoha Syed3Samuel Assegid4Geta Abiyu5Mesfin Kifle6Melissa Kleine Bingham7Onyema Kester Ajuebor8Department of Sexual and Reproductive Health and Research, including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneve, SwitzerlandWorld Health Organization - African Regional Office, Brazzaville, CongoHealth Workforce Department, World Health Organization, Geneva, Switzerlandtechnical officer, Service Delivery and SafetyHuman Resources for Health Development Directorate, Federal Ministry of Health, Addis Ababa, EthiopiaHuman Resources for Health Development Directorate, Federal Ministry of Health, Addis Ababa, EthiopiaWorld Health Organization, Addis-Ababa, EthiopiaWorld Health Organization, Dili, Timor-LesteHealth Workforce, World Health Organization, Geneve, SwitzerlandThe progressive realisation of universal health coverage requires that health services are not only available and accessible, but also that they are rendered to the population in an acceptable, compassionate and respectful manner to deliver quality of care. Health workers’ competencies play a central role in the provision of compassionate and respectful care (CRC); but health workers’ behaviour is also influenced by the policy and governance environment in which they operate. The identification of relevant policy levers to enhance CRC therefore calls for actions that enable health workers to optimise their roles and fulfil their responsibilities.This paper aims at exploring the health workforce policy and management levers to enable CRC. Through an overview of selected country experiences, concrete examples are provided to illustrate the range of available policy options. Relevant interventions may span the individual, organisational, or system-wide level. Some policies are specific to CRC and may include, among others, the inclusion of relevant competencies in preservice and in-service education, supportive supervision and accountability mechanisms. Other relevant actions depend on a broader workforce governance approach, including policies that target health workforce availability, distribution and working conditions, or wider system -level factors, including regulatory and financing aspects.The selection of the appropriate system-wide and CRC-specific interventions should be tailored to the national and operational context in relation to its policy objectives and feasibility and affordability considerations. The identification of performance metrics and the collation and analysis of required data are necessary to monitor effectiveness of the interventions adopted.https://gh.bmj.com/content/7/3/e008007.full
spellingShingle Özge Tunçalp
Jennifer Nyoni
Giorgio Cometto
Shamsuzzoha Syed
Samuel Assegid
Geta Abiyu
Mesfin Kifle
Melissa Kleine Bingham
Onyema Kester Ajuebor
Health workforce governance for compassionate and respectful care: a framework for research, policy and practice
BMJ Global Health
title Health workforce governance for compassionate and respectful care: a framework for research, policy and practice
title_full Health workforce governance for compassionate and respectful care: a framework for research, policy and practice
title_fullStr Health workforce governance for compassionate and respectful care: a framework for research, policy and practice
title_full_unstemmed Health workforce governance for compassionate and respectful care: a framework for research, policy and practice
title_short Health workforce governance for compassionate and respectful care: a framework for research, policy and practice
title_sort health workforce governance for compassionate and respectful care a framework for research policy and practice
url https://gh.bmj.com/content/7/3/e008007.full
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