From: Human resources: the Cinderella of health sector reform in Latin America
a. Lack of accurate information on the availability of human resources and their distribution. |
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b. Civil service status limits the capacity of managers to change the working conditions of personnel. |
c. Decentralizing human resources is expensive: homologation of salaries and benefits; hiring of additional personnel. |
d. Decentralized governments have limited ability to manage personnel to respond to the needs of the population. |