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Table 1 The six components of the health workforce framework, definitions thereof and the key elements in each

From: Addressing the health workforce crisis: towards a common approach

Component Definition Subcomponents
Policy Rules, regulations & legislation for conditions of employment, work standards and development of the health workforce • Professional standards, licensing, accreditation
• Authorized scopes of practice for health workforce categories
• Political, social & financial decisions that affect HRH
• Employment law and rules for civil service
Health workforce management Integrated use of data, policy and practice to plan for necessary staff, recruit, hire, deploy and develop health workers • Personnel systems: workforce planning, recruitment, hiring, deployment.
• Work environment & conditions: employee relations, workplace safety, job satisfaction, career development.
• HRH information system
• Performance management: performance appraisal, supervision, productivity.
• Staff retention: financial & non-financial incentives.
Finance Obtaining, allocating and dispersing adequate funding for human resources • Salary and allowances
• Budget for HRH
• National HRH accounts with HRH information
• Mobilizing financial resources (e.g, government, Global Fund, PEPFAR, donors)
Education Production and continuous development of an appropriately skilled workforce • Pre-service education tied to health needs
• In-service training (e.g. distance and blended, continuing education)
• Capacity of training institutions
• Training of community health workers and non-formal care providers
Partnerships Formal and informal linkages aligning key stakeholders, e.g. service providers, sectors, donors, to maximize use of human resources • Community mobilization: supporting care and treatment, governance of health services.
• Public – private sector agreements
• Mechanisms and processes for multi-stakeholder cooperation (interministerial committees, health worker advisory boards, donor coordination groups)
Leadership Capacity to provide direction, to align people, to mobilize resources and to reach goals • Identify, select & support health workforce champions and advocates
• Leadership development for health workforce managers at all levels
• Capacity for multisector & sector-wide collaboration Modernizing & strengthening associations