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The Systematic Assessment of Health Worker Performance: A Framework for Analysis and its Application in Tanzania

Kenneth Leonard (), Melkiory C. Masatu, Christopher H. Herbst and Christophe Lemiere

No 104096, Health, Nutrition and Population (HNP) Discussion Paper Series from The World Bank

Abstract: This paper introduces a simple framework for understanding the dimensions and determinants of health worker performance based on the idea that there can be three different gaps affecting performance: a knowledge gap, the knowledge-capacity gap and the capacity-performance gap. The paper argues that performance is determined by a combination of competence, capacity and effort, and that any of these elements may lead to poor performance, and applies this framework to the measurement of health worker performance in Tanzania. Whilst discussing and highlighting key findings related to the assessment of health worker performance in Tanzania, the overarching objective of the paper is to offer a systematic way to analyze health worker performance through primary data collection and analysis to benefit researchers and countries beyond Tanzania.

Keywords: pharmacy; health care providers; infant mortality rates; sutures; determinants of health; access to health care; employment; treatment; health service delivery; diagnosis ... See More + deaths; income; quality of health care; drug supply; public sector; doctors; health economics; health research; health care; drugs; health care workers; effects; health care facilities; incentives; health; health workers; breast cancer; prescriptions; health facilities; symptom; public health; quality of health; health sector; knowledge; choice; animal health; workplace; diseases; costs; voluntary sector; patients; patient; life; demand for health services; intervention; probability; health systems; health centers; medication; nurses; observation; medical care; health care quality; medical officers; symptoms; work environment; outpatient services; health care outcomes; hiv/aids; health services research; interview; mortality; health care system; medical service providers; cancer; availability of drugs; infant mortality; diagnoses; health care sector; clinician; emergency medicine; health specialist; workers; fever; quality of care; patient satisfaction; amodiaquine; basic needs; care; health policy; medicine; demand; diarrhea; std; preventive health services; income countries; adequate care; medical personnel; malnutrition; private sector; measurement; nutrition; medical officer; syringes; malaria; rest; primary health care; pneumonia; internet; exposure; health system; outpatient care; low income; health care delivery; children; malaria symptoms; clinicians; clinics; evaluation; bandages; human resources; demand for health; illness; infants; all; population; medical doctors; child deaths; fees; families; medicines; forceps; hospitals; certification; illnesses; health service; health services; private sectors; demand for services; financial incentives; visits; nursing; medical training (search for similar items in EconPapers)
Pages: pages 58 pages
Date: 2015-08
New Economics Papers: this item is included in nep-afr, nep-dev and nep-hea
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Handle: RePEc:wbk:hnpdps:104096