Decentralisation and Management of Human Resource for Health in the Health System of Ghana: A Decision Space Analysis

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

Sumah Anthony Mwinkaara; Baatiema Leonard

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: International Journal of Health Policy and Management Year:2019 | Volume:8 | Issue:1 Page(s): 28-39

Download Full-Text

View:

535

Download:

182

Cites:

Information Journal Paper

Title

Decentralisation and Management of Human Resource for Health in the Health System of Ghana: A Decision Space Analysis

Author(s)

Sumah Anthony Mwinkaara | Baatiema Leonard | Issue Writer Certificate

Keywords

Decentralisation

Decision Space

Human Resource Management

Health System

Ghana

Abstract

Background: The implications of Decentralisation on human resource for health management has not received adequate research attention despite the presupposition that the concept of Decentralisation leads to the transfer of management authority and discretion for Human Resource Management from national levels to subnational levels. This study aims at investigating the extent to which Decentralisation practice transfers management autonomy and discretion to subnational units, and the effect of the level of Decision Space on Human Resource Management in the health sector. Methods: A mixed methods study design was adopted employing a cross-sectional survey and a document analysis. The respondents included health managers from the regional, district and hospital administrations as well as facility managers from the community-based health planning and services zones. A Decision Space framework was employed to measure management autonomy and discretion at various management levels of the study region. For the quantitative data, descriptive statistical analysis was used to analyse and report the data whilst the qualitative data was content-analysed. Results: The study reported that in practice, management authority for core human resource functions such as recruitment, remuneration, personnel training and development are centralised rather than transferred to the subnational units. It further reveals that authority diminishes along the management continuum from the national to the community level. Decentralisation was however found to have led to greater autonomy in technical supervision and performance appraisal. The study also reported the existence of discrepancy between the wide Decision Space for performance assessment through technical supervision and performance appraisal exercised by managers at the subnational level and a rather limited discretion for providing incentives or rewards to staff. Conclusion: The practice of Decentralisation in the Ghanaian health sector is more apparent than real. The limited autonomy and discretion in the management of human resource at the subnational units have potential adverse implications on effective recruitment, retention, development and distribution of health personnel. Therefore, further Decision Space is required at the subnational level to enhance effective and efficient management of human resource to attain the health sector objectives.

Cites

No record.

References

Cite

APA: Copy

Sumah, Anthony Mwinkaara, & Baatiema, Leonard. (2019). Decentralisation and Management of Human Resource for Health in the Health System of Ghana: A Decision Space Analysis. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 8(1), 28-39. SID. https://sid.ir/paper/338588/en

Vancouver: Copy

Sumah Anthony Mwinkaara, Baatiema Leonard. Decentralisation and Management of Human Resource for Health in the Health System of Ghana: A Decision Space Analysis. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2019;8(1):28-39. Available from: https://sid.ir/paper/338588/en

IEEE: Copy

Anthony Mwinkaara Sumah, and Leonard Baatiema, “Decentralisation and Management of Human Resource for Health in the Health System of Ghana: A Decision Space Analysis,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 8, no. 1, pp. 28–39, 2019, [Online]. Available: https://sid.ir/paper/338588/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops