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.
Details
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Author
Leonard, Kenneth L., Masatu,Melkiory Clavery, Herbst,Christopher H., Lemiere,Christophe
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Document Date
2015/08/01
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Document Type
Working Paper
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Report Number
104096
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Volume No
1
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Total Volume(s)
1
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Country
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Region
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Disclosure Date
2016/03/21
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Disclosure Status
Disclosed
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Doc Name
The systematic assessment of health worker performance : a framework for analysis and its application in Tanzania
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Keywords
Health Workers;access to health facility;Health Worker Performance;fixed input;inadequate access to infrastructure;demand for health services;access to quality care;variable input;quality of care;level of performance;health care system;equipment and supply;health seeking behavior;quality health care;rates of absenteeism;medical service providers;high infant mortality;availability of drug;category of health;demand for service;lack of equipment;degree of decentralization;delivering health care;rural area;
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Citation
Leonard, Kenneth L. Masatu,Melkiory Clavery Herbst,Christopher H. Lemiere,Christophe
The systematic assessment of health worker performance : a framework for analysis and its application in Tanzania (English). HNP discussion paper series Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/127281467987859436/The-systematic-assessment-of-health-worker-performance-a-framework-for-analysis-and-its-application-in-Tanzania