Research

Analysis of adequacy levels for human resources improvement within primary health care framework in Africa

Florence Parent¹ , Audrey Fromageot² , Yves Coppieters¹ , Colette Lejeune³ , Dominique Lemenu³ , Michèle Garant⁴ , Danielle Piette¹ , Alain Levêque¹ and Jean-Marie De Ketele⁵

¹  Department of Epidemiology and Health Promotion, School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium

²  UMR PRODIG, Paris, France

³  Institut Supérieur d'Enseignement Infirmier (ISEI), Brussels, Belgium

⁴  Centre de Pédagogie Universitaire, Université Catholique de Mons (FUCAM), Belgium

⁵  Education Department, Université Catholique de Louvain (UCL), Belgium

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Health Research Policy and Systems 2005, 3:8doi:10.1186/1478-4505-3-8

Published:	2 December 2005

Abstract

Human resources in health care system in sub-Saharan Africa are generally picturing a lack of adequacy between expected skills from the professionals and health care needs expressed by the populations. It is, however, possible to analyse these various lacks of adequacy related to human resource management and their determinants to enhance the effectiveness of the health care system. From two projects focused on nurse professionals within the health care system in Central Africa, we present an analytic grid for adequacy levels looking into the following aspects:

- adequacy between skills-based profiles for health system professionals, quality of care and service delivery (health care system /medical standards), needs and expectations from the populations,

- adequacy between allocation of health system professionals, quality of care and services delivered (health care system /medical standards), needs and expectations from the populations,

- adequacy between human resource management within health care system and medical standards,

- adequacy between human resource management within education/teaching/training and needs from health care system and education sectors,

- adequacy between basic and on-going education and realities of tasks expected and implemented by different categories of professionals within the health care system body,

- adequacy between intentions for initial and on-going trainings and teaching programs in health sciences for trainers (teachers/supervisors/health care system professionals/ directors (teaching managers) of schools...).

This tool is necessary for decision-makers as well as for health care system professionals who share common objectives for changes at each level of intervention within the health system. Setting this adequacy implies interdisciplinary and participative approaches for concerned actors in order to provide an overall vision of a more broaden system than health district, small island with self-rationality, and in which they operate.