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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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Developing human resources for the HIV pandemic

Developing human resources for the HIV pandemic

Chapter:
(p.688) Chapter 46 Developing human resources for the HIV pandemic
Source:
The HIV Pandemic
Author(s):

Norbert Dreesch

Mario R Dal Poz

Gulin Gedik

Orvill Adams

Timothy Evans

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199237401.003.0046

At the beginning of the 21st century, health systems in both industrialized and developing countries are becoming increasingly pluralistic, with diversified public, private, non-governmental organizations, community, and home provision of care leading to greater complexity of health service organization. At the same time, political stewardship is often weak and challenged by strong interest groups. To manage the challenge of HIV better, countries need to strengthen various aspects of their health systems. Specific investments in strengthening health systems may improve the capacity of the system to plan and deliver services. Reforms at the sector level may strengthen incentives for efficiency; these include, for example, introduction of contractual relationships, decentralization of decision making, increased autonomy for health providers and integration of services. Also training capacity must be sufficient to respond to train appropriate healthcare personnel. Combating HIV calls for innovative, socially responsible and flexible approaches to human resources development and use.

Keywords:   human resources, health systems, political stewardship, contractual relationships, decentralization, integration, knowledge-transfer

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