Executive Summary p. 1 1. Introduction p. 10 2. The goals of health sector reform p. 14 3. The performance of the workforce in health and its determinants p. 16 4. Distortions in the production and utilization of HRH and their impact p. 18 5. Approaches to achieving the objectives of sector reform p. 27 6. The nature and objectives of HRD p. 34 7. The scope of HRD p. 35 8. Actors involved in HR...

the health sector, a foremost service sector in nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.notwithstanding, there is evidence that the private sector could be a key...

There is an increasing policy emphasis on the integration of care, both within the healthcare sector and also between the health and social care sectors, with the simple aim of ensuring that individuals get the right care, in the right place, at the right time. However, implementing this simple aim is rather more complex. In this editorial, we seek to make sense of this complexity and ask: what...

BACKGROUND Group-based interventions for weight loss are popular; however, little is known about how health service groups compare with the commercial sector, from either the participant or the group leader perspective. Currently, health professionals have little guidance on how to deliver effective group interventions. The present study aimed to compare and contrast leaders' and attendees' exp...

TO THE EDITOR: The summation by Russell that “the inescapable reality is that current primary care interventions are not working”1 overlooks evidence of signifi cant improvements in the Northern Territory. The latest “closing the gap” report indicates that the Indigenous mortality gap in the NT should close within a generation.2 Mortality among NT Indigenous adults has declined by a third since...

The health of an organization’s leader has profound implications not only for the leader, but also for the organization itself and for its members. This study focused on three indicators (positive affect, engagement, forgiveness behaviours) of eustress, the positive stress response, and three indicators (negative affect, burnout, revenge behaviour) of distress, the negative stress response, in ...

Public sector reforms are commonplace in developing countries. Much of the literature about these reforms reflects on their failures. This paper asks about the successes and investigates which of two competing theories best explain why some reforms exhibit such positive deviance. These theories are called ‘solutionand leader-driven change’ and ‘problem-driven iterative adaptation’. They are use...

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