Academic Commons

Articles

Posting and transfer: key to fostering trust in government health services

Sheikh, Kabir; Freedman, Lynn P.; Ghaffar, Abdul; Marchal, Bruno; el-Jardali, Fadi; McCaffery, Jim; Poz, Mario Dal; de Sardan, Jean-Pierre Olivier; Flores, Walter; Garimella, Surekha; Schaaf, Marta L.

Appropriate deployment or posting and transfer (P&T) of health workers – placing the right people in the right positions at the right time – lies at the heart of fostering communities’ faith in government health services and cementing the role of the health system as a core social institution. The authors of this paper have been involved in an ongoing transnational dialogue about P&T practices and determinants. This dialogue seeks to call attention to the importance of P&T as a health system function; to urge donors and policy-makers working in health systems, HRH and public administration governance to consider how to address issues around P&T; and to suggest avenues and approaches to research.

P&T is a vexed and unresolved issue in many low- and middle-income countries that requires, above all, political commitment to improving public sector services and to new thinking and research. It holds promise as a focal point for inter-disciplinary collaboration in research and implementation that can inform other areas in HRH and health systems strengthening. Innovative social science and management theorizing, and iterative, locally driven interventions that focus on establishing transparent professional norms and building the credibility of government administration, including the health services, are likely the way forward.

Files

  • thumnail for 12960_2015_Article_80.pdf 12960_2015_Article_80.pdf binary/octet-stream 369 KB Download File

Also Published In

Title
Human Resources for Health
DOI
https://doi.org/10.1186/s12960-015-0080-9

More About This Work

Academic Units
Population and Family Health
Published Here
November 10, 2015
Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.