Developing Stronger Governance for Better Health Outcomes
Strong health governance at all levels is necessary to ensure that resources devoted to the health sector achieve their intended results, including the provision of priority health services .
When health governance takes place efficiently, effectively, and equitably in a country, then responsive and sustainable health services lead to improved health outcomes. But when governance of the health sector is weak, then investments in technical areas are far less likely to achieve their intended results.
HFG’s work targets key areas of health governance, including:
- Transparency – increasing public access to health programming, budget information, and outcomes;
- Accountability – clarifying delineation of authorities for health programming and expenditures and external pressure for results;
- Oversight – conducting regular reviews of the results of health investments by institutions and independent entities, such as parliaments and oversight institutions;
- Responsiveness – linking health policy and expenditures with public priorities; and
- Integrity/Ethics – promoting ethical management and standards among health professionals.
Governance to Improve Human Resources for Health
HFG is assisting countries to change human resource for health statutes and regulations, and implement new regulations and systems, to expand access to quality care.
- In Cote d’Ivoire we have supported the MOH to successfully roll out nurse-initiated ART through guidelines, training, deployment, supervision. As of 2017, more than 400 additional nurses and midwives are providing HIV services in districts with a high burden of disease.
- In Haiti we’ve worked with the MOH to roll out a performance management system mandated by the Ministry of Civil Service. Health is the first ministry in Haiti to take this step.
- Also in Haiti, hundreds of private nursing schools now face a transparent accreditation process to ensure that prospective Haitian nurses get adequate training that they are paying for: https://www.isim.ht/
- In Swaziland, numerous labor disputes were taking the Human Resources Unit away from their other management activities. HFG supported the Unit to put in place policies that clearly aligned with labor policies in the country, and developed a system for addressing complaints before they became labor disputes.