strengthening human resource management systems by tim martineau ([email protected]) liverpool...
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Strengthening Human Resource Management Systems
by Tim Martineau([email protected])
Liverpool School of Tropical Medicine, UK
Human Resources for Health Knowledge HubInaugural Forum on Human Resources for Health in the Asia and Pacific
Regions Sydney, 8th and 9th April 2010
HRH is a major bottleneck to achieving MDGs and other health goals
Much effort it being put into scaling up the workforce
We need effective HRM systems to make new investments sustainable
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We urgently need to be able to analyse the
current problems and design better HRM systems
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Systems concepts
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The system and its components
Policy to outputs (& outcomes)
Workforce with appropriate skills
for the job
But to outsiders HRM systems can appear very opaque or unsystematic
Mapping processes e.g. promotion
Source: Human Resources Development and Strategic Plan 2005-2025 (Lesotho)
Additional components of the whole system
Looking at HR functions as adaptive systems
Input Output
Standards
CompareTake action
Process
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The system and the
environment
Does the system contribute to the wider purpose?
Input OutputProcess
Standards
Outcome/Purpose
Standards
Integration with other HRM systems
Job descriptions
Performance Appraisal
Recruitment &
selection
Integration with wider health system
Other contextual factors
Labour marketEconomic situation
+++
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‘Human activity’ systems
systems to influence human behaviour will have incentives and sanctions
included
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Good systems can be distorted
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Potential application of
systems approach in HR
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Monitoring implementation
Checklist for a systems approach
• What is the system meant to produce (output)?• To what standards?• Does this system contribute to an improved health
workforce (and health service)? How?• How do I know the system is working (compare)?• What action can be taken? (inputs, process or
standards)• Is the problem with the policy, or with the system for
implementing it?
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Systems improvement
Filling a vacancy can be a complex business!
Source: Report of the Joint Design Mission to the Kenyan Health Sector, 2007.
Hiring process for the US Department of Housing and Urban Development
Source: Washington Post, 26 March 2010
Possible application to the 4 HRH hub
areas
• Migration
• Leadership and management
• HRH for maternal health etc
• HRH for public health emergencies
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So how will a systems
approach to HRM help?
Diagnose systems problems
Systems become discussable
Better HRM systems contribute to improved health workforce