Human resources for health challenges of public health system reform in Georgia

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dc.contributor.authorDjibuti, Mamuka
dc.contributor.authorGotsadze, George
dc.contributor.authorMataradze, George
dc.contributor.authorMenabde, George
dc.date.accessioned2012-07-03T13:01:57Z
dc.date.available2012-07-03T13:01:57Z
dc.date.copyright2008
dc.date.issued2008-05
dc.description.abstractBackground: Human resources (HR) are one of the most important components determining performance of public health system. The aim of this study was to assess adequacy of HR of local public health agencies to meet the needs emerging from health care reforms in Georgia. Methods: We used the Human Resources for Health Action Framework, which includes six components: HR management, policy, finance, education, partnerships and leadership. The study employed: (a) quantitative methods: from September to November 2004, 30 randomly selected district Centers of Public Health (CPH) were surveyed through face-to-face interviews with the CPH director and one public health worker randomly selected from all professional staff; and (b) qualitative methods: in November 2004, Focus Group Discussions (FGD) were held among 3 groups: a) 12 district public health professionals, b) 11 directors of district public health centers, and c) 10 policy makers at central level. Results: There was an unequal distribution of public health workers across selected institutions, with lack of professionals in remote rural district centers and overstaffing in urban centers. Survey respondents disagreed or were uncertain that public health workers possess adequate skills and knowledge necessary for delivery of public health programs. FGDs shed additional light on the survey findings that there is no clear vision and plans on HR development. Limited budget, poor planning, and ignorance from the local government were mentioned as main reasons for inadequate staffing. FGD participants were concerned with lack of good training institutions and training programs, lack of adequate legislation for HR issues, and lack of necessary resources for HR development from the government. Conclusion: After ten years of public health system reforms in Georgia, the public health workforce still has major problems such as irrational distribution and inadequate knowledge and skills. There is an urgent need for re-training and training programs and development of conducive policy environment with sufficient resources to address these problems and assure adequate functionality of public health programs.en
dc.formatTexten
dc.format.extent1 digital file (7 p.)en
dc.format.mimetypeapplication/pdf
dc.identifier.citationDjibuti, M., Gotsadze, G., Mataradze, G., & Menabde, G. (2008). Human resources for health challenges of public health system reform in Georgia. Human Resources for Health, 6 (8). doi:10.1186/1478-4491-6-8en
dc.identifier.urihttp://hdl.handle.net/10625/49658
dc.language.isoen
dc.relation.journalHuman Resources for Health
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/
dc.subjectHEALTH PERSONNELen
dc.subjectHEALTH HUMAN RESOURCESen
dc.subjectHUMAN RESOURCES FOR HEALTH ACTION FRAMEWORKen
dc.subjectHEALTH SERVICESen
dc.subjectHEALTH SYSTEMen
dc.subjectPUBLIC HEALTHen
dc.subjectHEALTHCARE REFORMen
dc.titleHuman resources for health challenges of public health system reform in Georgiaen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderDjibuti et al; licensee BioMed Central Ltd.
idrc.copyright.oapermissionsourceCC BYen
idrc.dspace.accessOpen Accessen
idrc.project.number102172
idrc.project.titleOperational Research: Canadian International Immunization Initiative - Phase II (CIII2)en
idrc.rims.adhocgroupIDRC SUPPORTEDen

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IDRC Research Results / Résultats de recherches du CRDI
2000-2009 / Années 2000-2009
Canadian International Immunization Initiative (CIII2) / l’initiative canadienne d’immunisation internationale
Health Systems Research / recherche sur les systèmes de santé
Maternal, Newborn, and Child Health (MNCH) / la santé de la mère, du nouveau-né, et de l’enfant
Research Results (GHRI) / Résultats de recherches (IRSM)