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Working Paper

The Systematic Assessment of Health Worker Performance : A Framework for Analysis and its Application in Tanzania

PHARMACY HEALTH CARE PROVIDERS INFANT MORTALITY RATES SUTURES DETERMINANTS OF HEALTH ACCESS TO HEALTH CARE EMPLOYMENT TREATMENT HEALTH SERVICE DELIVERY DIAGNOSIS DEATHS INCOME QUALITY OF HEALTH CARE DRUG SUPPLY PUBLIC SECTOR DOCTORS HEALTH ECONOMICS HEALTH RESEARCH HEALTH CARE DRUGS HEALTH CARE WORKERS EFFECTS HEALTH CARE FACILITIES INCENTIVES HEALTH HEALTH WORKERS BREAST CANCER PRESCRIPTIONS HEALTH FACILITIES SYMPTOM PUBLIC HEALTH QUALITY OF HEALTH HEALTH SECTOR KNOWLEDGE CHOICE ANIMAL HEALTH WORKPLACE DISEASES COSTS VOLUNTARY SECTOR PATIENTS PATIENT LIFE DEMAND FOR HEALTH SERVICES INTERVENTION PROBABILITY HEALTH SYSTEMS HEALTH CENTERS MEDICATION NURSES OBSERVATION MEDICAL CARE HEALTH CARE QUALITY MEDICAL OFFICERS SYMPTOMS WORK ENVIRONMENT OUTPATIENT SERVICES HEALTH CARE OUTCOMES HIV/AIDS HEALTH SERVICES RESEARCH INTERVIEW MORTALITY HEALTH CARE SYSTEM MEDICAL SERVICE PROVIDERS CANCER AVAILABILITY OF DRUGS INFANT MORTALITY DIAGNOSES HEALTH CARE SECTOR CLINICIAN EMERGENCY MEDICINE HEALTH SPECIALIST WORKERS FEVER QUALITY OF CARE PATIENT SATISFACTION AMODIAQUINE BASIC NEEDS CARE HEALTH POLICY MEDICINE DEMAND DIARRHEA STD PREVENTIVE HEALTH SERVICES INCOME COUNTRIES ADEQUATE CARE MEDICAL PERSONNEL MALNUTRITION PRIVATE SECTOR MEASUREMENT NUTRITION MEDICAL OFFICER SYRINGES MALARIA REST PRIMARY HEALTH CARE PNEUMONIA INTERNET EXPOSURE HEALTH SYSTEM OUTPATIENT CARE LOW INCOME HEALTH CARE DELIVERY CHILDREN MALARIA SYMPTOMS CLINICIANS CLINICS EVALUATION BANDAGES HUMAN RESOURCES DEMAND FOR HEALTH ILLNESS INFANTS ALL POPULATION MEDICAL DOCTORS CHILD DEATHS FEES FAMILIES MEDICINES FORCEPS HOSPITALS CERTIFICATION ILLNESSES HEALTH SERVICE HEALTH SERVICES PRIVATE SECTORS DEMAND FOR SERVICES FINANCIAL INCENTIVES VISITS NURSING MEDICAL TRAINING
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World Bank, Washington, DC
Africa | Tanzania
2016-04-18T20:26:32Z | 2016-04-18T20:26:32Z | 2015-08

This paper introduces a simple framework for understanding the dimensions and determinants of health worker performance based on the idea that there can be three different gaps affecting performance: a knowledge gap, the knowledge-capacity gap and the capacity-performance gap. The paper argues that performance is determined by a combination of competence, capacity and effort, and that any of these elements may lead to poor performance, and applies this framework to the measurement of health worker performance in Tanzania. Whilst discussing and highlighting key findings related to the assessment of health worker performance in Tanzania, the overarching objective of the paper is to offer a systematic way to analyze health worker performance through primary data collection and analysis to benefit researchers and countries beyond Tanzania.

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