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Strategic management of the health workforce in developing countries: what have we learned?

Overview of attention for article published in Human Resources for Health, February 2007
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (82nd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (62nd percentile)

Mentioned by

1 news outlet


53 Dimensions

Readers on

217 Mendeley
Strategic management of the health workforce in developing countries: what have we learned?
Published in
Human Resources for Health, February 2007
DOI 10.1186/1478-4491-5-4
Pubmed ID

Scott A Fritzen


The study of the health workforce has gained in prominence in recent years, as the dynamic interconnections between human resource issues and health system effectiveness have come into sharper focus. This paper reviews lessons relating to strategic management challenges emerging from the growing literature in this area. Workforce issues are strategic: they affect overall system performance as well as the feasibility and sustainability of health reforms. Viewing workforce issues strategically forces health authorities to confront the yawning gaps between policy and implementation in many developing countries. Lessons emerge in four areas. One concerns imbalances in workforce structure, whether from a functional specialization, geographical or facility lens. These imbalances pose a strategic challenge in that authorities must attempt to steer workforce distribution over time using a limited range of policy tools. A second group of lessons concerns the difficulties of central-level steering of the health workforce, often critically weak due to the lack of proper information systems and the complexities of public sector decentralization and service commercialization trends affecting the grassroots.A third cluster examines worker capacity and motivation, often shaped in developing countries as much by the informal norms and incentives as by formal attempts to support workers or to hold them accountable. Finally, a range of reforms centering on service contracting and improvements to human resource management are emerging. Since these have as a necessary (but not sufficient) condition some flexibility in personnel practices, recent trends towards the sharing of such functions with local authorities are promising. The paper identifies a number of current lines of productive research, focusing on the relationship between health policy reforms and the local institutional environments in which the workforce, both public and private, is deployed.

Mendeley readers

The data shown below were compiled from readership statistics for 217 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 5 2%
United Kingdom 3 1%
India 2 <1%
Netherlands 1 <1%
South Africa 1 <1%
Mexico 1 <1%
Morocco 1 <1%
Uganda 1 <1%
Australia 1 <1%
Other 7 3%
Unknown 194 89%

Demographic breakdown

Readers by professional status Count As %
Student > Master 55 25%
Student > Ph. D. Student 39 18%
Researcher 20 9%
Student > Postgraduate 18 8%
Unspecified 16 7%
Other 69 32%
Readers by discipline Count As %
Medicine and Dentistry 77 35%
Social Sciences 38 18%
Business, Management and Accounting 23 11%
Unspecified 19 9%
Nursing and Health Professions 17 8%
Other 43 20%

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 February 2019.
All research outputs
of 13,304,005 outputs
Outputs from Human Resources for Health
of 724 outputs
Outputs of similar age
of 188,819 outputs
Outputs of similar age from Human Resources for Health
of 8 outputs
Altmetric has tracked 13,304,005 research outputs across all sources so far. Compared to these this one has done well and is in the 82nd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 724 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.2. This one has gotten more attention than average, scoring higher than 57% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 188,819 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 82% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 5 of them.