0:00:08experience and other health conditions continue to put an enormous burden on low and middle
0:00:13income countries straining already overstretched health systems
0:00:17a major strain on the systems is the health work for shorter as a result
0:00:21of increased workload in providing h i v carrier treatment
0:00:25how worker em iterations of the global market and under investment in human resources due
0:00:31to cuts in public health expenditures
0:00:34a variety of health workforce capacity development strategies have been implemented globally to address how
0:00:40systems challenges in resource limited settings
0:00:43global donor supported strategies for attraction and retention of health workforce include pulling mechanisms that
0:00:51outsource employment
0:00:53tops of government salaries and second min and implementing partner staff to the public sector
0:00:59to provide technical support
0:01:01the practise since the kalman is generally known as a temporary mode of an individual
0:01:06for mutual organisational and individual benefit
0:01:10to address how systems challenges unlimited resources settings global health initiatives particularly the presence emergency
0:01:17plan phrase really
0:01:19for
0:01:20hence the kind of health workers to the public sector
0:01:23implementation considerations for second may i help workforce capacity development strategy are not well documented
0:01:31the purpose of this article is to present outcomes best practises and lessons learned from
0:01:37up at first find it's a kind of program in botswana
0:01:41but governor what's wanna has worked closely with the owners to implement as a kind
0:01:45of program and has a twenty eleven pet far supported
0:01:49hundred fifty how for positions
0:01:52since two thousand and for the international training and education centre for health a collaboration
0:01:58between the university of washington and the university of california san francisco as recruited and
0:02:04seconded forty six position is to national host institutions ministry of health and university of
0:02:10botswana
0:02:11a concept i two parts one is a common program are classified according to the
0:02:16relevant world health organisation how systems building blocks
0:02:21service delivery leadership in governance health workforce and health information systems
0:02:27i texts accounted positions have conducted health service delivery of public health facilities
0:02:33provided support area of leadership and governance finding new initiatives in coordinating national health programs
0:02:40contributed to national health information systems and builds how workforce capacity to training and mentoring
0:02:48to achieve health systems gains from succumbing program there are practical considerations for program implementation
0:02:55best practises include documentation of joint stakeholder expectations true memorandum of agreement
0:03:02collaborative recruitment and early identification of counterparts a host institutions to promote sustainability
0:03:10lessons one and include inadequate odours ownership of second minutes
0:03:14a two tier employment system and ill defined position duration
0:03:20these findings can inform programming policy development to maximise the benefits of the common
0:03:26with the decline in host government but budgets
0:03:29and global health initial funding the benefits of these positions must be maximised assisting improvements
0:03:36and how systems capacity to me millennium development goals
0:03:40second that require substantial investment and emphasis should be placed on high-level technical positions responsible
0:03:47for building systems developing health workers and strengthening government to translate policy into programs
0:03:55global health initiative should consider the importance of documenting commitments with host institutions
0:04:01in terms of the vision and parameters of the second week program prior to designation
0:04:07of fines
0:04:08to promote overall sustainability