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| Topic: |
Book Reports
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| Number of pages / Number of words: |
16 / 4263 |
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It was noted that many scopes of practice are pre-colonial and worked in the past but not relevant for today. For example, in Tanzania there are 39 cadres of HCWs which does not make sense and is this necessarily efficient? In Senegal, nurses are doing surgical procedures – they are not meant to, and it is suggested that whilst they don’t have the training they have the experience, but there are legal constraints...
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For example, in Georgia, evidence showed that there was a high dr/patient ratio and this facilitated changes in the number (over-supply) of medical schools. Important to profile GOOD practice and present effective evidence that will lead to positive changes in HR practice.
? Reduce the focus on the individual component of HR – there is a need to focus on the extent to which there is (and how one can build) the institutional capacity of a country/health department in being able to manage human resources...
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