1. Improving health workforce performance in Ghana, Tanzania and Uganda Freddie Ssengooba School of Public Health, Makerere University, Uganda

2. Who are the PERFORM partners? PERFORM Consortium GhanaLeedsLiverpoolSwitzerlandTanzaniaUganda College of Health Sciences, School of Public Health, Makerere University Liverpool School of Tropical Medicine School of Public Health, University of Ghana Nuffield Centre for International Health and Development, University of Leeds Institute of Development Studies, University of Dar-es- Salaam Swiss Tropical and Public Health Institute

3. Key messages Global shortage of health workers Deficit can be addressed by: – training more new personnel; and – improving performance of the existing workforce Complex factors affect workforce performance Opportunities available where planning and management is decentralised Action research is an appropriate approach to strengthening management to improve workforce performance

4. Systems approach to improving workforce performance

5. Action research approach to management strengthening

6. Situation analysis Engagement Initial data collection Problem identification (HS vs HR) Problem analysis National workshop 1 – October ‘12 Consortium meeting to review and plan – November ’12)

7. Example of problem tree [include from workshop unless any other pictures available]

8. Strategy design Refine problem analysis Review options for human resource and health systems components of ‘bundles’ Check against selection criteria (feasibility, cost, etc) Incorporate into routine plans

9. Double loop diagram

10. Thank you For more information on the PERFORM project: www.performconsortium.com