ArticleThe International journal of health planning and management2022
Management of human resources for health in health districts in Uganda: A decision space analysis.
Article in The International journal of health planning and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 27 citations in OpenAlex.
- Leadership and management competencies and practices among health managers in Wakiso District, Uganda.PloS one · 2026Article
- Digitalized human resources for health information systems in low- and middle-income countries: a scoping review.Human resources for health · 2025Article
- Exploring district implementation of national guidelines and maintenance of essential health services during the COVID-19 pandemic in Uganda.BMJ public health · 2025Article
- Five lessons from a mid-level health manager intervention to increase uptake of tuberculosis prevention therapy in Uganda: 'it is a completely different thing to implement what you know.'Global health action · 2024Article
- Strengthening anthrax outbreak response and preparedness: simulation and stakeholder education in Namisindwa district, Uganda.BMC veterinary research · 2024Article
- Using the integration of human resource management strategies at district level to improve workforce performance: analysis of workplan designs in three African countries.Human resources for health · 2023Article
- Political economy analysis of subnational health management in Kenya, Malawi and Uganda.Health policy and planning · 2023Article
- Re-engineering primary healthcare in Kerala.Public health action · 2023Article
- Using a theory of change in monitoring, evaluating and steering scale-up of a district-level health management strengthening intervention in Ghana, Malawi, and Uganda - lessons from the PERFORM2Scale consortium.BMC health services research · 2022Article
- Management of human resources for health in health districts in Uganda: A decision space analysis.The International journal of health planning and management · 2022Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundDecentralisation has been adopted by many governments to strengthen national systems, including the health system. Decision space is used to describe the decision-making power devolved to local government. Human resource Management (HRM) is a challenging area that District Health Management Teams (DHMT) need some control over its functions to develop innovative ways of improving health services. The study aims to examine the use of DHMTs' reported decision space for HRM functions in Uganda.
methodsMixed methods approach was used to examine the DHMTs' reported decision space for HRM functions in three districts in Uganda, which included self-assessment questionnaires and focus group discussions (FGDs).
resultsThe decision space available for the DHMTs varied across districts, with Bunyangabu and Ntoroko DHMTs reporting having more control than Kabarole. All DHMTs reported full control over the functions of performance management, monitoring policy implementation, forecasting staffing needs, staff deployment, and identifying capacity needs. However, they reported narrow decision space for developing job descriptions, resources mobilisation, and organising training; and no control over modifying staffing norms, setting salaries and developing an HR information system (HRIS). Nevertheless, DHMTs tried to overcome their limitations by adjusting HR policies locally, better utilising available resources and adapting the HRIS to local needs.
conclusionsDecentralisation provides a critical opportunity to strengthen HRM in low-and-middle-income countries. Examining decision space for HRM functions can help identify areas where district health managers can change or improve their actions. In Uganda, decentralisation helped the DHMTs be more responsive to the local workforce needs and analysing decision space helped identify areas for improvement in HRM. There are some limitations and more power over HRM functions and strong management competencies would help them become more resourceful.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.