Journal
INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT
Volume 20, Issue 1, Pages 3-19Publisher
WILEY
DOI: 10.1002/hpm.793
Keywords
decentralization; de-concentration; health sector reform; provincial health management; human resource management
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The following study was conducted as part of a review of management systems at a Provincial Health Department (Kampong Cham Province) and a National Health Programme (National Immunization Program) in 2002-2003 in Cambodia. The aim of this paper is to identify, analyse and recommend those management system factors that are critical to the success of health management performance, with a particular focus on provincial management. The review has identified critical success factors associated with health management performance at the sub-national level that include a stronger role for effective human resource management in health sector reform, elevation of the status of planning in senior level management, and the development of a more comprehensive and transparent finance system. These success factors will position the provincial level of health management to respond more effectively to the reform challenges of administrative de-concentration and political decentralization that are currently underway across a range of government sectors in Cambodia. Copyright (c) 2005 John Wiley & Sons, Ltd.
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