Donors, implementation agencies, district and provincial health authorities were politically aligned to the HSSS from the beginning; however, a transparent and comprehensive resource plan allows them to be operationally and functionally aligned as well.
Effective human resource management requires strong leadership and comprehensive human resource planning guided by actual needs on the ground.
Making an impact at scale requires comprehensive human resource planning for primary health care building on existing WHO frameworks, African country-level efforts and family medicine proposals [ 19, 24- 28].
Participants also stressed upon the development of comprehensive national human resource plans with strategies to ensure adequate recruitment, rational deployment, ongoing retention and capacity building of SBAs.
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While these are aspects of a comprehensive human resource plan that countries should ultimately strive to achieve, many developing countries do not have the resources to implement such plans.
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The results of this comprehensive, normative, HSSS-based resource planning work were effectively used by policy-makers for purposes of advocacy; to align donors to the HSSS at district level; and for field district planning.
Overall, countries reported lack of adequate production of trained human resources, lack of comprehensive national human resource plans, limited opportunities for further training and career progression, low salaries, poor work environments and limited supervision as critical bottlenecks.
