To meet these challenges, the rural health system needs to be more effective and efficient, and the human resources for health should be improved not only in quantity, but also with regards to equitable distribution, competency, quality, motivation, productivity, and performance [ 14].
Examples include management information systems that include eye care, as has been successfully achieved in Kenya 55 and increasing the number, distribution, competencies and motivation of eye care personnel.
The development and the distribution of competency require a more in-depth analysis.
Currently, discussions on product designs and the distribution of competencies across production networks are based on transaction costs considerations.
Olson is certainly not alone in trying to explain the distribution of competencies across multiple, hierarchically organized policy levels.
We can now establish a link with Olson's perspective: Fiscal equivalence may explain the distribution of competencies among Type I agencies embedded in a hierarchical system.
The objective of this research was to determine the associations and inter-relationships between workforce characteristics (stock, distribution and competencies) and equitable access to RMNH services resulting from the removal of, or exemption from user fees.
Furthermore, the competency distribution (Fig. 4) indicates that the highest performers were found in the group that chose business and administration, although this group was composed of young adults from all competency levels.
At the operational level, the HRH action framework (which includes the human resources management systems) helps to address issues related to staff shortages, uneven staff distribution, skill and competency gaps, low retention, and poor motivation [ 14].
To develop an effective, efficient and equitable health system for meeting the goal of improved and equitable population health, human resources for health (HRH) should be appropriate in relation to number, skill-mix, and distribution with optimum competency and motivation.
The company's private/public partnership with the government at its core seems to represent an effort by Facebook to give back to its communities by externalizing its core competency around distribution and connectivity.
