Public servants can be motivated by managerial and incentive schemes to lead and support change.
Corporate tax deductibility limits on managerial compensation induce incentive schemes that reward managers for luck.
Although health workers perceived exemptions to be the main cause for insufficient resources, evidence from the literature and the field suggests that low enrolment levels into cost recovery schemes, bad managerial practices and lack of transparency and accessibility hamper the potential for quality improvement [ 48, 51].
CHI evaluations have often focused on socio-economic, managerial, and health system issues perceived to underpin the success of schemes.
Occupational social class (current or most recent occupation) was assessed using the UK three-category National Statistics Socio-Economic Claschemeation scheme (NS-SEC): mandgerial and professional; intermediate; and routine-manual.
In the study of perceptions of health providers at both operational and managerial level in the Maliando CHI scheme in Guinea Conakry, lack of understanding by health managers was a contributing factor to low scheme enrollment [ 6].
Social class was based on six hierarchical categories of the Registrar General's classification scheme of occupations (professional, managerial and technical, skilled non-manual, skilled manual, partly skilled, and unskilled) (Office of Population Censuses and Surveys, 1992).
Another risk could stem from managerial decisions resulting from the Operative Unit pilot scheme initiative: the time and resources required for detailed analysis of the comparison between strengths and weaknesses, and between advantages and disadvantages of the entire organisation could lead to its non-implementation on a global scale.
Mary was responsible for setting up the day-to-day running of the scheme, and has developed a range of managerial and organisational skills with the experience of setting up a whole new scheme, coordinating services and working closely with community services.
The paper concludes by pointing to three paradoxes concerning the commitment and compensation scheme of star scientists and the managerial position of less known scientists.
