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báo cáo sinh học:" Human resource management in the Georgian National Immunization Program: a baseline assessment"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Human resource management in the Georgian National Immunization Program: a baseline assessment | Human Resources for Health BioMed Central Research Open Access Human resource management in the Georgian National Immunization Program a baseline assessment Laura C Esmail 1 Jillian Clare Cohen-Kohler1 and Mamuka Djibuti2 Address 1Leslie Dan Faculty of Pharmacy University of Toronto Canada and 2Curatio International Foundation Tbilisi Georgia Email Laura C Esmail - laura.esmail@utoronto.ca Jillian Clare Cohen-Kohler - jillianclare.cohen@utoronto.ca Mamuka Djibuti - m.djibuti@curatio.com Corresponding author Published 31 July 2007 Received 30 May 2006 Human Resources for Health 2007 5 20 doi 10.1186 1478-4491-5-20 Accepted 31 July 2007 This article is available from http www.human-resources-health.cOm content 5 1 20 2007 Esmail et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Georgia s health care system underwent dramatic reform after gaining independence in 1991. The decentralization of the health care system was one of the core elements of health care reform but reports suggest that human resource management issues were overlooked. The Georgian national immunization program was affected by these reforms and is not functioning at optimum levels. This paper describes the state of human resource management practices within the Georgian national immunization program in late 2004. Methods Thirty districts were selected for the study. Within these districts 392 providers and thirty immunization managers participated in the study. Survey questionnaires were administered through face-to-face interviews to immunization managers and a mail survey was administered to immunization providers. Qualitative data collection involved four focus groups. Analysis of variance ANOVA and Chi-square tests were used to .