Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Costing the scaling-up of human resources for health: lessons from Mozambique and Guinea Bissau | Tyrrell et al. Human Resources for Health 2010 8 14 http content 8 1 14 HUMAN RESOURCES FOR HEALTH METHODOLOGY Open Access Costing the scaling-up of human resources for health lessons from Mozambique and Guinea Bissau Amanda KTyrrell1 Giuliano Russo 2 Gilles Dussault2 and Paulo Ferrinho2 Abstract Introduction In the context of the current human resources for health HRH crisis the need for comprehensive Human Resources Development Plans HRDP is acute especially in resource-scarce sub-Saharan African countries. However the financial implications of such plans rarely receive due consideration despite the availability of much advice and examples in the literature on how to conduct HRDP costing. Global initiatives have also been launched recently to standardise costing methodologies and respective tools. Methods This paper reports on two separate experiences of HRDP costing in Mozambique and Guinea Bissau with the objective to provide an insight into the practice of costing exercises in information-poor settings as well as to contribute to the existing debate on HRH costing methodologies. The study adopts a case-study approach to analyse the methodologies developed in the two countries their contexts policy processes and actors involved. Results From the analysis of the two cases it emerged that the costing exercises represented an important driver of the HRDP elaboration which lent credibility to the process and provided a financial framework within which HRH policies could be discussed. In both cases bottom-up and country-specific methods were designed to overcome the countries lack of cost and financing data as well as to interpret their financial systems. Such an approach also allowed the costing exercises to feed directly into the national planning and budgeting process. Conclusions The authors conclude that bottom-up and country-specific costing methodologies have the potential to serve adequately the multi-faceted purpose of the .
