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Table 2 Summary of key informant interview guide

From: Evolution of policies on human resources for health: opportunities and constraints in four post-conflict and post-crisis settings

Examples of questions
1. Context and challenges
  • What was the situation of health workers after the conflict?
  • What were the main challenges in relation to the workforce, in particular with reference to recruitment, posting and retention in rural areas, motivation?
  • How did the challenges vary across the post-war period?
2. Policy responses
  • Can you explain how the public policies changed over time since then?
  • What were the objectives of the new policies?
  • Did the policies build on what went before or not?
3. Drivers of changes
  • What were the main factors which influenced the changes in policy?
  • Which factors do you think are most influential in policy change? (Please explain how and why). Specific people, specific organisations, funding, political factors, evidence, context changes (economic, security, political, organisational, international context..)?
  • Have these factors changed over the period? If so, describe how, and why.
  • Who were the main actors involved in the process of developing policies on HRH?
4. Implementation challenges
  • Taking each of the major reform initiative in turn, can you describe to me how they were implemented?
   - What were the mechanisms?
   - Over what areas of the country?
   - Focussed on which health workers?
   - Implemented by whom?
  • What were the implementation challenges? Were they overcome? How?
5. Financing & sustainability
  • How costly was the policy to implement?
  • Who funded it?
  • How sustainable do you think it is?
  • Is it still on-going? If not, why not?
6. Effects of the policy changes
For each major policy change/intervention described, ask:
  • Was it ever evaluated? How and by whom? What were the results?
  • What was its overall impact, in your view?
  • How did effects differ across regions? Across cadres? Across ethnic groups? Across genders?
  • How do others view the experience? What lessons have they drawn from it?
  • Did it have any unintended effects (positive or negative)?
More specific probes for impact on: health worker pay, recruitment, retention, distribution, performance, access to services and the health system more broadly
7. Your recommendations
  • Based on these experiences and what you described to us, which strategies you think should be adopted to address the current challenges for health workers?