CCF phases’ description and recommendations

PHASE 1: Establishment of HRH coordination mechanism

CCF progress phase 1

Description of phase

A stakeholder analysis is employed to identify related constituencies to be represented in the HRH committee with defined roles.

Developing close links with the other coordination mechanisms for health systems strengthening in the country.

Within or under the HRH committee, various sub-committees or technical working groups can be constituted on defined thematic areas according to the county requirements.


  • The HRH committee should be inclusive, having adequate representation of all related stakeholder constituencies.
  • The HRH committee should have defined roles and responsibilities.

PHASE 2: Development of HRH situation analysis

CCF progress phase 2

Description of phase

The HRH situation analysis is comprehensive and based on a broad HRH trends, HRH production including pre-service training and professional development programs, current utilization of existing health workers and its determinants and health outcome trends, along with the retention strategies, migration trends, and responsiveness to the emerging health needs.

The HRH situation analysis can be called as HRH profile while date for developing HRH situation analysis should be provided by National HRH Observatory.


  • The HRH situation should be conducted in a participatory manner, with engagement of relevant stakeholders.
  • The HRH situation analysis should take into account the political, socio- economic, legal and organizational contexts in the country.
  • The HRH situation analysis should identify how HRH goals and objectives contribute and fit into the national health sector strategy and plan.
  • The HRH situation analysis should include an analysis of the response taken so far (what actions have been taken, and in particular who is doing what).
  • The HRH situation analysis should include analysis of the gap in the strategies identified and implemented so far to improve the HRH management, the challenges.
  • The HRH situation analysis should include the identification of the priority problem areas as well as the gaps in programming and support for it.

PHASE 3: Development of HRH plan

CCF progress graph phase 3

An evidence based, comprehensive, and costed HRH plan is developed for the country will engagement of all stakeholders, ensuring that it reflects the national needs and supply of health workers for the public sector services, the private sector and NGOs.

The plan covers all components of HRH such as training, recruitment, retention, performance, remuneration, equitable distribution, responsiveness and migration of the workforce.

The HRH plan is developed in consistency with the priorities in the overall national health strategy, need-based HRH priorities as well as the strategies recommended in the Kampala Declaration and Agenda for Global Action with an aim to achieve health goals and targets (e.g. the MDGs).

The related module of the OneHealth tool can be used for costing of the HRH plan.


  • The National HRH plan should refer to (and should be in line with) the national health policy and developmental plan with measurable, realistic and time-bound goals and objectives.
  • The National HRH planning process should be consistent with the health system planning cycle.
  • The strategies in the national HRH plan should refer to needs of the priority Health programmes in an effective and coherent manner.
  • HRH plan should refer to the HRH strategies and needs of the related key stakeholders' (such as education sector, army, private sector, foreign affair department, labour department, staff associations, civil society etc.).
  • The National HRH plan should include a risk assessment of potential barriers to successful implementation.
  • The National plan should indicate the strategies for the key stakeholders in public and private sectors.
  • The national HRH plan should prioritize cost-effective strategies, be affordable, and compatible with the overall health sector spending and macroeconomic constraints, such as the Mid-Term Expenditure Frameworks and similar.
  • The National HRH plan should estimate how much it would cost to implement each of the HRH strategies and component areas.
  • The National HRH plan should be combined with an operation plan that is time bond with specific interventions.
  • The National HRH plan should estimate the gap between required resources and available resources, and indicate the potential sources.

PHASE 4: Mobilizing resources for HRH interventions

CCF progress graph phase 4

Description of phase

The HRH committee advocates for mobilizing additional resources from domestic budget and to explore funds from multilateral and bilateral partners.


  • The country should develop a resource mobilization plan.
  • Additional domestic resources should be mobilized.
  • The partners and donors funds should be explored in line with their priorities.

PHASE 5: Implementing and monitoring the HRH plan

CCF progress graph phase 5

Description of phase

All stakeholders collaborate and facilitate the implementation of the HRH plan at the common platform of the HRH committee.

While implementing the plan, the country stakeholders collaborate to monitor and evaluate the implementation process by employing a unified framework of indicators.


  • The National HRH plan should have monitoring and evaluation plan, with process and output indicators and a description of the monitoring mechanism.
  • The monitoring and evaluation plan should specify the role of the key stakeholders and should be time bound with defined products.
  • The stakeholders should provide accurate and transparent information to ensure support the monitoring process.