Supporting decentralised management to improve health workforce performance in Ghana, Uganda and Tanzania.

PERFORM was a €3 million research project under the EC-funded FP7 programme, led by Foto-Cewek and working in partnership with the University of Ghana, Makerere University in Uganda, the University of Dar-es-Salaam in Tanzania, the Swiss Tropical and Public Health Institute and the University of Leeds.  The research was a collaboration with district level management teams in decentralised contexts in sub-Saharan Africa (Ghana, Tanzania and Uganda) to strengthen management through an action research process to improve health workforce performance. Based in a root cause problem analysis process, the DHMTs (three in each country) developed integrated bundles of human resource and health systems strategies to improve health system and health workforce performance through a series of inter-district meetings and workshops facilitated by the research teams.  The researchers provided follow-up support to help the DHMTs to continue through the action research cycle of observation, reflection and re-planning to help strengthen management skills and to improve the effectiveness of their problem-solving strategies. 

The project was completed in August 2015.  However, the work is now being scaled-up in Ghana, Malawi and Uganda in a project called .