Proper evaluation of capacity development would help assess the utility of current investment and justify further investment in human resource development. A large number of staff in health service delivery received training or fellowships under the project. However, there has not been any attempt to document actual benefits stemming from this investment. A proper analysis will help the central, provincial, and district governments to determine skills gaps that can be targeted over the next couple of decades. Periodic evaluation of the value and impact of expenditure on capacity development should have been conducted. Although the number of physicians and the ratio of physicians to population have increased in all provinces and in rural areas, deployment practices and inequitable distribution remain serious concerns. M&E of current deployment and a skills audit are crucial to ascertain whether an effective long-term health workforce strategy is being implemented.
Decentralized Health Services Project