Delivery Challenges

Delivery Challenge: Skilled Human Resources

Challenges caused by lack of appropriately skilled project staff.

Interactive

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Percentage of Projects with Skilled Human Resources

  • Less than 25%
  • 25 - 50%
  • 50 - 75%
  • More than 75%

Any information shown on this map do not imply, on the part of the Global Delivery Initiative, any judgment or endorsement on the status of any territory.

Case study
This case study from the Climate Investment Funds (CIF) examines the Preparing Outer Islands for Sustainable Energy Development Project (POISED) and its pioneering efforts to bring solar photovoltaic (PV)-battery-diesel hybrid energy systems to key outer island locations of Maldives and improve the efficiency of power generation. Supported by the CIF Scaling Up Renewable Energy Program in Low Income Countries (SREP) and the Asian Development Bank (ADB), the POISED project is a successful proof of concept for solar photovoltaics (PV) and battery storage in the country. Through POISED, the solar-PV- battery diesel hybrid energy systems achieved fuel savings of up to 28 percent compared to diesel-only generator sets. It makes the case that investing in renewable energy is financially sound...
Case study
Rapid urbanization and economic development in Ghana since the 1990s led to a rise in the number of informal settlements and slums. By 2010, more than half of the urban population lived in such communities, and many lacked access to public services. Most inhabitants also had little to no knowledge about their rights as citizens and had no say in the allocation of public resources. In an effort to remedy the situation, the city governments of two of the country’s biggest cities—Accra and Sekondi-Takoradi—introduced reforms in their planning and budgeting process through the IncluCity project. An international nonprofit organization named Global Communities led implementation of the project from October 2011 to September 2015.  The overarching objective was to improve participation of the...
Case study
Public outcry over a series of forest fires and a ferry disaster in the 2010s prompted the government of the Republic of Korea to make public safety a top priority. From 2013 to 2017, the Korea Forest Service, the national forestry agency, developed a data-driven forest fire prediction and monitoring system to support interagency cooperation and facilitate rapid response and fire suppression. The system drew from a wide range of data to provide consistent and reliable information on the estimated risk and status of a forest fire to the public on a real-time basis. The system also supports informed decision-making by forest service officers. Despite the challenges of coordinating among agencies and ensuring data accuracy, the forest service made a series of systematic changes. The...
Case study
In 2014-15 the government of Kazakhstan embarked on a new undertaking: to create a regional business development map with the aim of providing comprehensive information on development opportunities for entrepreneurship and expanding support for entrepreneurs. The project faced numerous delivery challenges during implementation, including lack of available data and skilled human resources, as well opposition from government and businesses, which had to be carefully navigated. This case study examines the implementation process of the project, the approach of the Kazakhstani government to support businesses, and the results of these efforts. The regional business development map answers four main questions related to current business and potential entrepreneurship: What is produced in the...
Case study
This case study examines how the Nigeria Centre for Disease Control (NCDC) tackled an outbreak of Lassa fever and moved from this response to institute a long-term plan to prevent and respond to future outbreaks.  In late 2015, an outbreak of Lassa fever—an acute hemorrhagic fever caused by a virus usually transmitted by rodents—threatened thousands of lives across Nigeria. By the end of December, the outbreak had spread to 14 states and the Federal Capital Territory, infecting more than 400 Nigerians and killing more than 40. The prevalence of cases forced the government to act quickly to diagnose and treat people before the outbreak became an epidemic. Learning from its experience containing the Ebola virus in 2014, the Nigerian government set up a response team, distributed essential...
Case study
This case study examines how the government of Uganda implemented an output-based budgeting system. Uganda began transitioning from output-based budgeting to program-based budgeting in 2013 in a bid to improve the link between budgeting and national strategic objectives. Output-based budgets were developed to reflect the relationship between funding and expected outputs. The drawbacks of Uganda’s output-based budgeting system included unclear alignment with national development plans, insecure and tedious manual processes, inadequate data access and security controls, and incompatibility with other government budgeting systems. The program-based budgeting structure allocates resources by program or functional area, in alignment with the national development plan. Performance data inform...
Case study
Introduction In 2012, poor students in rural Colombia were learning at levels far below their rich peers (Bos et al. 2014). Colombia needed to close the large learning gap across socioeconomic groups and regions to ensure that all students had a fair chance to realize their dreams. With the realization that limited and poor-quality educational resources were hampering learning in the most disadvantaged schools, the Colombian government sought to harness the power of information and communication technology (ICT) to provide quality education to every corner of the country. In 2012, the Colombian Ministry of National Education partnered with the Republic of Korea to launch the Building ICT in Education Capacity in Colombia project. Through this partnership, the education ministry began to...
Case study
Malabon City has long been one of the areas with the highest rates of malnutrition in the capital region of the Philippines. In 2013, 16.3 percent of children in the city were stunted, or short for their age because of low nutritional intake. Stunting causes diminished cognitive and physical development, which limits the productive capacity of children. The high stunting rate meant a huge loss in human capital potential for the city. The city’s Nutrition Office had found it difficult to reduce the incidence of malnutrition because of budgetary constraints and a lack of awareness among mothers and caregivers about proper child nutrition. In 2014, the local government started to prioritize eliminating malnutrition by drafting a comprehensive nutrition plan that involved attracting donors...
Case study
Since its inception in 1988, Nepal’s Female Community Health Volunteer program had helped connect people in difficult-to-reach areas to the health system, but by the 2000s the Nepali government wanted to accomplish more. Many health outcomes were still poor, including high neonatal and infant mortality, and preventable infant- and child-specific diseases were among the top 10 leading causes of death in the country. In 2008, a Nepal-based non-governmental organization called Nyaya Health Nepal began working with the national health ministry to improve health services in one Nepali district. Development Challenge: The core development challenge that Nyaya’s pilot program aimed to address was strengthening the health system. There was low utilization of available health services and the...
Case study
To download and read this case study on public–private partnership (PPP) policy in the Republic of Korea, by Hyeon Park, click here.   To read a condensed delivery note on public–private partnership (PPP) policy in the Republic of Korea, prepared by Sooyoung Choi, click here. This case study reviews the evolution of public–private partnership (PPP) policy in the Republic of Korea in chronological order and identifies the lessons learned. It describes the background of the country’s innovative infrastructure financing scheme in the early 1990s and the policy measures that were used to promote private investment in the wake of the Asian financial crisis in the late 1990s.  Facing an infrastructure gap, the Korean government passed the PPP Act (the Act on Promotion of Private Capital into...
Practitioner
Ms. Miatta Zenabu Gbanya serves as the first Liberian fund manager for the Health Sector Pool Fund at the Ministry of Health in Liberia, a financing mechanism established in March 2008 to support the Ministry of Health’s National Health Policy and Plan. She has been involved in emergency preparedness and the response to cholera, meningitis, and measles outbreaks, and in 2014 served as the Deputy Incident Manager for the Ebola epidemic in Liberia. She is an active member of the Human Resources for Health Technical working group at the Ministry of Health, Liberia.  Ms. Gbanya is a registered nurse and a public health practitioner who has served on various humanitarian missions in the Democratic Republic of Congo, the Sudan, and South Sudan over the last 9 years, working with Merlin and the...
Case study
This case study is about the challenges facing the Ghanaian National Health Insurance Scheme's claims management, how the processes of the e-claims system from 2010-13 were developed, and how the system bolstered efficiency in claims review and reimbursement, leading to lower claims costs through the detection of errors, abuse, and fraud. These efforts were led by the NHIS with support from the Ministry of Health, Ghana Health Service (GHS), service providers, and the World Bank’s Health Insurance Project (HIP). Despite the delivery problems encountered in technical, human resource, and financial matters, the NHIS effectively managed these challenges through evidence-based strategies. This enabled the NHIS to effectively use the e-claims system as a cost containment measure; the system...
Street in Liberia
Case study
Development Challenge: After the 2014 Ebola outbreak, officials in Liberia’s health ministry wanted to build a resilient health system that could help prevent a future crisis and provide necessary care in a public health emergency. The ministry also wished to improve health outcomes and build the confidence of Liberian citizens in the public health system. Project Solution: The health ministry worked with external partners to create a plan for investing in the public health system. The plan, which set priorities for the period from 2015 to 2021, included investment in training and development of health personnel, re-engineering health infrastructure, and enhancing the disease surveillance and response system. Project Results: As of 2019, the investment plan contributed to outcomes...
Practitioner
Case study
This case study investigates how collaboration between the Korean Association for Parasite Eradication, a small coalition of dedicated South Korean parasitologists and health professionals, and the Korean government overcame numerous delivery challenges to sustain a nation-wide deworming campaign for two decades, until the World Health Organization declared the country essentially worm-free in 1997. South Korea relied on nation-wide, school-based administration of stool tests and deworming pills for close to two decades from 1969 till 1997 to effectively do away with the intestinal worm infection. Worm infection was indeed pervasive before the campaign: the infection rates were over 80% in the overall population. Intervention Nation-wide school-based deworming that consisted of two annual...
Practitioner
Prof. Taejong Kim is currently a professor at the KDI School of Public Policy and Management. Before joining the faculty at the KDI School, he taught at York University, Canada, and at GRIPS, Japan. His research and teaching interests include public finance, labor economics, microeconomics, and applied microeconomics. He obtained a B.A. and M.A. in economics from Seoul National University and a Ph.D. in economics from the Massachusetts Institute of Technology. Professor Kim currently is the Chair of MDP (Master of Development Policy) at KDI School of Public Policy and Management.
Case study
This case study examines how the Municipality of San Francisco, in Cebu province, Philippines, transformed its unique sub-village-level purok system so that it could be used in disaster risk reduction and management (DRRM). The purok system, a network of community-based people’s organizations that complements the elected barangay (village) government, was established in 2004 as grassroots service delivery unit of the municipal government. With an emphasis on volunteerism and self-help, the purok became the primary vehicle to reach the most vulnerable communities in the municipality. In 2010, the National Disaster Risk Reduction and Management Act mandated local government units (LGUs) to take the lead in implementing DRRM. In San Francisco, DRRM was integrated into the purok. In November...
Practitioner
Ranel Ram Cheng is currently a Senior Economic Development Specialist at the National Economic and Development Authority (NEDA) in the Philippines. He received his Master of Public Policy degree from the KDI School of Public Policy and Management in South Korea, where he prepared a GDI case study on local community-based disaster risk reduction and management while completing his graduate studies. He also holds a bachelor’s degree in Broadcast Communication from the University of the Philippines. As a writer and researcher, his main interests include issues related to institutions and governance for sustainable development.
Case study
Note: The soaring prevalence of obesity, and the non-communicable diseases (NCDs) associated with it, is increasingly becoming one of the main public health threats in the world. Once considered an ailment of the rich, overweight and obesity are no longer a health concern only in wealthy countries.  Their prevalence continues to grow in low- and lower-middle-income countries (LMICs), and is pervasive even in countries where undernutrition persists.  To face this challenge, many countries have designed and implemented comprehensive strategies and standalone policies to curb the epidemic. However, most documentation around the process to design and implement these policies come from high-income countries, and only recently have there been some efforts aimed at understanding the process and...
Practitioner
Ariel holds a BA and MA in Sociology from the Pontificia Universidad Católica de Chile, and he is currently pursuing a Ph.D. in Sociology at the University of Chicago. His research interests include sociology of health, life-course, comparative public policy, public opinion, attitudes towards inequality and research methods. Ariel's research seeks to understand the effects of institutional arrangements over individual outcomes. In particular, he is interested in observing how health systems and other policy areas may affect health disparities across the life-course, together with people’s attitudes towards social policy in general, and health care systems in particular.