title: Role of civil society in human resources for health management in Nepal.
abstract: BACKGROUND
  The policy document of Nepal has spelled out commitment to involving civil society organisations (CSOs) in improving human resources for health (HRH). However, lack of empirical evidences, it is very hard to figure out exact situation about the roles and engagement of CSOs in HRH management.
  
  
  METHODS
  A cross-sectional descriptive study was conducted using both quantitative and qualitative methods. Out of 404 sample health institutions, 747 health workforce from 375 health institutions were interviewed (<10% non-response rate) using the probability proportionate to size method as per World Health Organization (WHO) guidelines.
  
  
  RESULTS
  Nearly 75% respondents had opined that the political parties were supporting the health institutions in the grassroots. It was found that the support from the CSO was better in Hill (54.9%) compared to Terai (46.9%) and Mountain (46.7%). The support was significantly different between rural (CI: 0.5063-0.591) and urban (CI: 0.3055-0.4363) (p <0.05, CI 95%). Mean index score of effectiveness of CSOs was found highest in Hills (0.3036) followed by Mountains (0.2669) and Terai (0.2589). Effectiveness of CSOs was found positively correlated with feeling of security by health workers and social prestige.
  
  
  CONCLUSIONS
  The roles of civil society in HRH management still need to be recognized and well documented ensuring their active participation in formulation and implementation of policies, strategies and planning related to HRH for effective and quality healthcare services in Nepal.
authors.affiliation: Society for Local Integrated Development Nepal (SOLID Nepal).
authors.forename: K B
authors.initials: KB
authors.lastname: Karki
authors.affiliation: Society for Local Integrated Development Nepal (SOLID Nepal).
authors.forename: R
authors.initials: R
authors.lastname: Prajapati
authors.affiliation: Society for Local Integrated Development Nepal (SOLID Nepal).
authors.forename: B
authors.initials: B
authors.lastname: Baral
mesh_terms: D000328:Adult; D019058:Community Networks; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D006280:Health Workforce; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D017149:Private Sector; D036301:Qualitative Research; D012380:Role; D011795:Surveys and Questionnaires; D014944:World Health Organization