Abstract
Poor human resource management and frequent changes in senior management has been associated with low levels of performance in the social sector in less developed countries. A study of administrative data on transfer and posting was conducted on the 54 top provincial offices in the government of Sindh Department of Health over the period of 24 years (1981-2004). There were 689 transfers/postings made in the 54 key offices studied over the 24 year time period. Almost half (48.9%) of these postings lasted no longer than 1 year. The offices affected highest were tertiary/district care hospitals (54 times) and district health offices (37 times) respectively. High rate of frequent transfers/postings documented in the study among high level public health care delivery system managers in Sindh, Pakistan. Human resource policy in government bureaucracies should be developed to stabilize professional positions and improve the performance of the health care delivery system.
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