For the Sri Lankan health sector, the performance management definition is relatively recent. For almost two decades, Sri Lanka has been introducing health sector reforms. The reforms included implementing public sector results-oriented management and the decentralisation of health care workers' management from central to local governments. However, to propose strategies for improvement, this examination analysed the application of Public Health Midwives (PHM), performance management. The brief was a descriptive survey conducted in Sri Lanka and used quantitative review approach. Moreover, the review indicates that performance management is limited to the state health sector, while there have been deceptions in its application. In setting performance goals, there were inadequacies and performance management preparation were hardly performed. Although many Public Health Midwives (PHM) had job descriptions, both Public Health Midwives (PHM) and authorities were not identified and aware of the performance metrics and standards as per the WHO. Besides, the timetables for performance reviews have not always been followed. There were limited opportunities for career advancement, insufficient input on performance and inadequate mechanisms for compensation. Public Health Midwives (PHM) performance management is inadequately carried out in most of the district. A central component of efforts to enhance the results of the health sector is performance management. However, as Sri Lanka advances, the primary health system can provide vital health expertise in rural areas and maintain essential health workers at the grassroots level in remote parts of the country. The scheme has dramatically reduced the world's maternal and child mortality and helped fill the rural health vacuum. However, by allocating the appropriate amount of funds through state expansionary fiscal policy, it is possible to enhance the standard of training and number of a Public Health Midwife (PHM) to the nation's wellbeing.
Public health midwife (PHM), Performance management, Performance review, Performance measurement, Performance improvement, Expansionary fiscal policy
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