Good human resource management (HRM) is essential to retaining staff and maintaining a high overall level of performance within a health organization. Effective HRM is one of the key building blocks of a comprehensive HRH strategy. A responsive human resource management system can help ensure that staff know what they are supposed to do, get timely feedback, feel valued and respected, and have opportunities to learn and grow on the job. Fragmented, politicized human resource management systems and lack of human resource managers are two common barriers to effective HRM.