In the article, on the materials of the Communal state enterprise on the right of business «Aktogay central district hospital, the problems of staffing provision of healthcare sphere institutions of Pavlodar region are considered. The article gives the analysis of the current state of the problem and the ways of its solution, including mechanisms of state support and regulation.

The article is focused on the competency-based approach to the training of akims of rural districts on the basis of the best practice of Pavlodar center for retraining and advanced training of civil servants.

The article is focused on the professionalization of the civil servants’ activity and the role of the quality management of the advanced training and retraining of civil servants.

The article considers the analysis of the selection and promotion of personnel, ensuring the professionalism and transparency of the state apparatus. It is noted that the modern civil service, ensuring the execution of the powers of state authorities, is a complex, dynamic social system. Emphasis is placed on the fact that the professional development of government personnel should be carried out using a competency-based approach, which is declared as the most optimal way, the starting point of all personnel management work