Latest Resources

Challenge and Change: Integrating the Challenge of Gender Norms and Sexuality in a Maternal Health Program

This report documents some of the processes undertaken to integrate gender and sexuality factors into a maternal health project in Uttar Pradesh, India from 2007-2009. [from foreword]

Meeting Challenges, Seeding Change: Integrating Gender and Sexuality into Maternal and Newborn Health Programming through the Inner Spaces, Outer Faces Initiative (ISOFI)

This document reviews the ISOFI program. The iterative steps of this system focus on building staff and organisational capacity to critically analyse the social construction of gender and explore how gender influences personal values and beliefs and programmatic designs and choices. In turn, through the analysis-reflection-action cycle of the ISOFI Innovation System, staff can help community health providers and other stakeholders to analyse gender issues, reflect on local barriers and opportunities, and make implementation plans to catalyze change. [from author]

Assessment of the Health Management Information Systems in Select Areas of Aceh Province

This assessment evaluates a health service mangement systems project undertaken in the Aceh province after the 2004 earthquakea and tsunami. The project implemented information systems for hospitals and primary care, and this evaluation details the lessons learned and challenges from health workers as well as the short term impact the systems have had on health service delivery processes.

Nurse Led, Primary Care Based Antiretroviral Treatment Versus Hospital Care: a Controlled Prospective Study in Swaziland

Antiretroviral treatment services delivered in hospital settings in Africa increasingly lack capacity to meet demand and are difficult to access by patients. This article evaluates the effectiveness of nurse-led primary care based antiretroviral treatment by comparison with usual hospital care in a typical rural sub Saharan African setting. [from abstract]

Field Epidemiology Training Programmes in Africa: Where Are the Graduates?

There is currently limited published evidence of health-related training programmes in Africa that have produced graduates, who remain and work in their countries after graduation. However, anecdotal evidence suggests that the majority of graduates of field epidemiology training programmes in Africa stay on to work in their home countries, many as valuable resources to overstretched health systems. [from abstract]

Systematic Review of Economic Analyses of Telehealth Services Using Real Time Video Communication

Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication – rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. [from abstract]

Packages of Interventions for Family Planning, Safe Abortion Care, Maternal, Newborn and Child Health

This document describes the key effective interventions organized in packages across the continuum of care through pre-pregnancy, pregnancy, childbirth, postpartum, newborn care and care of the child. The packages are defined for community and/or facility levels in developing countries and provide guidance on the essential components needed to assure adequacy and quality of care. [from publisher]

Skilled Birth Attendants

This factsheet discusses the roles, resposibilities and impact on maternal mortality of skilled birth attendants.

Models and Tools for Health Workforce Planning and Projections

The objective of this paper is to take stock of the available methods and tools for health workforce planning and projections, and to describe the processes and resources needed to undertake such an exercise. [from introduction]

Costing the Scaling-Up of Human Resources for Health: Lessons from Mozambique and Guinea Bissau

This paper reports on two separate experiences of human resources development plans costing in Mozambique and Guinea Bissau to provide insight into the practice of costing exercises in information-poor settings and contribute to the existing debate on HRH costing methodologies. [adapted from abstract]

Retraining Due to Illness and Its Implications in Nursing Mangement

The objective of this qualitative study was to understand how nursing professionals coped with job retraining in a public hospital after an illness. [adapted from abstract]

Healthcare Professionals' Intentions to Use Clinical Guidelines: a Survey Using the Theory of Planned Behaviour

This study evaluated which factors affect health professionals’ intentions to use clinical guidelines generally in their decision-making on patient care. [adapted from abstract]

Meeting Human Resources for Health Staffing Goals by 2018: a Quatitatvie Analysis of Policy Options in Zambia

The MOH has developed a human resources for health strategic plan to address the health workforce crisis through improved training, hiring, and retention. This study used a model to forecast the size of the public sector health workforce in Zambia over the next ten years to identify a combination of interventions that would expand the workforce to meet staffing targets. [adapted from abstract]

Impact Evaluation of a Young Medical Volunteers Project for Vietnam Rural Mountain

This study evaluates the health impacts of a volunteer intervention addressing health worker shortage in remote mountainous communities of Vietnam. [from abstract]

Network-Based Social Capital and Capacity-Building Programs: an Example from Ethiopia

This study assessed the social networks in a Master of Hospital and Healthcare Administration program. The authors’ conclusions suggest that intentional social network development may be an important opportunity for capacity-building programs as healthcare systems improve their ability to manage resources and tackle emerging problems. [adapted from introduction]

Nurse Versus Doctor Mangement of HIV-Infected Patients Receiving Antiretroviral Therapy (CUORA-SA): a Randomised Non-Inferiority Trial

Expanded access to combination antiretroviral therapy (ART) in resource-poor settings is dependent on task shifting from doctors to other health-care providers. We compared outcomes of nurse versus doctor management of ART care for HIV-infected patients. [from summary]

Are Village Doctors in Bangladesh a Curse or a Blessing?

This paper investigates the role of various healthcare providers in provision of health services in a remote rural area in Bangladesh. [from abstract]

Finding Affordable Health Workforce Targets in Low-Income Nations

The World Health Organization has suggested a minimum target for all countries: 2.3 health professionals per 1,000 people. Many countries cannot afford to meet the target; in fact, funding the proposed number of health workers would require some countries to devote 50 percent of their gross domestic product to health. We offer an alternative solution that would allow governments to set targets that are realistic and achievable within their financial constraints. [from abstract]

Motivational Determinants among Physicians in Lahore, Pakistan

This study aimed to identify the determinants of job motivation among physicians, a neglected perspective, especially in developing countries. [from abstract]

Use of RDTs to Improve Malaria Diagnosis and Fever Case Management at Primary Health Care Facilities in Uganda

This study evaluated the effect of malaria rapid diagnostic tests on health workers anti-malarial drug prescriptions among outpatients at low level health care facilities within different malaria epidemiological settings in Uganda. [from abstract]

Scaling Up Integration: Development and Results of a Participatory Assessment of HIV/TB Services, South Africa

In South Africa the need to integrate HIV, TB and STI programmes has been recognised at a policy and organisation level; the challenge is now one of translating policies into relevant actions and monitoring implementation to ensure that the anticipated benefits of integration are achieved. This research set out to determine how middle level managers could be empowered to monitor the implementation of an effective, integrated HIV/TB/STI service. [from abstract]

Community Acceptability of Use of Rapid Diagnostic Tests for Malaria by Community Health Workers in Uganda

This study assessed community acceptability of the use of rapid diagnostic tests by Ugandan community health workers, locally referred to as community medicine distributors. [from abstract]

Innovative Health Service Delivery Models in Low and Middle Income Countries: What Can We Learn from the Private Sector?

A subset of private health organizations, some called social enterprises, have developed novel approaches to increase the availability, affordability and quality of health care services to the poor through innovative health service delivery models. This study aims to characterize these models and identify areas of innovation that have led to effective provision of care for the poor. [from abstract]

Not All Coping Strategies are Created Equal: a Mixed Methods Study Exploring Physicians' Self Reported Coping Strategies

The primary goal of this paper is to use interview data to explore physicians’ self reported coping strategies. In addition, questionnaire data is utilized to explore the degree to which the coping strategies are used and are associated with feelings of emotional exhaustion, a key symptom of burnout. [from abstract]

Effectiveness of a Clinically Relevant Educational Program for Improving Medical Communication and Clinical Skills of International Medical Graduates

The purpose of this study was to assess the efficacy of a clinically relevant educational program to enhance the language proficiency and professionalism of international medical graduates in a Canadian context. [adapted from introduction]