Latest Resources

Worldwide Shortage of Healthcare Workers Increasing

The Global Health Workforce Alliance says there is an acute shortage of health workers around the world which is affecting the quality of care, especially in developing countries and warns that without prompt action the shortage will worsen. This video reviews the issue. [adapted from author]

Managing Health Worker Migration

Created by the Commonwealth Secretariat, this short film intertwines footage of health workers around the world and interviews taken from the September 2008 Council meeting in London, which was co-hosted by the Commonwealth Secretariat, to illustrate the work of the Council and others to manage the migration of health workers. [from author]

Mbagathi Hospital Health Workers

The critical shortage of qualified health professionals, especially in the developing world, leaves patients without access to care for even the most basic health issues. In this video, created by the Health Rights Advocacy Forum (HERAF) and PHR, health workers at Mbagathi District Hospital in Kenya talk about how they rise to the challenges they face every day. [from author]

Systematic Review of Task Shifting for HIV Treatment and Care in Africa

This systematic literature review covers the state of the evidence on task shifting, or delegating tasks performed by physicians to staff with lower-level qualifications, which is considered a means of expanding rollout of antiretroviral therapy in resource-poor or HRH-limited settings. [adapted from abstract]

Framework for Action on Interprofessional Education and Collaborative Practice

At a time when the world is facing a shortage of health workers, policymakers are looking for innovative strategies that can help them develop policy and programmes to bolster the global health workforce. This document highlights the current status of interprofessional collaboration around the world, identifies the mechanisms that shape successful collaborative teamwork and outlines a series of action items that policymakers can apply within their local health system.

Community Pharmacy Practice in India: Past, Present and Future

Today, community pharmacists play an important role in any country as they take responsibility for patient’s medicine related needs for access to healthcare. This article seeks to discuss the genesis of Indian community pharmacy, the majority of which are privately owned, and sketches its education, training and future prospects. [from abstract]

Computer-Assisted Resilience Training to Prepare Healthcare Workers for Pandemic Influenza: a Randomized Trial of the Optimal Dose of Training

Working in a hospital during an extraordinary infectious disease outbreak can cause significant stress and contribute to healthcare workers choosing to reduce patient contact. Psychological training of healthcare workers prior to an influenza pandemic may reduce stress-related absenteeism, however, established training methods that change behavior and attitudes are too resource-intensive for widespread use.

High ANC Coverage and Low Skilled Attendance in a Rural Tanzanian District: a Case for Implementing a Birth Plan Intervention

This study contends that increasing coverage of skilled delivery care and achieving the full implementation of Tanzania’s Focused Antenatal Care Package in Ngorongoro depends upon improved training and monitoring of health care providers, and greater family participation in antenatal care visits. [adapted from abstract]

Using Standardized Patients to Assess Communication Skills in Medical and Nursing Students

A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS). Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS. This study was designed to test the content, process and acceptability of a screening programme in CCS with Irish medical and nursing students. [adapted from abstract]

Building Capacity in Health Facility Management: Guiding Principles for Skills Transfer in Liberia

This article describes a health management delivery program in which north and south institutions collaborated to integrate classroom and field-based training in health management and to transfer the capacity for sustaining management development in Liberia. [adapted from abstract]

Evidence Based Guidelines or Collectively Constructed Mindlines? Ethnographic Study of Knowledge Management in Primary Care

The objective of this study was to explore in depth how primary care clinicians (general practitioners and practice nurses) derive their individual and collective healthcare decisions through an ethnographic study using standard methods (non-participant observation, semistructured interviews, and documentary review) over two years. [adapted from author]

Lay Health Workers in Primary and Community Health Care: a Systematic Review of Trials

Increasing interest has been shown in the use of lay health workers (LHWs) for the delivery of a wide range of maternal and child health (MCH) services in low and middle income countries. However, robust evidence of the effects of LHW interventions in improving MCH delivery is limited. The objective of this document is to review evidence from randomized controlled trials on the effects of LHW interventions in improving MCH and addressing key high burden diseases. [adapted from abstract]

Midwifery Tutors' Capacity and Willingness to Teach Contraception, Post-Abortion Care, and Legal Pregnancy Termination in Ghana

Gaps in the midwifery tutors’ knowledge on comprehensive abortion care (CAC) have resulted in most midwives in Ghana not knowing the legal indications under which safe abortion care can be provided, and lacking the skills and competencies for CAC services. The aim of this study is to assess the capacity and willingness of midwifery tutors to teach contraception, post abortion care and legal termination in Ghana. [from abstract]

Aggression and Violence Against Health Care Workers in Germany: a Cross Sectional Retrospective Survey

The aim of this study was to examine the frequency and consequences of aggressive behaviour towards nurses and health care workers in different health sectors in Germany and to assess the need for preventive measures. [from abstract]

Hepatitis B and Liver Cancer Knowledge and Practices among Healthcare and Public Health Professionals in China: a Cross-Sectional Study

Chronic hepatitis B virus (HBV) infection is the leading cause of liver disease and liver cancer and a major source of health-related discrimination in China. To better target HBV detection and prevention programs, it is necessary to assess existing HBV knowledge, educational resources, reporting, and preventive practices, particularly among those health professionals who would be responsible for implementing such programs. [from abstract]

Planejamento de recursos humanos de enfermagem: desafio para as lideranças

Propõe-se um ensaio das questões que envolvem o planejamento de recursos humanos de enfermagem na área hospitalar em nossa realidade, abordando possíveis temas para futuras pesquisas. Traça-se uma retrospectiva da evolução das pesquisas sobre dimensionamento de pessoal no país e a incorporação de novos instrumentos para avaliação da carga de trabalho com base no grau de dependência dos pacientes e nas ações de cuidado.

Rejection of an Innovation: Health Information Management Training Materials in East Africa

This paper reports on a research study to investigate the introduction of new information management strategies intended to promote an informational approach to management at the operational health service level in low-income countries. It aims to understand the process taking place when externally developed training materials, which are intended to strengthen health management information systems, are introduced to potential users in an east African country. [from author]

Course of Specialization in Public Health in Rio de Janeiro, Brazil from 1926 to 2006: Lessons and Challenges

In this article we analyse Brazil’s 80 year old public health course via its history, disciplines, organization and characteristics of the student body in order to gain an insight into the development of public health in Brazil and to highlight the progress of education for professionals in this field. [adapted from author]

Paying Primary Health Care Centers for Performance in Rwanda

Paying for performance (P4P) provides financial incentives for providers to increase the use and quality of care. This paper evaluates the impact of P4P on the use and quality of prenatal, institutional delivery, and child preventive care using data produced from a prospective quasi-experimental evaluation nested into the national rollout of P4P in Rwanda. [from abstract]

Utilization of HIV-Related Services from the Private Health Sector: A Multi-Country Analysis

This study uses data from the Demographic and Health Surveys and AIDS Indicators Surveys from 12 countries in Africa, Asia, and Latin America and the Caribbean to explore use of HIV testing and sexually transimitted infections care from the private for-profit sector, and its association with household wealth status. [adapted from abstract]

Key Determinants of Migration among Health Professionals in Ghana

The focus of this study is to assess the level of migration expectation among health care professionals and to determine some of the factors which have pushed - and are likely to continue to push - them to seek employment outside Ghana. [from introduction]

Medicine in Australia: Balancing Employement and Life (MABEL) Longitudinal Survey: Protocol and Baseline Data for a Prospective Cohort Study of Australian Doctors' Workforce Participation

While there is considerable research on medical workforce supply trends, there is little research examining the determinants of labour supply decisions for the medical workforce. The MABEL study investigates workforce participation patterns and their determinants using a longitudinal survey of Australian doctors. It aims to generate evidence to support developing effective policy responses to workforce issues such as shortages and maldistribution. This paper describes the study protocol and baseline cohort, including an analysis of response rates and response bias. [from abstract]

Primary Health Care Supervision in Developing Countries

The objectives of this article were summarise opinion about what supervision of primary health care is by those advocating it; compare these features with reports describing supervision in practice; and to appraise the evidence of the effects of sector performance. [adapted from summary]

Strategy to Improve Skills in Pharmaceutical Supply Management in East Africa: the Regional Technical Resource Collaboration for Pharmaceutical Management

This article evaluates a training initiative that has been established to help address the problem of skills shortage in pharmaceutical management in East Africa. [adapted from abstract]

Challenges Facing the Tanzanian Health Workforce in the Era of HIV/AIDS

The need for documenting how the AIDS epidemic is affecting the health care personnel has long been recognized. In the specific case of Tanzania which already has a Health Sector HIV/AIDS Strategy it is imperative to have information on how the health system and the health personnel who are expected to spearhead the implementation of that strategy are being affected. This can guide preventive and remedial measures to ensure that the capacity of the system and its personnel for the effective implementation of the Strategy is not unduly compromised. [from author]