Latest Resources

Reflections on the Training of Counsellors in Motivational Interviewing for Programmes for the Prevention of Mother to Child Transmission of HIV in Sub-Saharan Africa

Within the Southern African prevention of mother to child transmission (PMTCT) programmes, counsellors talk with pregnant mothers about a number of interrelated decisions and behaviour changes. Current counselling has been characterised as ineffective in eliciting behaviour change and as adopting a predominantly informational and directive approach. Motivational interviewing (MI) was chosen as a more appropriate approach to guide mothers in these difficult decisions, as it is designed for conversations about behaviour change. MI has not previously been attempted in this context. This paper reflects on how MI can be incorporated successfully into PMTCT counselling and what lessons can be learnt regarding how to conduct training with counsellors.

Factors Influencing the Development of Practical Skills of Interns Working in Regional Hospitals of the Western Cape Province of South Africa

Clinical skills and the ability to perform procedures is a vital part of general medicine. Teaching these skills to aspiring doctors is a complex task and it starts with a good theoretical preparation and some practical experience at university. On graduating from university, each doctor is faced with the task of transforming theoretical knowledge into the practical, procedural skills of a competent professional. This study aims to assess the perceptions of intern doctors working in regional hospitals in the Western Cape of their skills training both at undergraduate level and during the intern year.

Addressing the Health Workforce Crisis: a Toolkit for Health Professional Advocates

The purpose of this toolkit is to assist health professionals, health professional associations, and civil society organizations to develop advocacy strategies to address human resource and health financing issues in their countries. [from introduction]

Guiding Principles for National Health Workforce Strategies

These guidelines help answer what national health workforce plans should contain and how they should be developed to give them the best chance of significantly improving health outcomes and moving countries as rapidly as possible towards universal access to essential health interventions. The guidelines should serve as overarching principles that will promote the success of health workforce plans, while ensuring that they are consistent with human rights. [adapted from author]

Capacity Planning in Health Care: a Review of the International Experience

In this policy brief, we review approaches to capacity planning, a crucial component of health care governance. By concentrating on a diverse selection of countries, we aim to show a range of approaches to health care financing and organization, since both of these factors have an impact on approaches to capacity planning. [adapted from introduction]

Financial Incentives, Healthcare Providers and Quality Improvements: a Review of the Evidence

This study reviews the healthcare literature that examines the effect of financial incentives on the behaviour of healthcare organisations and individuals with respect to the quality of care they deliver to consumers. Its purpose is to provide guidance to policy-makers in government and decision-makers in the private sector in their efforts to improve quality of care through payment reforms. [adapted from summary]

Quality of Health Care Doesn’t Have to Cost a Lot

This fact sheet highlights approaches to improving quality of care that can be rapidly implemented, over months rather than years, without great cost. The author writes that better quality can improve health much quicker than other drivers of health, such as economic growth, educational advancement, or new technology. [adapted from introduction]

Counselling, Concordance and Communication: Innovative Education for Pharmacists

The aim of this booklet is to give pharmacy students and practitioners information about patient counseling, guidance for organizing a patient counseling event, how to develop courses about counseling, the role of community pharmacists in promoting patient counseling, and guidelines for continuous professional development in patient counseling and communication skills. [adapted from author]

Snapshot of the Australian Public Hospital Pharmacy Workforce in 2003

The first study of the Australian hospital pharmacy workforce (public and private hospitals) was undertaken in 2001. Data from this study provided a baseline and were used to estimate the future demand for hospital pharmacists. This article summarizes an update of this survey done in 2003. [adapted from author]

Unequal, Unfair, Ineffective and Inefficient: Gender Inequity in Health: Why It Exists and How We Can Change It

Taking action to improve gender equity in health and to address women’s rights to health is one of the most direct and potent ways to reduce health inequities and ensure effective use of health resources. This report discusses the gender aspects of health such as how the work that women do as providers of health care within families can be better supported so as to reduce their burdens and promote their own health. Section vii.1.2 (p. 82) discusses women as health care provides, section vii.2.1 (p. 87) focuses on how to improve access to health care from the provider side such as gender awareness in medical education.

Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace

The objective of this study was to examine how the physical environment, along with other factors such as culture and social support, impact the health and safety of the care team, effectiveness of the healthcare team in providing care and preventing medical errors, and patient and practitioner satisfaction with the experience of giving and receiving care. [adapted from abstract]

Within Our Grasp: Healthy Workplace Action Strategy for Success and Sustainability in Canada's Healthcare System

The health and well-being of the health workforce and the quality of the healthcare work environment has a profound impact on the effectiveness and efficiency of healthcare services. This resource identifies priority actions that are known to improve the workplace and that can be implemented quickly and efficiently. The actions focus on both system wide and organizational performance improvement on specific areas relating to quality work life. [from executive summary]

New Middle Level Health Workers Training in the Amhara Regional State of Ethiopia: Students' Perspective

Following health sector reform, Ethiopia started training new categories of health workers. This study addresses students’ perspectives regarding their training and career plans. This study suggests that the current training programs have serious inadequacies that need to be addressed. [from abstract]

Enhancing Communication Skills for Pediatric Visits Through Online Training Using Video Demonstrations

Training in communication skills for health professionals is important, but there are substantial barriers to individual in-person training for practicing clinicians. This study evaluated the feasibility and desirability of online training and sought suggestions for future courses. [adapted from abstract]

Intermittent Preventive Treatment of Malaria in Pregnancy: a New Delivery System and Its Effect on Maternal Health and Pregnancy Outcomes in Uganda

The objective of this study was to assess whether traditional birth attendants, drug-shop vendors, community reproductive-health workers, or adolescent peer mobilizers could administer intermittent preventive treatment (IPTp) for malaria with sulfadoxine-pyrimethamine to pregnant women. The study concludes that the use of the guideline with adequate training significantly improved correctness of malaria treatment with chloroquine at home. Adoption of this mode of intervention is recommended to improve compliance with drug use at home. The applicability for deploying artemisinin-based combination therapy at the community level needs to be investigated.

Assessment of a Treatment Guideline to Improve Home Management of Malaria in Children in Rural South-West Nigeria

Many Nigerian children with malaria are treated at home. Treatments are mostly incorrect, due to caregivers’ poor knowledge of appropriate and correct dose of drugs. A comparative study was carried out in two rural health districts in southwest Nigeria to determine the effectiveness of a guideline targeted at caregivers, in the treatment of febrile children using chloroquine. [from abstract]

Attitudes Toward and Experiences of Gender Issues Among Physician Teachers: a Survey Study Conducted at a University Teaching Hospital in Sweden

Gender issues are important to address during medical education, however research about the implementation of gender in medical curricula reports that there are obstacles. The aim of this study was to explore physician teachers’ attitudes to gender issues. [from abstract]

Training Programmes for Field Epidemiology

This article discusses the implementation of training programmes in field epidemiology as a strategy for improving the number and quality of health workers. [adapted from abstract]

Physicians and AIDS Care: Does Knowledge Influence Their Attitude and Comfort in Rendering Care?

The purpose of this study was to assess physicians’ knowledge, attitude and global comfort in caring for patients with AIDS (PWA), to determine the sociodemographic variables that could influence physicians and to identify any relationship between their knowledge, attitude and comfort. The study reinforced the need for an ongoing education focused on experiential learning and professional socialization in order to influence physicians’ attitude and enhance their feeling of comfort when caring for PWA. [adapted from abstract]

Cost Benefit Analysis of HIV Workplace Programmes in Zambia

This study attempted to answer the question, “What are the costs and benefits of workplace HIV and AIDS programmes in Zambia when viewed across several companies?” The net benefit of an HIV preventative programme is the costs avoided and reduced (the benefit) minus the costs of the programme itself. This analysis extended the usual definition to include costs and benefits of treatment and care. Six of the seven companies examined showed net benefits for their workplace programme. [from summary]

Knowledge About HIV/AIDS and Policy Knowledge in a South African State Hospital

This paper describes a study about HIV/AIDS knowledge in a South African hospital. The objective of this pilot study was to get insight into the knowledge about HIV/AIDS of medical staff (everybody involved in the hospital care of HIV/AIDS patients, but especially nurses and doctors), as well as their knowledge about and practical use of current hospital HIV/AIDS policy and counselling programmes in a South African state hospital. [adapted from author]

Planning, Developing and Supporting the Health Workforce: Human Resources for Health (HRH) Action Workshop

The Capacity Project helped to organize and facilitate a regional Human Resources for Health (HRH) Action Workshop in Accra, Ghana, September 23-28, 2007. Participants came together with the overall purpose of exchanging knowledge and best practices in planning, developing and supporting the health workforce in order to improve health workforce management capacity and strategic development at the country level.

Intervention Involving Traditional Birth Attendants and Perinatal and Maternal Mortality in Pakistan

This article describes an intervention for training traditional birth attendants and integrating them into an improved health care system, which was proven to be achievable and effective in reducing perinatal mortality. This model could result in large improvements in perinatal and maternal health in developing countries. [adapted from abstract]

Process and Effects of a Community Intervention on Malaria in Rural Burkina Faso: Randomized Controlled Trial

In the rural areas of sub-Saharan Africa, the majority of young children affected by malaria have no access to formal health services. Home treatment through mothers of febrile children supported by mother groups and local health workers has the potential to reduce malaria morbidity and mortality. [from author]

Cuba and Guatemala: Innovations in Physician Training

This article describes the experience of Guatemalan students at Cuba’s Latin American Medical School. The students’ education emphasizes health problems and diseases characterizing the epidemiological situation in their home country and in-depth courses in disaster management, as well as clinical experience in Guatemala. [adapted from author]