Latest Resources

Increasing Access to Reproductive Health Services Through Pharmacists

This issue of Outlook explores the role of pharmacists and non-pharmacist counter staff in primary health care, with a specific emphasis on reproductive health. It also presents programs that build the capacity of pharmacists to provide expanded services, thus improving access to quality reproductive health services. [author’s description]

Guidelines on Coping with Violence in the Workplace

The objectives of these guidelines are: to review the prevalence, incidence and impact of abuse and violence against nursing personnel, to recognise nurses’ responses to incidents of violence, to determine the major security factors acting on the workplace, and to present strategies that aim to confront and reduce/eliminate violence in the workplace. [adapted from introduction]

Career Moves and Migration: Critical Questions

This document highlights the potential advantages and perils of career moves and migration for nurses, describes some of the main nurse migration trends and establishes a list of critical questions as an ethical framework for nurse recruitment. [adapted from author]

Nurses and Overtime

Nurses are increasingly working overtime. Nurses’ overtime (mandatory or voluntary) has been used as a measure to reduce the impact of the critical shortage of nurses and/or the downsizing of nursing departments in both private and public health facilities. However, the increasing amount of overtime threatens nurses’ ability to provide safe and individualised care for patients. [author’s description]

Nurse: Patient Ratios

Healthcare systems worldwide are stressed by limited resources and increasing demands on their services. Nurses, as the largest group of healthcare professionals, have experienced significant changes in their work life and environment as systems have tried to meet these challenges. As workloads become more substantial and the number of nurses per patient diminishes, patients and healthcare workers across the globe are put increasingly at risk. [introduction]

Integrating Counseling and Testing into Family Planning Services: What Happens to the Quality of FP

This presentation details a program to implement and evaluate the feasibility, acceptability, effectiveness and cost of two models of integration of HIV prevention information, and routine offer of provider initiated counselling and testing for HIV into family planning (FP) services in 18 health facilities in North West Province, South Africa. [adapted from abstract]

Integrating FP Services in VCT and PMTCT Sites: the Experience of Pathfinder International-Ethiopia in the Amhara Region

To maximize program impact with current resources, integration of Family Planning into existing HIV/AIDS programs is a very cost effective and an excellent point of entry. This is a study of an intervention program focused on initiating and also strengthening existing integration of FP into functional VCT, ART and PMTCT sites. The intervention encompassed an orientation on integration benefits to heads of health facilities; identification of challenges of integration and drawing of plan of action on how to overcome the challenges and improve integration.

Refining Performance Improvement Tools and Methods: Lessons and Challenges

This article captures some of the knowledge gained through a growing body of field experience; in particular, it highlights a handful of tools and discusses existing challenges and opportunities for applying performance improvement methodologies in low-resource settings. [author’s description]

Future of Performance Improvement in International Health

By looking at the many projects completed and under way, we can speculate about what lies ahead for HPT (called simply performance improvement in our community) in the places we work. [The author] make some predictions for the future of performance improvement in developing country public health. [He] thinks performance improvement use will become ubiquitous, more flexible, more inclusive of other approaches, and more comprehensive in looking at performer support systems. [adapted from author]

Workplace Violence in the Health Sector Country Case Study: South Africa

The purpose of the study is to obtain information on the level of workplace violence in the health sector in South Africa. In particular this study examines the extent of workplace violence, factors that may contribute to violence and explore the most suitable strategies and appropriate policies to prevent and address violence in the workplace. [introduction]

Workplace Violence in the Health Sector: a Case Study in Thailand

This research report has been published to illustrate the situation of workplace violence in the health sector in Thailand as well as contributing factors to, the consequences, and management of that violence. [from preface]

Workplace Violence in the Health Sector: Portuguese Case Studies

These studies measure and characterize the problem of violence against health professionals in the workplace in selected settings in Portugal. They answer questions such as: Who are the most affected health professionals? What types of violence are most frequent? In what circumstances do episodes of violence happen? What are the institutional procedures? What are the consequences for the victims, the Institutions and the perpetrators? What is the positioning of the NHS managers, the professional councils the unions and the professional associations about this problem? [author’s description]

Violence Against Health Personnel in Some Health Care Units in Maputo City

This report results from a research project on violence against health care providers in selected health care units in Maputo city. The main objective of this work was to analyse the level of violence which existed in the hospitals of Maputo city, identifying the factors and forms of struggle or prevention of these events. [from introduction]

Workplace Violence in the Health Sector: Lebanon Country Case Study

This case study evaluates workplace violence in the health sector of Lebanon. Information for the study came from focus group discussions, in-depth interviews and a questionnaire.

Workplace Violence in the Health Sector Country Case Study: Bulgaria

This case study examines the problem of workplace violence in the health sector of Bulgaria through consulting, examination and content analysis of the information and research available as well as conducting 6 focus groups and a confidential sociological survey. [adapted from author]

Workplace Violence in the Health Sector Country Case Study: Brazil

The objective of the country case studies consists in showing country-specific evidence and practical solutions concerning workplace violence in the health sector. By summarising existing information and analysing newly obtained information the study aims to identify risk factors as well as best practices of anti-violence interventions in the given socio-cultural context. This work will serve as a basis for the formulation of guidelines for prevention and coping strategies targeting issues of workplace violence in the health sector. [author’s description]

Workplace Violence in the Health Sector: a Case Study in Australia

This research study gathered baseline information about occupational violence in the health care industry in Australia, to identify the contexts in which violence most commonly occurs, and to provide guidance on high-risk sites and commonly reported patterns of violent incidents. [adapted from author]

Guidelines on Workplace Violence in the Health Sector: Comparison of Major Known National Guidelines and Strategies: United Kingdom, Australia, Sweden, USA (OSHA and California)

The present study reviews and analyses major known national guidelines and strategies for prevention and management of workplace violence. The purpose is to get a detailed picture of strategies recommended, a better knowledge on existing guidance for employers and employees. Another objective is to obtain information on the implementation processes and the impact of the reviewed guidelines. Identification of good practices as well as gaps shall serve as a basis for lessons learnt for the development of future guidance materials.

Management of Workplace Violence Victims

This study aims to summarise information, research and practice relating to the management of workplace violence victims under a set outline. The objectives are to confirm the importance of victim management to minimise the consequences of workplace violence in the health sector; to present the range of measures being used to meet the needs of victims, management and policy-makers; and where possible, provide data suggesting effectiveness and sustainability of the various measures. [from introduction]

Relationship of Work Stress and Workplace Violence in the Health Sector

Based on extensive literature analysis, this study tackles, for the first time in an extensive way, the topical issues of stress and violence at work in the health sector. The study highlights the magnitude of the problem; the key-factors at stake; the way such factors inter-relate with each other; their impact on working conditions and employment; the cost to the individual, the enterprise and the community, and offers innovative approaches to cope in an effective way with such problems. [from summary]

Framework Guidelines for Addressing Workplace Violence in the Health Sector: the Training Manual

This training manual is a complement to the Framework Guidelines for Addressing Workplace Violence in the Health Sector. It is a practical, user-friendly tool that builds on the policy approach of the guidelines. Representatives of governments, employers and workers would be well served to use the manual in training situations, so as to encourage social dialogue among health sector stakeholders and develop, in consultation, approaches to address violence in the workplace. [adapted from introduction]

Workplace Violence in the Health Sector: State of the Art

This State of the Art paper explores the literature and issues associated with violence in the health sector. It draws on the expertise of leading international experts in the field of violence at work, getting them to focus on the health sector. We assess in this paper the scope, definition and global context of workplace violence, information and reporting of violence, existing evidence of the prevalence of violence, the origins of violence, the impact of violence, and prevention and interventions to minimize workplace violence in the health sector.

Framework Guidelines for Addressing Workplace Violence in the Health Sector

The objective of these guidelines is to provide general guidance in addressing workplace violence in the health sector. Far from being in any way prescriptive, the guidelines should be considered a basic reference tool for stimulating the autonomous development of similar instruments specifically targeted at and adapted to different cultures, situations and needs. The guidelines cover prevention, management and mitigation of the impact of workplace violence, care and support of workers affected and sustainability of initiatives. [adapted from author]

IUD Training Site Assessment for Key Social Marketing Project, Pakistan

This IUD assessment tool provides performance standards for IUD provision based on type of visit-new client or revisit. It may be used as part of a programmatic performance improvement initiative, by the site or individual providers to self-assess or by external evaluators to assess achievement of the standards. Often, performance standards are used to affect change at multiple sites. [author’s description]

Integrating Best Practices for Performance Improvement, Quality Improvement, and Participatory Learning and Action to Improve Health Services: Guidance for Program Staff

This guidance was developed to help staff of the ACQUIRE Project understand and explain to counterparts and field partners the improvement approaches and tools used by ACQUIRE. ACQUIRE brings together partners with proven, effective approaches to improving provider performance and the quality of services and to mobilizing communities to drive improvements in health care: performance improvement, quality improvement, and participatory learning and action.