Latest Resources

Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries – A Systematic Review

One potential solution to limited healthcare access in low and middle income countries (LMIC) is task-shifting- the training of non-physician healthcare workers (NPHWs) to perform tasks traditionally undertaken by physicians. The aim of this paper is to conduct a systematic review of studies involving task-shifting for the management of non-communicable disease (NCD) in LMIC. [from abstract]

Universal health coverage: The way forward

Universal health coverage (UHC) is the means to provide accessible and appropriate health services to all citizens without financial hardships. India, an emerging economy with demographic window of opportunity has been facing dual burden of diseases in midst of multiple transitions. Health situation in the country despite quantum improvements in recent past has enormous challenges with urban-rural and interstate differentials. Successful national programs exists, but lack ability to provide and sustain UHC.[from abstract]

Goal Setting and Knowledge Generation through Health Policy and Systems Research in Low- and Middle-Income Countries

The importance of health policy and systems research (HPSR) and its role in aiding health system reforms has been increasingly recognized in recent years within the World Health Organization (WHO). An assessment of the 71 WHO Country Cooperation Strategies (CCS) that are publicly available and were published in English in 2012 was completed to determine the extent to which HPSR goals are incorporated at the global level. A review was then conducted using a Medline database search to determine the number of articles published by countries with HPSR goals. [from abstract]

The Use of Special and Emergency Hiring Approaches in Health Systems

Special and emergency hiring programs entail the use of processes and mechanisms that are outside of the primary, nationally institutionalized human resource frameworks. Specifically, we sought to assess whether these approaches avert some of the challenges that undercut optimal deployment, long-term retention, and the rational assignment of transfers. Do efforts outside of the “regular” system bypass the P&T challenges of the “normal” system? Why? [from introduction]

Extending the Role of Pharmacists in Patient Care: Are Pharmacists in Developing Nations Ready to Change?

The main aim of this article is to reinforce the concept that there is a need to strengthen the basic pharmaceutical system in the Arab and African world before implementing any advanced clinical pharmacy or pharmaceutical care services to our communities. [from abstract]

Use of ICTs in Preventive Medicine

The focus of this study is to assess development in ICT use in preventive health care systems by examining relevant literature as well as innovations that can be brought in as dividends for desired performance of the medical personnel.[adapted from abstract]

Is There Any Role for Community Involvement in the Community-Based Health Planning and Services Skilled Delivery Program in Rural Ghana?

This paper presents findings from a study designed to assess the extent to which community residents and leaders participated in the skilled delivery program and the specific roles they played in its implementation and effectiveness. [from abstract]

Where There is No Psychiatrist: A Mental Health Programme in Sierra Leone

The identification and treatment of mental disorders must be considered an urgent public health priority in low- and middle-income countries. Trained primary health workers can deliver safe and effective treatment for mental disorders as a feasible alternative to ease the scarcity of mental health specialists in developing countries. [from abstract]

The Ottawa Hospital and Ottawa Inner City Health: The Population Health Approach in Action

What does the population health approach in action look like in the health care context? This study looks at applying a population health approach in a health care setting. The study articulates the merits of applying a population health approach and brings to light associated barriers and opportunities. It also features patient- and program-level perspectives and population health insights from senior health care leaders at The Ottawa Hospital who were instrumental in establishing OICH.[from introduction]

Exploring Accountable Care in Canada: Integrating Financial and Quality Incentives for Physicians and Hospitals

[Accountable Care Organ] ACOs are promising vehicles for aligning physician and hospital interests in improving quality and reducing cost. However, successful implementation and realization of the ACO mission requires that attention be paid to supporting capacity building within the ACOs, development of a culture of learning and improvement, as well as rigorous monitoring and evaluation. [from executive summary]

Intimate Partner Violence: How Should Health Systems Respond?

IPV is important to health systems because of the wide-ranging and serious health effects experienced by exposed women, as well as the unique opportunity afforded to healthcare providers to enquire about violence. [from introduction]

Burkina Faso Country Profile: Meeting People's Needs with IA/PMs

Burkina Faso faces a daunting family planning (FP) challenge. While the use of any modern contraceptive method
more than tripled between 1993 and 2006, the unmet need for FP remains high, at 31.1% among married women. Long-acting methods (IUDs and implants)and permanent methods (female sterilization and vasectomy) are the most effective
of all FP methods. However, use of long-acting and permanent methods of contraception (LA/PMs) in Burkina Faso remains
low, at 13% of the overall method mix. [adapted from source]

Pregnancy Tests Increase Contraceptive Clients among Health Workers: Evidence from a Randomized Controlled Trial in Madagascar

One challenge that community health workers face when they provide hormonal contraceptives to new clients is ruling out pregnancy. A randomized controlled trial in Madagascar found that offering the health workers pregnancy tests to distribute for free increases their number of new contraceptive clients. [from introduction]

Factors Influencing Job Satisfaction and Its Relationship on Career Development Among Nursing Staff within a Public Hospital in South Africa

South Africa has a dual health system, namely, the public health sector that includes government health institutions, serving mostly the lower income population and the private health sector that serves those who can afford care from their own income. The public sector is responsible for 82 percent of the population and only accounts for 40 percent of the government health expenditure. The purpose of this study was to evaluate job satisfaction levels among nursing staff within a public hospital in Southern Gauteng. [adapted from abstract]

The Benefits and Caveats of International Nurse Migration

Migration has a significant impact on both the individual and national level. This article summarizes the factors that contribute to nurse migration form the perspective of the source and recipient countries. Additionally, the impacts and issues surrounding nurse migration were also analyzed. [from abstract]

The Effects of Health Worker Motivation and Job Satisfaction on Turnover Intention in Ghana: A Cross-Sectional Study

The study explored the effects of motivation and job satisfaction on turnover intention and how motivation and satisfaction can be improved by district health managers in order to increase retention of health workers. [from abstract]

Evaluating the Coverage and Cost of Community Health Worker Programs in Nampula Province in Mozambique

In 2012, Pathfinder conducted a study to explore whether CHWs who are intended to promote family planning as part of an integrated package of services do communicate with beneficiaries about family planning, and what actions women take based on these messages. The study also explored whether CHWs are reaching the poor, marginalized and vulnerable, and examined the costs of implementing the CHW component of the SCIP project. [from executive summary]

Comprehensive Reproductive Health and Family Planning Curriculum: Module 11: MVA for the Treatment of Incomplete Abortion

This training manual prepares health workers to counsel women who come to a facility for treatment of an incomplete or septic abortion and to assess and manage the complications of incomplete and septic abortions. It includes information on preparation of MVA equipment, infection prevention procedures, processing MVA equipment for reuse, pain control, the MVA procedure, management of complications of the MVA procedure, and the introduction of comprehensive PAC services in a clinical setting.

Adapting Continuing Medical Education for Post-Conflict Areas: Assessment in Nagorno Karabagh - A Qualitative Study

One of the major challenges in the current century is the increasing number of post-conflict states where infrastructures are debilitated. The dysfunctional health care systems in post-conflict settings are putting the lives of the populations in these zones at increased risk. [from abstract]

New Analysis Shows How the Private Sector Can Help Sustain HIV Responses

Recent analysis by the SHOPS project shows that the private health sector could help country governments sustain national HIV responses. SHOPS used national health accounts data to track how HIV funds flow through the health systems in Côte d’Ivoire, Kenya, Malawi, and Namibia, and identified ways that donors and the government can better work with the private health sector. [from introduction]

Islam and Family Planning: Changing Perceptions of Health Care Providers and Medical Faculty in Pakistan

Training health care providers and medical college faculty about the supportive nature of Islam toward
family planning principles addressed their misconceptions and enhanced their level of comfort in providing
family planning services and teaching the subject. [from synopsis]

Increasing Access to Family Planning in Ghana through Policy Change: Task-Sharing to Enable Auxiliary Nurses to Provide Contraceptive Implant Services

Health care is labor intensive and managers strive to identify a mix of staff that can safely deliver a range of services using available resources. In many developing countries,primary-level workers, auxiliary staff, and community health workers (CHWs) are being trained to assume roles and perform functions traditionally reserved for mid- or high-level cadres of health workers as a means of optimizing the number and capacity of available providers.

Building Health Literate Organizations: A Guidebook to Achieving Organizational Change

This guidebook is intended to complement the many excellent health literacy resources that already exist and are emerging every day, and to help organizations of any size use them to become health literate health care organizations. Health literate health care organizations “make it easier for people to navigate, understand, and use information and services to take care of their health. [from introductions]

Capacity Building of Institutions in the Health Sector: Review of Experiences in Uttar Pradesh, Uttarakhand and Jharkhand.

This report documents the efforts and contributions made by USAID through the Innovations in Family Planning Services (IFPS) Project towards capacity building and strengthening of public and private institutions in the health sector
in India. The report highlights the support rendered at the national level and in three Indian states: Uttar
Pradesh, Uttarakhand, and Jharkhand. [from introduction]

Context-specific, Evidence-Based Planning for Scale-Up of Family Planning Services to Increase Progress to MDG 5: Health Systems Research

Local health planners are in a prime position to devise feasible context-specific activities to overcome
constraints and increase met need for family planning to accelerate progress towards MDG 5. [from abstract]