Mexico

The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. [from abstract]

The main objective of this study was to assess evidence-based medicine learning (knowledge, attitudes and self-reported skills) in undergraduate medical students with a randomized controlled trial. [from abstract]

This study compares and contrasts two provider types - obstetric nurses and professional midwives - with the medical model, analyzing perspectives on their respective training, scope of practice, and also their perception and experiences with integration into the public system as skilled birth attendants. [from abstract]

With the aim of arriving at a better understanding of specific dimensions of health workforce inequalities in their national contexts, three case studies are presented from Ethiopia, Brazil and Mexico. [from introduction]

The objective of this paper is to assess the impact of Oportunidades (Human Development Program)on skilled attendance at delivery in rural areas through the application of a variety of evaluation techniques, taking advantage of the experimental design implemented for the evaluation of this program in rural areas. [from introduction]

This paper describes and analyses the perceptions and opinions of managers and workers about the benefits and challenges of the contracting model for health services to private providers that has been in place for almost 10 years in Mexico. [adapted from abstract]

The Commercial Market Strategies project (CMS) developed a network of youth-friendly pharmacies to provide reproductive health information and contraceptives to youth in Guanajuato, Mexico. The network involved the commercial sector in providing reproductive health and family planning services, as well as respecting youths’
privacy and reducing their potential embarrassment when obtaining those services. [from abstract]

A study was undertaken in Mexico, Colombia, and El Salvador to determine the impact of a management training program on health managers’ job performance. Factors associated with a successful training outcome were training techniques, strengthening of enabling factors, and reinforcement mechanisms. [adapted from abstract]

In this setting, physicians were already making site visits to clinics to monitor technical standards of care. An intervention was designed to reinforce doctors’ interpersonal communication (IPC) training. Under the intervention, doctors received IPC job aids, self-assessment forms, and tape recorders. They taped themselves during consultations and assessed their skills from the recordings, using the forms and in consultation with their supervisors. The self-assessment form and the supervisor assessment form were modified to be reproduced in this report. [publisher’s description]

This cross-sectional study was carried out in four states that were selected according to geopolitical and administrative criteria to identify the effects of decentralization on health financing and governance policies in Mexico from the perspective of users and providers. The report discusses the effect of decentralization on health service providers and community involvement. Data collection was performed using in-depth interviews with health system key personnel and community leaders, consensus techniques and document analyses. [adapted from author]

This study investigated the uses of demographic census data for monitoring geographical imbalance in the health workforce for three developing countries, as a basis for formulation of evidence-based health policy options. [from abstract]

This review examines the systemic and individual causes of multiple job holding (MJH) and evidence on its prevalence. MJH should be seen as resulting initially from underlying system-related causes. These include overly ambitious efforts by governments to develop and staff extensive delivery systems with insufficient resources. Governments have tried to use a combination of low wages, incentives, exhortations to public service, and regulation to develop these systems.

This paper addresses the problem of wastage of the qualified labor force, which takes place both during the education process and when trained personnel try to find jobs in the local market. Reducing wastage at both the educational and labor levels should improve the capacity of social investment, thereby increasing the capacity of the health system as a whole to provide services, particularly to those populations who are most in need. [from abstract]