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Influence of Provider Training on Quality of Emergency Obstetric Care in Kenya

Empirical investigations of health worker training in Kenya have been limited to mappings of health service providers in terms of cadre and distribution and assessments of the training needs for various skills. However, there has not been a comprehensive study of the influence of training on the provision of quality Emergency Obstetric Care (EmOC). We seek to fill this gap by assessing the link between health provider training and practice with regard to the provision of EmOC. [from author]

Essential Trauma Management Training: Addressing Service Delivery Needs in Active Conflict Zones in Eastern Myanmar

The Trauma Management Program (TMP) was developed to improve the capacity of local health workers to deliver effective trauma care. This report illustrates a method to increase the capacity of indigenous health workers to manage traumatic injuries. These health workers are able to provide trauma care for otherwise inaccessible populations in remote and conflicted regions. The principles learnt during the implementation of the TMP might be applied in similar settings. [from introduction]

Blind Optimism: Challenging the Myths about Private Health Care in Poor Countries

A growing number of international donors are promoting an expansion of private-sector health-care delivery to achieve universal and equitable access. But this paper shows there is an urgent need to reassess the arguments used in favour of scaling-up private-sector provision in poor countries. The evidence shows that prioritising this approach is extremely unlikely to deliver health for poor people. [adapted from author]

Will They Just Pack Up and Leave? Attitudes and Intended Behavior of Hospital Health Care Workers During an Influenza Pandemic

There is a general consensus that another influenza pandemic is inevitable. Although health care workers (HCWs) are essential to the health system response, there are few studies exploring HCW attitudes to pandemic influenza. The aim of this study was to explore HCWs knowledge, attitudes and intended behaviour towards pandemic influenza. [from abstract]

Mid-Level Providers in Emergency Obstetric and Newborn Health Care: Factors Affecting their Performance and Retention within the Malawian Health System

Mid-level cadres of health workers provide the bulk of emergency obstetric and neonatal care in Malawi. This study set out to explore the perceptions of mid-level providers regarding the factors affecting their performance and retention within the Malawian health system. [adapted from author]

Kenya: Assessment of Health Workforce Competency and Facility Readiness to Provide Quality Maternal Health Services

The study had three objectives: to determine the current competency levels of the workforce attending women during labor, delivery, and the early postpartum period; examine conditions at the workplace to determine environmental and organizational factors that affect workforce productivity and performance; and assess implications for regional training and performance improvement at the workplace. [from author]

Private-for-Profit HIV/AIDS Care in Uganda: an Assessment

The goal of the assessment was to review the quality of HIV care, antiretroviral treatment and tuberculosis services provided in private-for-profits in Uganda in order to generate appropriate recommendations and inform the development of a strategy to improve the quality of those services. [from author]

Factors Affecting Performance of Professional Nurses in Namibia

This study explores the factors that affect performance of nurses in Namibia with the aim of providing a management framework for improving the performance of professional nurses. [from author]

Antiretroviral Treatment and the Health Workforce in South Africa: How Have ART Workers Been Affected by Scaling Up?

The objective of this study was to investigate the effect of scaling up antiretroviral treatment (ART) on the working environment and motivation of health workers in South Africa; and to suggest strategies to minimize negative effects and maximise positive effects. [from summary]

Modern Supervision in Action: a Practical Guide for Midwives

The aims of this publication are to encourage midwives and student midwives to make the most of supervision by working in partnership with their supervisor; provide clear information about the supervisory process and the interface between supervision and midwifery practice; and inform midwives and student midwives about the changing role of the supervisor of midwives. [from introduction]

Reducing HIV Stigma and Gender Based Violence: Toolkit for Health Care Providers in India

The toolkit is a collection of participatory educational exercises for educating health care providers on the issues of stigma and gender-based violence. It was developed for and with health care providers in Andhra Pradesh, India. The goal is to facilitate open discussion on HIV stigma and gender violence, and on what health workers can do to promote a change in attitude and practice. [from publisher]

What Impact Do Global Health Initiatives Have on Human Resources for Antiretroviral Treatment Roll-Out? A Qualitative Policy Analysis of Implementation Processes in Zambia

Zambia, like many of the countries heavily affected by HIV and AIDS in southern Africa, also faces a shortage of human resources for health. The country receives significant amounts of funding from GHIs for the large-scale provision of antiretroviral treatment through the public and private sector. This paper examines the impact of GHIs on human resources for ART roll-out in Zambia, at national level, in one province and two districts. [from abstract]

Current Status of Human Resources and Training in Hospital Pharmacy

The lack of adequate national pharmacy work-force plans and the reluctance of health authorities to develop these and resource their implementation, particularly for services beyond supply chain management, may be due to the scarcity or lack of an appropriate human resource information system and evidence base. Compared with other health professions, pharmacy is severely lagging in developing an evidence base related to its education and work-force development.

Specialist Training in Fiji: Why do Graduates Migrate, and Why do They Remain? A Qualitative Study

Losses of graduates from the Fiji School of Medicine to overseas migration and to the local private sector prompted exploration of the reasons for these losses from the Fiji public workforce. This study provides some support for the view that local or regional postgraduate training may increase retention of doctors. Attention to career pathways and other sources of frustration, in addition to encouragement to complete training, should increase the likelihood of such programs reaching their full potentials. [adapted from abstract]

Community Health Workers: Ethiopia

This document provides resources on Ethiopia’s experiences with community health worker programs. [from abstract]

Physician Supply Forecast: Better than Peering in a Crystal Ball?

Anticipating physician supply to tackle future health challenges is a crucial but complex task for policy planners. While there are number of forecasting tools available the methods, advantages and shortcomings of such tools are not straightforward and not always well appraised. This paper attempts to present a typology of existing forecasting approaches and to analyze the methodology-related issues. [adapted from abstract]

Effectiveness of a Training-of-Trainers Model in a HIV Counseling and Testing Program in the Caribbean Region

This study evaluates the effectiveness and sustainability of a voluntary counseling and testing training program based on a training-of-trainers model. [adapted from abstract]

Community Characteristics that Attract Physicians in Japan: a Cross-Sectional Analysis of Community Demographic and Economic Factors

Population size is often correlated with the number of physicians in a community, and is conventionally considered to represent the power of communities to attract physicians. However, associations between other demographic/economic variables and the number of physicians in a community have not been fully evaluated. This study seeks other parameters that correlate with the physician population and show which characteristics of a community determine its attractiveness to physicians. [adapted from abstract]

Changing Nature of Nursing Work in Rural and Small Community Hospitals

This study investigates the influence of demographic characteristics, provincial policies, organizational changes and emerging practice challenges on the rural–urban segments of the Canadian nursing workforce in order to describe the nature of nursing work from the perspective of rural nurse executives and frontline nurses. [adapted from introduction]

Health Worker Salaries and Benefits: Lessons from Bolivia, Peru and Chile

The most common problems related to Health Workers Salaries and Benefits (HWSB) in Bolivia, Peru and Chile are shortage of health workers, disparity of skills, poor distribution of health workers, inadequate working environments and low knowledge about the characteristic of HWSB. This report collects data about these countries, showing that the wages of doctors during the last fifteen years have generally had to increase more than the wages of other workers. [adapted from executive summary]

Brain Drain and Health Professionals: a Global Problem Needs Global Solutions

Migration of medical professionals from developing countries has become a major concern. This brain drain worsens the already depleted healthcare resources in poor countries and widens the gap in health inequities worldwide. This article makes recommendations regarding the collaboration of international organizations to protect the value of this intellectual property. [adapted from article]

Loss of Health Professionals from Sub-Saharan Africa

The already inadequate health systems of sub-Saharan Africa have been badly damaged by the emigration of their health professionals. This article suggests some practical measures to address the situation. [adapted from summary]

Trends in International Nurse Migration

Predicted shortages and recruitment targets for nurses in developed countries threaten to deplete nurse supply and undermine global health initiatives in developing countries. This article supports a twofold approach involving greater diligence by developing countries in creating a largely sustainable domestic nurse workforce, and their greater investment through international aid in building nursing education capacity in the less developed countries that provide nurses. [adapted from abstract]

How Nurses in Cape Town Clinics Experience the HIV Epidemic

Nurses and managers interviewed in Cape Town primary care facilities share their insights, experiences and how they cope with the impact of the HIV/AIDS epidemic. [from introduction]

Fate and Career Destinations of Doctors who Qualified at Uganda’s Makerere Medical School in 1984: Retrospective Cohort Study

The author presents a report on the career paths taken by graduates of Makerere Medical School in Uganda.

What Impact do Global Health Initiatives Have on Human Resources for Antiretroviral Treatment Roll-Out? A Qualitative Policy Analysis of Implementation Processes in Zambia

This paper examines the impact of Global Health Initiatives on human resources for antiretroviral treatment roll-out in Zambia at a national level, in one province and two districts. [adapted from abstract]

Assessment of the Multidisciplinary Education for a Major Change in Clinical Practice: a Prospective Cohort Study

This study documents and assesses the impact of a major educational and support program on a change in the health service provision of a neonatal intensive care unit. [adapted from abstract]

Patients Consulting Traditional Health Practitioners in the Context of HIV/AIDS in Urban Areas in Kwazulu-Natal, South Africa

This paper describes the results of a study to assess patients consulting full-time traditional health practitioners (THP) and the THPs' practices after they had been trained on HIV/Sexually Transmitted Infections prevention and care. [adapted from abstract]

Evaluation of a Safer Male Circumcision Training Program for Traditional Surgeons and Nurses in the Eastern Cape, South Africa

This paper describes the results of safer circumcision training designed to improve circumcision knowledge, attitude and practice which was successfully delivered to traditional surgeons and nurses in South Africa. [adapted from abstract]

Starting with the Classroom: Updating Family Planning Knowledge in East Africa

To build instructors’ capacity and address the knowledge gaps, the Capacity Project partnered with East, Central and Southern Africa Health Community and Africa’s Health in 2010 to deliver a week-long workshop on Contemporary Issues in Family Planning for midwifery tutors in Kenya, Tanzania and Uganda. [from author]