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Physician Tracking in Sub-Saharan Africa: Current Initiatives and Opportunities

The objective of this study is to provide information on the current state of physician tracking systems in the region, highlighting emerging themes and innovative practices. [from abstract]

For More Than Love or Money: Attitudes of Student and In-Service Health Workers Towards Rural Service in India

In India, there is a constant tug of war in national policy on “Which health worker is needed in rural areas?” and “Who can, realistically, be got there?” In this article, we try to inform this debate by juxtaposing perspectives of three cadres involved in primary care in India—allopathic, ayurvedic and nursing—on rural service. We also identify key incentives for improved rural retention of these cadres. [adapted from abstract]

Twenty Years of Health System Reform in Brazil An Assessment of the Sistema Único de Saúde

It has been more than 20 years since the 1988 Constitution formally established the Brazilian Unified Health System (Sistema Único de Saúde, SUS), which established health as a fundamental right and duty of the state and started a process of fundamentally transforming Brazil’s health system. The report assesses whether the SUS reforms have transformed the health system as envisaged more than 20 years ago and whether the reforms have led to improved outcomes with regard to access to services, financial protection, and health status. [adapted from introduction]

WHO Education Guidelines 2013: Transforming and Scaling Up Health Professionals’ Education and Training

With this publication, WHO issues its first guidelines for Transforming and Scaling up Health Professionals’ Education and Training. The guidelines are expected to give rise to regional and country based policy and technical dialogues with key stakeholders in education, health, finance and labour, on how best to finance health professional training and prepare health professionals for the 21st century.[from foreword]

Mid-level Health Workers for Delivery of Essential Health Services A Global Systematic Review and Country Experiences

The objective of this analysis was to assess the effectiveness of care provided by mid-level health workers (MLHWs), a group of cadres who are trained for 2-5 years to acquire basic skills in diagnosing, managing common conditions, and preventing disease. MLHWs, provided we adopt the right approaches and define their role on the basis of sound evidence, can be part of the solution. [from summary]

The Human Resources for Health Program in Rwanda — A New Partnership

From 1989 through 1997, Rwanda had the lowest life expectancy of any country in the world. Workforce setbacks further plagued the country as many clinicians fled or were killed. During the last decade, however, Rwanda has rebuilt its health system and registered some of the steepest declines in premature mortality in recent history.[adapted from introduction]

Universal Truth: No Health Without a Workforce Third Global Forum on Human Resources for Health Report

This flagship report was commissioned by the Global Health Workforce Alliance Secretariat and the World Health Organization to consolidate the latest information available on human resources for health and provide recommendations to the global community on how to attain, sustain and accelerate progress on universal health coverage. [from summary]

Global Health Workforce Alliance Strategy 2013-2016: Advancing the Health Workforce Agenda Within Universal Health Coverage

The Global Health Workforce Alliance’s strategy for 2013-2016 includes commitments to train, deploy and retain at least an additional 2.6 million health workers, develop evidence-based quality HRH plans, build a new long-term vision for HRH, increase accountability for HRH results and compel HRH stakeholders to take proactive roles in support of national HRH development strategies. [adapted from preface]

The Effectiveness of a ‘Train the Trainer’ Model of Resuscitation Education for Rural Peripheral Hospital Doctors in Sri Lanka

Sri Lankan rural doctors based in isolated peripheral hospitals routinely resuscitate critically ill patients but have difficulty accessing training. We tested a train-the-trainer model that could be utilised in isolated rural hospitals. [from abstract]

Occupational Health and Safety Policy Guidelines for the Health Sector

The Ministry of Health/Ghana Health Service in collaboration with the World Health Organization (W.H.O.) country office commissioned the development of this policy and guidelines on occupational health and safety (OHS) of health workers in view of the tremendous risks posed to these workers in the process of rendering invaluable services to mankind. We wish to express our appreciation to the W.H.O. for supporting this effort. [from introduction]

Planning an Information Systems Project: A Toolkit for Public Health Managers

This toolkit can help public health managers to plan for the implementation of information and communications technology (ICT) in health information systems. It draws on lessons learned during project Optimize, a five-year partnership between the World Health Organization and PATH to help optimize the vaccine supply chain

Assessing the Relevance, Efficiency, and Sustainability of HIV/AIDS In-Service Training in Nigeria

Using the IST Improvement Framework, developed by the USAID Applying Sciences to Strengthen and Improve Systems Project (ASSIST), as a guide, the authors developed a survey tool to assess the efficiency, effectiveness and sustainability of IST provided between January 2007 and July 2012 by PEPFAR-funded implementing partners in Nigeria. [from abstract]

Rural Medical Education Guidebook

The Guidebook aims to be a useful resource amongst rural colleagues - to cross-fertilise experiences and build a stronger and more vibrant community of rural health care practitioners and medical educators. [adapted from preface]

Consultation on the Libyan Health Systems: Towards Patient-Centred Services

The extra demand imposed upon the Libyan health services during and after the Libyan revolution in 2011
led the ailing health systems to collapse. To start the planning process to re-engineer the health sector, a conference was held in Tripoli, Libya to facilitate a consultative process between 500 Libyan health experts in order to identify the problems within the Libyan health system and propose potential solutions. This article summarises the 500 health expert recommendations that seized the opportunity to map a modern health systems to take the Libyan health sector into the 21st century.

Human Resource Management Practices in a Medical Complex in the Eastern Cape, South Africa: Assessing Their Impact on the Retention of Doctors

To explore the key human resource (HR) practices affecting doctors in a medical complex in the Eastern Cape, South Africa. [from abstract]

Using Incentives to Attract Nurses to Remote Areas of Tanzania: A Contingent Valuation Study

This article analyses (1) how financial incentives (salary top-ups) and non-financial incentives (housing and education) affect nurses’ willingness to work in remote areas of Tanzania and (2) how the magnitude of the incentives needed to attract health workers varies with the nurses’ geographic origin and their intrinsic motivation. [from abstract]

Community Based Education in Health Professions: Global Perspectives

“Community Based Education in Health Professions: Global Perspectives” presents a collection of case studies from Bangladesh, Brazil, Egypt, India, Pakistan and South Africa describing different ways of planning, implementing and sustaining community-based education for health students. The case studies provide an account of what worked and what did not, the trials and errors, and the challenges and lessons learned. [adapted from introduction]

Improving Health through the Social Quality Approach in 800 Communes in Madagascar

The social quality approach is a community-based approach for encouraging service recipients to get involved in the availability, use, and quality of health services. This report, based on Santenet2 project data, correlation analysis, and qualitative data collection, illustrates the implementation process, successes and essential components to the successful implementation of the social quality approach. [from executive summary]

Arguing for Universal Health Coverage

Intended for those organizations involved in health financing policy debates, this tool articulates the pro-[Universal Health Care] arguments, and presents relevant evidence and examples. It is designed to support policies that promote equity, efficiency and effectiveness, and ensure that the rights of the most vulnerable are not forgotten. [adapted from introduction]

Kenyan Women Medical Doctors and Their Motivations to Pursue International Research Training

Through interviews, researchers found Kenyan women medical clinical researchers shared similar motivations as US women but differed as well. Kenyan medical doctors pursued health research within a context of limited resources, but the ability to balance work and family while contributing to public health through research and leadership was highly valued. [adapted from abstract]

'My Dreams Are Shuttered Down And It Hurts Lots’ – A Qualitative Study of Palliative Care Needs and Their Management by HIV Outpatient Services in Kenya and Uganda

Despite the huge burden of HIV in sub-Saharan Africa, there is little evidence of the multidimensional needs of patients with HIV infection to inform the person-centred care across physical, psychological, social and spiritual domains stipulated in policy guidance. We aimed to describe the problems experienced by people with HIV in Kenya and Uganda and the management of these problems by HIV outpatient services. [from abstract]

Report on the Society for Family Health Gender Assessment

To promote organizational learning and action related to political will and accountability, leadership and management, technical capacity, organizational culture, human resources policies and programs that promote gender equality, non-discrimination, and equal opportunity and treatment with respect to recruitment, hiring, training, remuneration, conditions of work,and programming at Society for Family Health. [from abstract]

Analysis of Human Resources for Health Strategies and Policies in 5 countries in Sub-Saharan Africa, in Response to GFATM and PEPFAR-funded HIV-activities

A multi-country study was conducted from 2007 to 2011 in 5 countries (Angola, Burundi, Lesotho, Mozambique and South Africa), to assess the impact of GHIs on the health system, using a mixed methods design. This paper focuses on the impact of GFATM and PEPFAR on HRH policies. [from abstract]

Evaluation of Spaced Education as a Learning Methodology for In-Service Training of Health Workers in Ethiopia

This pilot study, which followed a convenience sample of 37 Ethiopian nationals enrolled in a spaced education course over a six-month period, attempted to determine the acceptability and effectiveness of the methodology in a low-resource context. [from abstract]

Rural Allied Health Scholarships: Do They Make a Difference?

Specifically this study aimed to examine the profile of the QHRSS-AH recipients from 2000 to 2010 including graduate recruitment outcomes and retention within the scholarship program. It also explored the influence of the QHRSS-AH on early career practice location decisions and the features of the scheme that influenced motivation to be involved as either a scholarship holder or manager, perceived barriers to employment of scholarship holders in rural or remote services, experiences of scholarship holders as new graduates in rural and remote services and views on support requirements.

Recruitment and Retention of Rural Nursing Students: a Retrospective Study

The purpose of this study was to compare rural and urban nursing students in relation to application, admission, and retention/graduation trends at a metropolitan state university in the Pacific Northwest area of the USA. [from abstract]

Preservice Laboratory Education Strengthening Enhances Sustainable Laboratory Workforce in Ethiopia

An assessment of existing preservice education of five medical laboratory schools, followed by remedial intervention and monitoring was conducted.[from abstract]

Construction of a Decision Tool to Analyse Local Demand and Local Supply for GP Care Using a Synthetic Estimation Mode

This study addresses the growing academic and policy interest in the appropriate provision of local healthcare services to the healthcare needs of local populations to increase health status and decrease healthcare costs. However, for most local areas information on the demand for primary care and supply is missing.[from abstract]

Review of Generalist and Specialist Community Health Workers for Delivering Adolescent Health Services in Sub-Saharan Africa

This paper reviews the literature on generalist and specialist community health workers (CHWs) to assess their potential for strengthening the delivery of adolescent health services. [from abstract]

Meeting Community Health Worker Needs for Maternal Health Care Service Delivery Using Appropriate Mobile Technologies in Ethiopia

This project aimed to meet the technical needs of Health Extension Workers and midwives in Ethiopia for maternal health using appropriate mobile technologies tools. [from introduction]