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Trauma and Mental Health of Medics in Eastern Myanmar's Conflict Zones: A Cross-Sectional and Mixed Methods Investigation

This study examines a population of community health workers in Karen State, eastern Myanmar to explore the manifestations of health providers’ psychological distress in a low-resource conflict environment.

Quality of Care, Risk Management, and Technology in Obstetrics to Reduce Hospital-Based Maternal Mortality in Senegal and Mali (QUARITE): A Cluster-Randomised Trial

This article assesses the effect of a trial multifaceted intervention to promote maternity death reviews and onsite training for health workers in emergency obstetric care in referral hospitals with high maternal mortality rates in Senegal and Mali. [adapted from summary]

Annotated Literature Review: African Actors, Global Health Governance and Performance-Based Funding

This review highlights the key strengths and weaknesses associated with performance-based funding (PBF) schemes in their use in low- and middle-income countries. It illustrates the theoretical thinking behind PBF implementation. It also seeks to draw out analysis of the role of African actors in global health diplomacy and decision-making surrounding PBF. [from summary]

Use of Surgical Task Shifting to Scale Up Essential Surgical Services: A Feasibility Analysis at Facility Level in Uganda

This study set out to assess the views of clinicians and managers on the use of task shifting as an effective way of alleviating shortages of skilled personnel at a facility level. [from abstract]

Hotline HRH August 2013

This edition of Hotline, an HRH newletter focused on the needs of faith-based organizations (FBOs) in Africa, highlights resources, trainings and workshops, articles of interest and other information for FBO HRH pracitioners.

Hotline HRH July 2013

This edition of Hotline, an HRH newletter focused on the needs of faith-based organizations (FBOs) in Africa, highlights resources, trainings and workshops, articles of interest and other information for FBO HRH pracitioners.

Promoting Universal Financial Protection: Contracting Faith-Based Health Facilities to Expand Access - Lessons Learned from Malawi

In Malawi, the Ministry of Health contracts selected health facilities owned by the main faith-based provider, the Christian Health Association of Malawi to deliver care at no fee to the most vulnerable and under-served populations in the country through Service Level Agreements (SLAs).

Can a Theory-Based Educational Intervention Change Nurses' Knowledge and Attitudes Concerning Cancer Pain Management? A Quasi-Experimental Design

A lack of knowledge regarding pain management and registered nurse’s perception of cancer pain could act as barriers to effective pain management. This study aimed to investigate if a theory-based educational intervention could change nurses’ knowledge and attitudes to cancer pain and pain management, both four and 12 weeks after the start of the intervention. [adapted from abstract]

Human Resource Development for a Community-Based Health Extension Program: A Case Study from Ethiopia

This article describes the strategies, human resource developments, service delivery modalities, progress in service coverage, and the challenges in the implementation of the Health Extension Program, a a primary care delivery strategy, to address the challenges and achieve the World Health Organization Millennium Development Goals within a context of limited resources in Ethiopia. [adapted from abstract]

What Interventions Do Rural Doctors Think Will Increase Recruitment in Rural Areas: A Survey of 2778 Health Workers in Beijing

Strategies have been developed by the Chinese government to improve the recruitment of rural doctors. However, the inequitable distribution of doctors has not improved significantly. The objective of this study was to explore the reasons for the poor recruitment and to propose possible strategies to improve the situation. [adapted from abstract]

Integrative Review and Evidence-Based Conceptual Model of the Essential Components of Pre-Service Education

Th authors performed an integrative review of the literature to analyse factors contributing to quality pre-service education and created a conceptual model that shows the links between essential elements of quality pre-service education and desired outcomes. [from abstract]

Caring for Trafficked Persons: Guidance for Health Providers

This document aims to provide practical, non-clinical guidance to help concerned health providers understand the phenomenon of human trafficking, recognize some of the health problems associated with trafficking and consider safe and appropriate approaches to providing health care for trafficked persons. It outlines the health provider’s role in providing care and describes some of the limitations of his or her responsibility to assist. [adapted from introduction]

Factors Associated with Burnout among Chinese Hospital Doctors: A Cross-Sectional Study

This study investigated the factors related to burnout among Chinese doctors in order to improve the health of doctors and the quality of healthcare services in China. [adapted from abstract]

Feasibility and Acceptability of HIV Screening through the Use of Rapid Tests by General Practitioners in a Brussels Area with a Substantial African Community

The aim of the study was to assess whether HIV screening with rapid testing in Belgium neighborhoods with a significant African community was feasible and acceptable to both general practitioners and patients, and to determine the number of new HIV infections diagnosed among tested patients. [from introduction]

Where Is Information Quality Lost at Clinical Level? A Mixed-Method Study on Information Systems and Data Quality in Three Urban Kenyan ANC Clinics

This study aims to describe and assess selected clinical and reporting information processes of health workers providing antenatal care services in three Kenyan facilities to the national health information system. It assessed different aspects of clinical information systems and the quality of data. [adapted from author]

Challenges to the Implementation of Health Sector Decentralization in Tanzania: Experiences from Kongwa District Council

This article examines and documents the experiences facing the implementation of decentralization of health services from the perspective of national and district officials, including inadequate funding, untimely disbursement of funds from the central government, insufficient and unqualified personnel, lack of community participation in planning and political interference. [adapted from author]

Operations Research to Add Postpartum Family Planning to Maternal and Neonatal Health to Improve Birth Spacing in Sylhet District, Bangladesh

This article documents the intervention package and evaluation design of a study conducted in a rural district of Bangladesh to evaluate the effects of an integrated, community-based maternal and neonatal health and postpartum family planning program on contraceptive use and birth-interval lengths.

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

The authors evaluated the effectiveness of a training for facility-based health care providers, managers, and medical college faculty members that offered client-centered family planning services, including a module to explain the Islamic viewpoint on family planning. [adapted from abstract]

Review of Policy Documents Relating to Primary Health Care in Commune Health Stations in Vietnam: Human Resource Issues

This policy document review identified key health workforce policy issues and gaps in policy development related to primary health care in Vietnam. [adapted from author]

Health Human Resources Minimum Data Set Guide: Text File Format

This guide was developed to assist organizations in developing health human resources databases that are consistent with national standards and that provide opportunities to make comparisons between jurisdictions and professions. The guide is not intended to provide the steps to build a database; rather, it introduces the standards to be used for collecting, processing and reporting health human resources data. [from introduction]

Factors Affecting Job Satisfaction and Retention of Medical Laboratory Professionals in Seven Countries of Sub-Saharan Africa

This article reports on a survey implemented in seven Sub-Saharan African countries developed to assess the factors responsible for job satisfaction and retention as a key component for tailoring specific interventions aiming at improving the overall impact of health programs. [adapted from abstract]

Global Improvement Framework for Health Worker In-service Training: Guidance for Improved Effectiveness, Efficiency and Sustainability

This short report describes the improvement framework for in-service training programs. It describes the final set of 40 in-service training improvement recommendations developed through a consensus process with representatives of key stakeholders. [adapted from publisher]

Trends of Cross-Border Mobility of Physicians and Nurses between Portugal and Spain

This paper presents the results of a study of current mobility trends of health professionals along the borders between Portugal and Spain. The objective was to describe the profile of mobile physicians and nurses; to elicit the opinions of employers on mobility factors; to describe incentive policies to retain or attract health professionals; and to collect and analyse employers’ opinions on the impact of this mobility on their health services. [from abstract]

Reaching Mothers and Babies with Early Postnatal Home Visits: The Implementation Realities of Achieving High Coverage in Large-Scale Programs

Community-based maternal and newborn care programs with postnatal home visits from providers who can deliver preventive or curative services that save lives have been tested in Bangladesh, Malawi, and Nepal. This paper examines coverage and content of home visits in pilot areas and factors associated with receipt of postnatal visits. [adapted from abstract]

Neonatal Intensive Care and Child Psychiatry Inpatient Care: Do Different Working Conditions Influence Stress Levels?

This article aimed o analyse possible differences in biological stress markers, psycho-social working conditions, health, and well-being between nurses working in two different departments. [from abstract]

Training of Health Extension Workers on Family Folder and HMIS Procedures: Facilitators' Guide

This guidance document is for use principally by the district experts, heath extension supervisors and health extension workers all over the country as training on the health information systems requirements for local (community level) data collection, processing, analysis and dissemination, as well as linking to the national health management and information systems. [adapted from publisher]

Health Management Information System: Facilitator's Guide for Training of Trainers

This manual is intended as a training of trainers manual for hospital management and case teams and for hospital staff on the use of health information management systems - both in terms of how to collect, aggregate and report data, but also to help staff understand the utility and benefits of the data they collect. [adapted from abstract]

Health Management Information System: Participants' Handouts and Instruments

The Health Management Information System (HMIS) in Ethiopia is designed to capture and provide essential core data for planning and monitoring the health system’s performance. This document provides handout materials and other instruments to be used in HMIS training for health providers. [abstract]

Community Health Information System for Family-Centered Health Care: Scale-Up in Southern Nations, Nationalities and People's Region

This article describes the scale-up of the Community Health Information System (CHIS), a family-centered health information system designed for the health extension worker to manage and monitor her work in educating households and delivering an integrated package of promotive, preventive, and basic curative health service to families. It also documents achievements and challenges, sharing lessons learned that can be useful in CHIS implementation in other regions. [adapted from summary]

Adapting Pacific Medical Internships to Changing Contexts

This policy brief outlines current and needed medical internship programs in the Pacific and the policy implications. [adapted from author]