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Clinicians' Experiences of Becoming a Clinical Manager: A Qualitative Study

The aim of this study is to explore clinicians’ journeys towards management positions in hospitals, in order to identify potential drivers and barriers to management recruitment and development. [from abstract]

Cameroon Mid-Level Providers Offer a Promising Public Health Dentistry Model

This study reviewed Cameroon’s experience with deploying a mid-level cadre of oral health professionals and the feasibility of establishing a more formal and predictable role for these health workers. The authors anticipate that a task-shifting approach in the provision of dental care will significantly improve the uneven distribution of oral health services particularly in the rural areas of Cameroon. [adapted from abstract]

Push Versus Pull for Mobilizing Pain Evidence into Practice Across Different Health Professions: A Protocol for a Randomized Controlled Trial

The purpose of this randomized trial is to determine whether a technology-based “push” of new, high-quality pain research to physicians, nurses, and rehabilitation and psychology professionals results in better knowledge and clinical decision making around pain, when offered in addition to traditional “pull” evidence technology. [from abstract]

Promise of Competency-Based Education in the Health Professions for Improving Global Health

Competency-based education (CBE) provides a useful alternative to time-based models for preparing health professionals and constructing educational programs. The authors argue that because CBE begins with a careful consideration of the competencies desired in the health professional workforce to address health care priorities, it provides a vehicle for integrating the health needs of the country with the values of the profession. [from abstract]

Safe Delivery: Reducing Maternal Mortality in Sierra Leone and Burundi

This analysis shows that a program to introduce emergency obstetric care and a referral system rapidly and significantly reduced the level of maternal mortality in two project areas in Burundi and Sierra Leone. [adapated from author]

Physiotherapy eSkills Training Online Resource Improves Performance of Practical Skills: A Controlled Trial

The aim of this study was to determine whether the an online eLearning resource in addition to usual teaching improved the performance of practical skills in physiotherapy students. [adapted from abstract]

Our Side of the Story: A Policy Report on the Lived Experience and Opinions of Ugandan Health Workers

This research set out to explore with frontline health workers and their managers how working conditions affect attitudes, behaviour and practices. It also sought the positive side of the health worker experience. The report documents the experiences and views of 122 nursing health workers in all regions of Uganda covering government, not-for-profit and private ownership organisations. [adapted from author]

Work-Family Conflict and Burnout among Chinese Female Nurses: The Mediating Effect of Psychological Capital

Exploring risk factors of nurse’ burnout is important to improve nurses’ health and to increase the quality of health care services. This study aims to explore the relationship between work-family conflict and burnout among Chinese female nurses and the mediating role of psychological capital in this relationship. [from abstract]

Guidance on Using Needs Based Formulae and Gap Analysis in the Equitable Allocation of Health Care Resources in East and Southern Africa

This paper proposes that the needs-based formula be used to identify the provinces and districts that are furthest from their health equity targets and that they should receive priority for the allocation of additional budgetary resources. A detailed gap analysis focuses on comparing the current health human resources in each of these provinces and districts to national norms. [adapted from author]

Provider Payment in Community-Based Health Insurance Schemes in Developing Countries: A Systematic Review

Community-based health insurance (CBI) is a common mechanism to generate financial resources for health care in developing countries. This article reviews provider payment methods used in CBI in developing countries and their impact on CBI performance. [from abstract]

Achieving the Twin Objectives of Efficiency and Equity: Contracting Health Services in Cambodia

The Cambodian experience of contracting out for health workers discussed in this document suggests how a move away from the traditional government-provided health services model to government-financed and monitored contracts for health services can be an effective approach to expand coverage especially for the low-income groups. [adapted from author]

Economic Evaluation of a Task-Shifting Intervention for Common Mental Disorders in India

The present study evaluates the cost–effectiveness and cost–utility of a trial task shifting approach to mental health services with the hope that the additional resources needed to train, pay and supervise the lay health workers used in the task-shifting approach to the primary care of common mental disorders would promote recovery and reduced disability in a more cost–effective manner than more conventional care. [adapted from author]

Effects of Changes in the Pre-Licensure Education of Health Workers on Health Worker Supply (Review)

This review evaluates the available literature to assess the effect of changes in the pre-licensure education of health professionals on health-worker supply. [adapted from abstract]

Improving Primary Care in British Columbia, Canada: Evaluation of a Peer-to-Peer Continuing Education Program for Family Physicians

This study evaluated participant satisfaction of an interactive educational program that offers peer-to-peer training to physicians and their office staff on topics ranging from clinical tools/skills to office management relevant to general practitioner practices. [adapted from abstract]

Assessment of a Complementary Curricular Strategy for Training South African Physicians in a Cuban Medical University

Although the ethical, humanistic and solidarity Cuba’s general medical training program does not provide all skills needed by a general practitioner in South Africa, so Cuba has applied a curricular strategy of 12 complementary courses to develop the requested additional skills. The objective of this study was to determine why the complementary curricular strategy has not been entirely successful and identify possible courses of action for improvement. [adapted from abstract]

Developing Nursing Capacity for Health Systems and Services Research in Cuba, 2008-2011

The objective of this research was to assess the results of a strategy implemented between 2008 and 2011 to develop nursing capacity for health systems and services research in 14 national research institutes based in Havana. [from abstract]

Will Clinical Associates be Effective for South Africa

This article outlines a program in South Africa that has developed an innovative mid-level medical worker model that can contribute substantively to the development of quality district-level health care and examines the priorities for expanding and sustaining the program going forward. [adapted from author]

Human Resources Needs for Universal Access to Antiretroviral Therapy in South Africa: A Time and Motion Study

This article quantifies the number of HIV health workers required to be added to the current HIV workforce to achieve universal access to HIV treatment in South Africa, under different eligibility criteria. [from abstract]

Health Worker Perspectives on User Fee Removal in Zambia

Health user fees were introduced in Zambia at the beginning of the 1990s with the objective of improving staff motivation. In 2006, they were removed in view of the poverty levels in the country, the high cost for accessing health services, and the desire to provide universal access. This article examines the perspectives of health workers on the change in policy. [adapted from author]

Pharmaceutical Care Issues Identified by Pharmacists in Patients with Diabetes, Hypertension or Hyperlipidaemia in Primary Care Settings

This study demonstrates the importance of pharmacists working in collaboration with other healthcare providers, especially medical doctors, in identifying and resolving pharmaceutical care issues to provide optimal care for patients with chronic diseases. [from author]

Evolution of Global Health Teaching in Undergraduate Medical Curricula

This article traces the evolution of global health teaching in undergraduate medical curricula and presents recommendations for how the discipline might develop in future years. [adapted from abstract]

Improving Infection Prevention and Control in Ethiopia through Supportive Supervision of Health Facilities

This report outlines an intervention that utilized supportive supervision in 86 facilities around Ethiopia that aimed to: enable healthcare workers to practice new skills in infection prevention and control (IPC) following formal trainings; coach health care facility staff to improve their performance in order to meet recommended IPC standards; improve the skills of supervisors for independent program monitoring; integrate IPC into the routine health care supervision system; and monitor the changes in program performance as a result of these activities. [adapted from author]

Public Health Interventions in Midwifery: A Systematic Review of Systematic Reviews

Maternity care providers, particularly midwives, have a window of opportunity to influence pregnant women about positive health choices. This aim of this paper is to identify evidence of effective public health interventions from good quality systematic reviews that could be conducted by midwives. [from abstract]

Do Health Workers' Preferences Influence Their Practices? Assessment of Providers' Attitude and Personal Use of New Treatment Recommendations for Management of Uncomplicated Malaria, Tanzania

This study provided an opportunity to assess the influence of health workers’ attitude to the usage of new malaria treatment recommendations. Overall, results showed variations in health workers attitudes and practices regarding new treatment recommendations in terms of type of health facility, ownership and type of health worker at six months post changes and two years later. [from author]

Private Sector Drug Shops in Integrated Community Case Management of Malaria, Pneumonia, and Diarrhea in Children in Uganda

This study sought to determine appropriateness of treatment of common childhood illnesses at private sector drug shops in two rural districts of Uganda. [adapted from abstract]

Experiences, Opportunities and Challenges of Implementing Task Shifting in Underserved Remote Settings: The Case of Kongwa District, Central Tanzania

The aim of this was to describe the current situation of implementing task shifting in the context of acute shortages of health workers and, secondly, and to provide a descriptive account of the potential opportunities or benefits and the likely challenges which might ensue as a result of implementing task shifting. [adapted from abstract]

Finding, Organizing and Using Health Information: A Training Manual for Students, Researchers and Health Workers in Africa

Whether you are a doctor, a nurse, an allied health professional or a medical librarian, this manual provides answers to the most crucial questions that arise while searching for health information. The manual covers topics such as: available information sources, tools and techniques for searching the web, intellectual property rights, managing and storing information, and evaluating information for accuracy. The resource also includes video guides for each module.[adapted from author]

Stakeholder Perceptions of a Nurse Led Walk-In Centre

This study aimed to ascertain the views of key stakeholders on the introduction of a nurse led primary care walk-in center in a rural region of Australia that aimed to fulfill an unmet health care need in the community due to the shortage of general practitioners, meet projected demand for health care services and relieve pressure on the hospital system. [adapted from abstract[

Teaching of Evidence-Based Medicine to Medical Students in Mexico: A Randomized Controlled Trial

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]

Method for Developing Standardised Interactive Education for Complex Clinical Guidelines

The aim of this study was to transform the Clinical Practice Guideline for Perinatal Mortality into an education workshop to develop quality standardised interactive education acceptable to participants for learning skills in collaborative interprofessional care. [adapted from abstract]