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Integrated Health Sector Response to Violence against Women in Malaysia: Lessons for Supporting Scale Up

Malaysia has been at the forefront of the development and scale up of an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the model to two states in Malaysia in order to identify lessons for supporting successful scale-up. [from abstract]

Qualitative Study of Factors Influencing Different Generations of Newfoundland and Saskatchewan Trained Physicians to Leave a Work Location

This study examined the factors associated with a physician’s decision to leave a work location. We compared different generations of physicians to assess whether these factors have changed over generations. [from abstract]

What Impedes Working in Rural Areas? A Study of Aspiring Doctors In the National Capital Region, India

This study examined the attitudes of and inclination to rural healthcare careers among medical students in India. [from abstract]

Wages and Health Worker Retention in Ghana: Evidence from Public Sector Wage Reforms

This paper investigates whether governments in developing countries can retain skilled health workers by raising public sector wages using sudden, policy-induced wage variation, in which the Government of Ghana restructured the pay scale for government health workers. [adapted from abstract]

Better Care: An Analysis of Nursing and Healthcare System Outcomes

The purpose of this review of nursing intervention literature was to document the comparative effects and costs of models of nursing intervention on patient outcomes, such as morbidity and mortality, and on system outcomes, such as health resource use. This information will be used to provide suggestions about innovative, effective and efficient models of nursing intervention. [from summary]

What Influences National and Foreign Physicians' Geographic Distribution? An Analysis of Medical Doctors' Residence Location in Portugal

The present research sets out to investigate the current distribution of national and international physicians in Portugal, with the objective to understand its determinants and provide an evidence base for policymakers to identify policies to influence it. [from abstract]

New Approach for Psychological Consultation: The Psychologist at the Chemist's

This article aims to present the service-specific features and pilot study results of a new mental health service, named “Psychologist in the Neighbourhood,” which was created to intercept unexpressed needs for psychological assistance. The service allows everyone to ask for free psychological consultation, consisting of no more than four meetings with a psychologist, in certain chemists’ shops around the city of Milan. [adapted from abstract]

Factors Affecting Collaboration between General Practitioners and Community Pharmacists: A Qualitative Study

Although general practitioners and community pharmacists are encouraged to collaborate, a true collaborative relationship does not exist between them. The objective of this article was to identify and analyze factors affecting this collaboration in two regions of Spain. [adapted from abstract]

Internet Treatment for Depression: A Randomized Controlled Trial Comparing Clinician vs. Technician Assistance

Internet-based cognitive behavioural therapy for depression has been proven effective when guided by a clinician, less so if unguided. This study sought to determine if guidance from a technician would be as effective as guidance from a clinician to increase the capacity of existing mental health services. [adapted from abstract]

Identifying Characteristics Associated with Performing Recommended Practices in Maternal and Newborn Care among Health Facilities in Rwanda: A Cross-Sectional Study

This study examined the quality of facility-based maternal and newborn health care by describing the implementation of recommended practices for maternal and newborn care among health care facilities to determine whether increased training, supervision, and incentives for health workers were associated with implementing these recommended practices. [adapted from author]

Impact of Community-Based Support Services on Antiretroviral Treatment Programme Delivery and Outcomes in Resource-Limited Countries: A Systematic Review

Task-shifting to lay community health providers is increasingly suggested as a potential strategy to overcome the barriers to sustainable antiretroviral treatment scale-up in high-HIV-prevalence, resource-limited settings. This article report on a systematic review of scientific evidence on the contributory role and function of these forms of community mobilisation. [adapted from abstract]

Transporability of Tertiary Qualifications and CPD: A Continuing Challenge for the Global Health Workforce

Difficulties with transportability of qualifications and cross-accreditation are now recognised as key barriers to meeting the rapidly shifting international demands for health care providers. This paper outlines the shortfall of the current indicators in assisting the process of global certification and competency recognition in the health care workforce. [from abstract]

Health Workers' Attitudes toward Immigrant Patients: A Cross-Sectional Survey in Primary Health Care Services

This study aimed to examine attitudes of different health workers’ groups toward immigrant patients and to identify the associated factors. [from abstract]

Willingness of Lebanese Physicians in the United States to Relocate to Lebanon

The objectives of this study were to assess the willingness of Lebanese medical graduates practicing in the United States of America to relocate to Lebanon and the Arab Gulf region and to explore the factors associated with this willingness. [from abstract]

Factors Predicting Doctors' Reporting of Performance Change in Response to Multisource Feedback

Building on medical education and social psychology literature, the authors identified several factors that may influence change in response to multi-source feedback, which offers doctors feedback on their performance from peers (medical colleagues), coworkers and patients. [adapted from abstract]

Educational Interventions to Improve the Effectiveness in Clinical Competence of General Practitioners: Problem-Based Versus Critical Reading-Based Learning

This study evaluated the relative impact of two educational strategies, critical reading and problem based learning, on the clinical competence of general practitioners in a healthcare system characterized by excessive workload and fragmentation into small primary healthcare centers. [from abstract]

Learner Feedback and Educational Outcomes with an Internet-Based Ambulatory Curriculum: A Qualitative and Quantitative Analysis

In this study, qualitative analysis of learner feedback gathered from an online medical education curriculum was used to identify themes of learner feedback, and changes to the online curriculum in response to this feedback were tracked. Learner satisfaction and knowledge gains were then compared from before and after implementation of learner feedback. [from abstract]

Using Scenarios to Assess the Future Supply of NHS Nursing Staff in England

This paper examines issues related to the future supply of registered nursing staff, midwives and health visitors in the National Health Service (NHS) in England at a time when there are major public sector funding constraints and as more of these staff are reaching retirement age. [from abstract]

Stigma and Discrimination Against People Living with HIV by Healthcare Providers, Southwest Ethiopia

This study was conducted to explore stigma and discrimination against PLHIV amongst healthcare providers in Jimma zone, Southwest Ethiopia. [from abstract]

Even if You Know Everything You Can Forget: Health Worker Perceptions of Mobile Phone Text-Messaging to Improve Malaria Case Management in Kenya

This paper presents the results of a qualitative study to investigate the perceptions and experiences of health workers involved in a a cluster-randomized controlled trial of a novel intervention to improve health worker malaria case management in 107 government health facilities in Kenya. The intervention involved sending text-messages about paediatric outpatient malaria case-management accompanied by motivating quotes to health workers’ mobile phones. [from abstract]

Mobile Application Reinforces Frontline Health Workers' Knowledge, Confidence, and Credibility

In rural India, frontline health workers—called accredited social health activists (or ASHAs)—are improving the health of women and families in their own communities by offering key preventive health services. Through the Manthan Project, IntraHealth International is testing a promising multi-media mobile phone application called mSakhi as a tool to make ASHAs’ jobs both easier and more effective. [from author]

Building a National Model for Knowledge Exchange in Malawi: Findings From a Health Information Needs Assessment

This health information needs assessment, conducted in the capital city and 3 districts of Malawi from July 2009 to September 2009, aimed to determine access to, and need for, health information by health workers in HIV/AIDS and family planning/reproductive health at all levels of the health system. [adapted from abstract]

Qualitative Study of Health Information Needs, Flow, and Use in Senegal

Many health professionals and policymakers in Africa lack access to the information needed to make evidence-based decisions for effective health care. This study collected qualitative data from 75 key informants and members of two focus groups in Senegal on various aspects of health information needs, particularly in family planning and reproductive health, including information sources, strategies, and systems to transfer and share information; and barriers to accessing, sharing, and using health information. [from abstract]

Understanding Health Information Needs and Gaps in the Health Care System in Uttar Pradesh, India

To better understand health information needs and barriers across all of levels of the health care system, the authors conducted a needs assessment in Lucknow, Uttar Pradesh, India to examine how health care workers define, obtain, and apply information in the course of their daily work. [adapted from abstract]

Strengthening Health Systems: A Health Information Needs Assessment in Uttar Pradesh, India

This study outlines a detailed analysis of the information needs of village health workers (ASHAs) in India to ascertain information needs, sources, and barriers at different levels of the health system; undertake an in-depth assessment of the health information needs of ASHAs; understand the role and functioning of health care networks; and assess access to and use of ICTs across different levels of the health system. [adapted from summary]

Implementing Nurse-Initiated and Managed Antiretroviral Treatment (NIMART) in South Africa: A Qualitative Process Evaluation of the STRETCH Trial

The STRETCH (Streamlining Tasks and Roles to Expand Treatment and Care for HIV) progra was an intervention implemented in South Africa to enable nurses providing primary HIV/AIDS care to expand their roles and include aspects of care and treatment usually provided by physicians. The effects of STRETCH on pre-ART mortality, ART provision, and the quality of HIV/ART care were evaluated through a randomised controlled trial. This study was conducted alongside the trial to develop a contextualised understanding of factors affecting the implementation of the program. [adapted from abstract]

Strengthening Church and Government Partnerships for Primary Health Care Delivery in Papua New Guinea: Lessons from the International Experience

This working paper outlines the current operational relationship between the government and church providers of primary health care in Papua New Guinea and presents findings from a literature review to determine the differences between primary health service provision by church-based organizations and government provision, and the characteristics of existing arrangements for governments to engage non-govenment, non-profit providers of primary health services. [adapted from introduction]

Physical and Psychosocial Work Environment Factors and Their Association with Health Outcomes in Danish Ambulance Personnel: A Cross-Sectional Study

The aim of this study was to compare health status and exposure to different work environmental factors among ambulance personnel and the core work force in Denmark; and to examine the association between physical and psychosocial work environment factors and different measures of health among ambulance personnel. [from abstract]

Preferences for Working in Rural Clinics among Trainee Health Professionals in Uganda: A Discrete Choice Experiment

This study investigated preferences for job characteristics among final year medical, nursing, pharmacy, and laboratory students at select universities in Uganda to elicit preferences for attributes of potential job postings they were likely to pursue after graduation. [adapted from abstract]

Factors and Symptoms Associated with Work Stress and Health-Promoting LIfestyles among Hospital Staff: A Pilot Study in Taiwan

Healthcare workers including physicians, nurses, medical technicians and administrative staff experience high levels of occupational stress as a result of heavy workloads, extended working hours and time-related pressure. The aims of this study were to investigate factors associated with work stress among hospital staff members and to evaluate their health-promoting lifestyle behaviors. [from abstract]