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Task Shifting and HIV/AIDS: Opportunities, Challenges and Proposed Actions for Sub-Saharan Africa

This paper draws on experiences scaling-up antiretroviral treatment in three sub-Saharan African countries (Malawi, South Africa and Lesotho) and highlights the main opportunities and challenges posed by task shifting and proposes specific actions to tackle the challenges. [adapted from summary]

Increasing Access to Family Planning (FP) and Reproductive Health (RH) Services through Task-Sharing between Community Health Workers (CHW) and Community Mid-Level Professionals in Large-Scale Public-Sector Programs

This literature review attempted to evaluate the evidence base on the use of task-shifting between community health workers and mid-level providers to increase access to family planning and reproductive health. [adapted from author]

Analysis of GAVI, the Global Fund and World Bank Support for Human Resources for Health in Developing Countries

This article reviewed the type of HRH-related activities that are eligible for financing within GAVI, Global Fund and the World Bank; reviewed the HRH-related activities that each agency is actually financing; and reviewed the literature to understand the impact that these investments in HRH have had on the health workforce in developing countries. [adapted from author]

District Health System Reorganization Guideline from a Managerial Perspective

These guidelines are Rwanda’s official guide to the management of a functional district health system and were designed as a daily guide for the duties of the district health team. It traces key roles and responsibilities of each team member. [adapted from foreward]

Positive Practice Environments: Meeting the Information Needs of Health Professionals

This fact sheet advocates for and provides resources to support health professionals being able to access health care information to provide appropriate care, patient education and treatment that saves and improves lives. [adapted from introduction]

Text Messages as a Learning Tool for Midwives

This study aimed to assess whether the use of cell phone text messaging to improve access to continuing healthcare education in under-resourced settings is acceptable to South African midwives in both the public and private sectors. [adapted from author]

Can Medical Education in Poor Rural Areas be Cost-Effective and Sustainable: The Case of the Ateneo de Zamboanga University School of Medicine

This study examined the hypothesis that a medical school in a low-resource setting, based on volunteer faculty, can be sustainable and associated with improvement in medical workforce and population health outcomes. [from abstract]

Reforming Primary Health Care: A Nursing Perspective

The aim of this report is to describe the role of the nurse workforce in the development and implementation of primary health care (PHC) reform; identify key factors in the practice environment which inhibit or strengthen PHC reform; articulate the contribution nurses can make in future health sector reform. [adapted from summary]

How Can Routine Health Information Systems Improve Health Systems Functioning in Low-Resource Settings: Assessing the Evidence Base

The paper describes the conceptual literature on the determinants of routine health information system (RHIS) performance and its role in improving health systems functioning and performance at the local level, strategies to improve RHIS performance, evaluation challenges, and makes suggestions to improve RHIS design and information use. [adapted from abstract]

Clinical Nurse Specialists' Role in Selecting and Using Knowledge to Improve Practice and Develop Practice-Based Policies Designed to Promote Optimum Patient Outcomes

The purpose of this study was to examine the approaches utilized by clinical nurse specialists to access and transfer research knowledge in their daily practice. [from author]

Monitoring the Building Blocks of Health Systems: A Handbook of Indicators and Their Measurement Strategies

This monitoring and evaluation framework shows how health inputs and processes (e.g. health workforce) are reflected in outputs (e.g. available services) that are reflected in outcomes (e.g. coverage) and impact (morbidity and mortality). It addresses monitoring and evaluation needs for different users and multiple purposes and is structured around the WHO framework that describes health systems in terms of six core components: service delivery, health workforce, health information systems, access to essential medicines, financing, and leadership/governance. [adapted from author]

Barriers and Facilitators to Routine Outcome Measurement by Allied Health Professionals in Practice: A Systematic Review

This systematic review investigates what helps and hinders routine outcome measurement of allied health professionals practice. [from abstract]

Scaling Up Family Planning Services in Africa through Christian Health Systems: Challenges and Opportunities

This presentation introduces the Africa Christian Health Association (CHA) Platform, CHA health service coverage; challenges to family planning services; and opportunities and strategies for scaling up family planning and reproductive health services through CHA health workers. [adapted from author]

Africa Christian Health Associations Update October 2010

This issue contains articles on: improving data collection for policy making; increasing impact of FBOs on health and development; profile of the Christian Health Association of Ghana; security challenges for health commodities; and biblical approach to people living with HIV/AIDS. [from author]

Africa Christian Health Associations Update May 2010

This issue includes articles for FBOs on: making advocacy effective in a contemporary setting; country experiences in human resources for health; role of church health coordinating committees in advocacy; monitoring responsiveness in healthcare centres; and an introduction to monitoring and evaluation. [adapted from author]

Promising Retention Practices of the Christian Health Association of Malawi

In order to explain the Christian Health Association of Malawi’a (CHAM) approaches to HRH, this paper gives an overview of CHAM especially its operational structure; reviews HRH data from affiliated institutions; looks at elements faced by CHAM with regards to retention; and analyzes what CHAM has done to promote retention of health workers. [adapted from author]

HIV and AIDS Treatment: FBOs Getting Involved

This issue of Contact has been published to give practical examples of how treatment can be made more accessible by faith-based organizations (FBOs) and FBO health care institutions particularly in resource-limited settings. [from author]

Health Systems Strengthening: Focus on Pharmaceutical Human Resources

This edition of Contact magazine focuses on pharmaceutical human resources, who are crucial for the delivery of quality health care. Church health systems in particular have to take up the challenge of attracting, motivating and retraining qualified pharmaceutical human resources. [from author]

Partnerships with Faith-Based Organizations to Expand Access to Family Planning

This brief outlines collaborations with Catholic, Protestant and Muslim faith-based organizations (FBOs) to expand family planning options to underserved populations while helping FBOs increase services to their communities. [from author]

Understanding Intrinsic Motivation and Performance Factors for Public Sector and Faith-based Facility Health Workers in Uganda

This study in Uganda aimed to untangle the intrinsic motivation, retention, and performance factors for health workers faith-based facilities compared to public sector health workers. [adapted from publisher]

Why Do Health Workers in Rural Tanzania Prefer Public Sector Employment

This article discusses health workers’ preferences for workplace and their perceptions and experiences of the differences in working conditions in the public health sector versus the church-run health facilities in Tanzania. The broader aim is to generate knowledge that can add to debates on health sector management in low-income contexts. [from abstract]

Using the Workload Indicator of Staffing Needs (WISN) Methodology to Assess Work Pressure among the Nursing Staff of Lacor Hospital

This paper demonstrates the use of the workload indicator of staffing needs methodology in determining staffing requirements for the nursing staff in a hospital setting. It shows how the results can be used to assess overstaffing and understaffing as well as determine the work pressure among the different categories of nurses thus providing a basis for effective nurse redistribution to exploit efficiency gains without compromising the quality of services. [from abstract]

Patient Safety, Satisfaction, and Quality of Hospital Care: Cross Sectional Surveys of Nurses and Patients in 12 Countries in Europe and the United States

This researched aimed to determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient care and nurse workforce stability in European countries. [from abstract]

Hotline HRH March 2012

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.

Predicting the Demand of Physician Workforce: An International Model Based on "Crowd Behaviors"

To calculate an appropriate number of Physician Density (PD) for a specific country, this study was designed to create a PD prediction model, based on health-related data from many countries. [from abstract]

Evalutation of Physicians' Professional Performance: An Iterative Development and Validation Study of Multisource Feedback Instruments

There is a global need to assess physicians’ professional performance in actual clinical practice. This study focuses on the reliability and validity, the influences of some sociodemographic biasing factors, associations between self and other evaluations, and the number of evaluations needed for reliable assessment of a physician based on the three instruments used for the multisource assessment of physicians’ professional performance in the Netherlands. [from abstract]

Improving Partnerships between Health Workers and the Community for Maternal, Newborn and Child Health

This policy brief addresses the role of partnerships between health workers and the community, for the purposes of improving maternal, newborn and child health in resource-constrained settings, with a particular focus on the Asia-Pacific region. [from author]

Human Resource for Maternal, Newborn and Child Health at the Community Level: What Do We Know?

This policy brief summarises the critical workforce issues
highlighted from a review of the literature of maternal,
newborn and child health services at community
level, with a particular focus on the Asia Pacific region. [from author]

Human Resources in Health (HRH) Toolkit

The shortage of human resources in health (HRH) in Africa remains severe and continues to be a major impediment to increasing coverage of HIV-related services. This eToolkit is meant to serve as a resource for those dealing with aspects of the HRH crisis, including individuals and organizations who wish to familiarize themselves with the various components of HRH, focusing primarily on Southern Africa. [adapted from author]

Evaluation of Primary Care Midwifery in the Netherlands: Design and Rationale of a Dynamic Cohort Study (DELIVER)

This paper describes the research design and methodology of the multicenter, multidisciplinary study evaluating the quality and provision of primary midwifery care. [adapted from abstract]