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Nurse Led, Primary Care Based Antiretroviral Treatment Versus Hospital Care: a Controlled Prospective Study in Swaziland

Antiretroviral treatment services delivered in hospital settings in Africa increasingly lack capacity to meet demand and are difficult to access by patients. This article evaluates the effectiveness of nurse-led primary care based antiretroviral treatment by comparison with usual hospital care in a typical rural sub Saharan African setting. [from abstract]

Field Epidemiology Training Programmes in Africa: Where Are the Graduates?

There is currently limited published evidence of health-related training programmes in Africa that have produced graduates, who remain and work in their countries after graduation. However, anecdotal evidence suggests that the majority of graduates of field epidemiology training programmes in Africa stay on to work in their home countries, many as valuable resources to overstretched health systems. [from abstract]

Systematic Review of Economic Analyses of Telehealth Services Using Real Time Video Communication

Telehealth is the delivery of health care at a distance, using information and communication technology. The major rationales for its introduction have been to decrease costs, improve efficiency and increase access in health care delivery. This systematic review assesses the economic value of one type of telehealth delivery - synchronous or real time video communication – rather than examining a heterogeneous range of delivery modes as has been the case with previous reviews in this area. [from abstract]

Packages of Interventions for Family Planning, Safe Abortion Care, Maternal, Newborn and Child Health

This document describes the key effective interventions organized in packages across the continuum of care through pre-pregnancy, pregnancy, childbirth, postpartum, newborn care and care of the child. The packages are defined for community and/or facility levels in developing countries and provide guidance on the essential components needed to assure adequacy and quality of care. [from publisher]

Skilled Birth Attendants

This factsheet discusses the roles, resposibilities and impact on maternal mortality of skilled birth attendants.

Models and Tools for Health Workforce Planning and Projections

The objective of this paper is to take stock of the available methods and tools for health workforce planning and projections, and to describe the processes and resources needed to undertake such an exercise. [from introduction]

Costing the Scaling-Up of Human Resources for Health: Lessons from Mozambique and Guinea Bissau

This paper reports on two separate experiences of human resources development plans costing in Mozambique and Guinea Bissau to provide insight into the practice of costing exercises in information-poor settings and contribute to the existing debate on HRH costing methodologies. [adapted from abstract]

Retraining Due to Illness and Its Implications in Nursing Mangement

The objective of this qualitative study was to understand how nursing professionals coped with job retraining in a public hospital after an illness. [adapted from abstract]

Healthcare Professionals' Intentions to Use Clinical Guidelines: a Survey Using the Theory of Planned Behaviour

This study evaluated which factors affect health professionals’ intentions to use clinical guidelines generally in their decision-making on patient care. [adapted from abstract]

Meeting Human Resources for Health Staffing Goals by 2018: a Quatitatvie Analysis of Policy Options in Zambia

The MOH has developed a human resources for health strategic plan to address the health workforce crisis through improved training, hiring, and retention. This study used a model to forecast the size of the public sector health workforce in Zambia over the next ten years to identify a combination of interventions that would expand the workforce to meet staffing targets. [adapted from abstract]

Impact Evaluation of a Young Medical Volunteers Project for Vietnam Rural Mountain

This study evaluates the health impacts of a volunteer intervention addressing health worker shortage in remote mountainous communities of Vietnam. [from abstract]

Network-Based Social Capital and Capacity-Building Programs: an Example from Ethiopia

This study assessed the social networks in a Master of Hospital and Healthcare Administration program. The authors’ conclusions suggest that intentional social network development may be an important opportunity for capacity-building programs as healthcare systems improve their ability to manage resources and tackle emerging problems. [adapted from introduction]

Nurse Versus Doctor Mangement of HIV-Infected Patients Receiving Antiretroviral Therapy (CUORA-SA): a Randomised Non-Inferiority Trial

Expanded access to combination antiretroviral therapy (ART) in resource-poor settings is dependent on task shifting from doctors to other health-care providers. We compared outcomes of nurse versus doctor management of ART care for HIV-infected patients. [from summary]

Are Village Doctors in Bangladesh a Curse or a Blessing?

This paper investigates the role of various healthcare providers in provision of health services in a remote rural area in Bangladesh. [from abstract]

Finding Affordable Health Workforce Targets in Low-Income Nations

The World Health Organization has suggested a minimum target for all countries: 2.3 health professionals per 1,000 people. Many countries cannot afford to meet the target; in fact, funding the proposed number of health workers would require some countries to devote 50 percent of their gross domestic product to health. We offer an alternative solution that would allow governments to set targets that are realistic and achievable within their financial constraints. [from abstract]

Motivational Determinants among Physicians in Lahore, Pakistan

This study aimed to identify the determinants of job motivation among physicians, a neglected perspective, especially in developing countries. [from abstract]

Use of RDTs to Improve Malaria Diagnosis and Fever Case Management at Primary Health Care Facilities in Uganda

This study evaluated the effect of malaria rapid diagnostic tests on health workers anti-malarial drug prescriptions among outpatients at low level health care facilities within different malaria epidemiological settings in Uganda. [from abstract]

Scaling Up Integration: Development and Results of a Participatory Assessment of HIV/TB Services, South Africa

In South Africa the need to integrate HIV, TB and STI programmes has been recognised at a policy and organisation level; the challenge is now one of translating policies into relevant actions and monitoring implementation to ensure that the anticipated benefits of integration are achieved. This research set out to determine how middle level managers could be empowered to monitor the implementation of an effective, integrated HIV/TB/STI service. [from abstract]

Community Acceptability of Use of Rapid Diagnostic Tests for Malaria by Community Health Workers in Uganda

This study assessed community acceptability of the use of rapid diagnostic tests by Ugandan community health workers, locally referred to as community medicine distributors. [from abstract]

Innovative Health Service Delivery Models in Low and Middle Income Countries: What Can We Learn from the Private Sector?

A subset of private health organizations, some called social enterprises, have developed novel approaches to increase the availability, affordability and quality of health care services to the poor through innovative health service delivery models. This study aims to characterize these models and identify areas of innovation that have led to effective provision of care for the poor. [from abstract]

Not All Coping Strategies are Created Equal: a Mixed Methods Study Exploring Physicians' Self Reported Coping Strategies

The primary goal of this paper is to use interview data to explore physicians’ self reported coping strategies. In addition, questionnaire data is utilized to explore the degree to which the coping strategies are used and are associated with feelings of emotional exhaustion, a key symptom of burnout. [from abstract]

Effectiveness of a Clinically Relevant Educational Program for Improving Medical Communication and Clinical Skills of International Medical Graduates

The purpose of this study was to assess the efficacy of a clinically relevant educational program to enhance the language proficiency and professionalism of international medical graduates in a Canadian context. [adapted from introduction]

Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention: Global Policy Recommendations

After a year-long consultative effort, this document proposes sixteen evidence-based recommendations on how to improve the recruitment and retention of health workers in underserved areas. It also offers a guide for policy makers to choose the most appropriate interventions, and to implement, monitor and evaluate their impact over time. [from publisher]

Thinking Outside the Box to Meet Health Workforce Needs

The author looks at the implications and the training needs of task shifting. [adapted from author]

Planning Training Seminars in Palliative Care: a Cross-Sectional Suvey on the Preferences of General Practioners and Nurses in Austria

Against the background of the development of palliative care in Austria the authors undertook this survey to identify the preferences of the general pracitioners’ and nurses’ regarding the specific design of training seminars in palliative care. We wanted to gain a better insight into which educational topics, timeframe, location and group designs are likely to attract a majority of different professional groups. [from author]

Healthcare Professionals' Intentions to Use Wiki-Based Reminders to Promote Best Practices in Trauma Care: a Suvey Protocol

Since wikis depend on collaborators to keep content up-to-date, healthcare professionals who use wikis must adopt behaviors that foster this collaboration. This protocol describes the methods we will use to develop and test the metrological qualities of a questionnaire that will assess healthcare professionals’ intentions and the determinants of those intentions to use wiki-based reminders that promote best practices in trauma care. [from abstract]

State of the Private Health Sector Wall Chart

This document offers key concepts and definitions to establish a common language describing the private health sector. In addition, it integrates global demographic, economic, and policy data to provide a snapshot of the private health sector in selected developing countries. [from author]

Home-Based Voluntary HIV Counselling and Testing Found Highly Acceptable and to Reduce Inequalities

Low uptake of voluntary HIV counselling and testing (VCT) in sub-Saharan Africa is raising acceptability concerns which might be associated with ways by which it is offered. This study investigated the acceptability of home-based delivery of counselling and HIV testing in urban and rural populations in Zambia where VCT has been offered mostly from local clinics. [from abstract]

Data Mapping Template on Human Resources for Health

This tool is to be used as a starting point for the collation, analysis and synthesis of data and evidence on human resources for health (HRH), as well as for monitoring the strengths and limitations of the underlying information systems. It has been developed as part of a series of efforts to enhance country capacities to generate, analyse and use data to assess health workforce performance and track progress towards their HRH-related goals. [from publisher]

Assessing Financing, Education, Management and Policy Context for Strategic Planning of Human Resources for Health

This document contains a method for assessing the financial, educational and management systems and policy context, essential for strategic planning and policy development for human resources for health. This tool has been developed as an evidence-based comprehensive diagnostic aid to inform policy-making in low and middle income countries in regard to human resources for health. [from introduction]