Human Resources Management

Evaluation of the Management of Sexually Transmitted Infection (STIS) by Private Practioners in Pulau Pinang, Malaysia

The objective of this article was to determine the current practices of private practitioners for the management of STIs in Pulau Pinang, Malaysia, evaluation of pharmacotherapy for STIs in private clinics and to ascertain the management of STIs compared to standard guidelines. [from author]

Health Worker Retention and Performance Initiatives: Making Better Strategic Choices

This technical brief focuses on issues around health worker motivation, job satisfaction, incentives, retention and performance. [from author]

Improving Obstetric Care in Low-Resource Settings: Implementation of Facility-Based Maternal Death Reviews in Five Pilot Hospitals in Senegal

In resource-poor settings, the facility-based maternal death review or audit is one of the most promising strategies to improve health service performance. We aim to explore and describe health workers’ perceptions of facility-based maternal death reviews and to identify barriers to and facilitators of the implementation of this approach in pilot health facilities of Senegal. [from abstract]

High Workload and Job Stress are Associated with Lower Practice Performance in General Practice: an Observational Study in 239 General Practices in the Netherlands

This study explores whether high physician workload and job stress were associated with lower quality and outcomes of healthcare delivery performance in general practice settings in the Netherlands. [adapted from abstract]

Conflicting Priorities: Evaluation of an Intervention to Improve Nurse-Parent Relationships on a Tanzanian Pediatric Ward

This article provides an evaluation of an intervention using the Health Workers for Change initiative for improving the relationship between nurses and parents on a pediatric ward in a busy regional hospital in Tanzania. [adapted from abstract]

Building Canadian Public Health Nursing Capacity: Implications for Action

The purpose of this research was to assist public health policy makers and managers to develop programs and policies to enhance the effectiveness of Public Health Nurse (PHN) services. The research question was, “What organizational attributes support PHNs to practice their full scope of competencies?” [adapted from author]

Primary Care Groups: Improving the Quality of Care Through Clinical Governance

This article discusses the agenda for monitoring and improving the quality of health care through the use of clinical governance in National Health Service organizations in the UK. [adapted from introduction]

Evidence-Based Practice in Neonatal Health: Knowledge among Primary Health Care Staff in Northern Viet Nam

An estimated four million deaths occur annually among children in the neonatal period. Current evidence-based interventions could prevent a large proportion of these deaths; however, neonatal health care workers need to have knowledge regarding such practices before being able to put them into action. This survey assesses the knowledge of primary health care practitioners regarding basic, evidence-based procedures in neonatal care in a Vietnamese province and investigates whether differences in level of knowledge were linked to certain characteristics of community health centers.

Performance of Health Workers in Ethiopia: Results from Qualitative Research

Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia. We describe performance problems identified by both health users and health workers participating in the focus group discussions including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illicit charging, and corruption.

Perception and Practice of Malaria Prophylaxis in Pregnancy among Health care Providers in Ibadan

The study assessed knowledge and practice of health care providers on current concepts on malaria prophylaxis in pregnancy. [from abstract]

Assessment of Family Planning Services in Kenya: Evidence from the 2004 Kenya Service Provision Assessment Survey

This study focused on factors associated with the readiness of Kenyan health facilities to provide quality and appropriate care to family planning clientele; the degree to which health care providers foster informed selection of an appropriate contraceptive method; and the extent to which clients perceive services to be of high quality. [from abstract]

Kenya: Assessment of Health Workforce Competency and Facility Readiness to Provide Quality Maternal Health Services

The study had three objectives: to determine the current competency levels of the workforce attending women during labor, delivery, and the early postpartum period; examine conditions at the workplace to determine environmental and organizational factors that affect workforce productivity and performance; and assess implications for regional training and performance improvement at the workplace. [from author]

Factors Affecting Performance of Professional Nurses in Namibia

This study explores the factors that affect performance of nurses in Namibia with the aim of providing a management framework for improving the performance of professional nurses. [from author]

Healthcare Workers' Attitudes to Working During Pandemic Influenza: a Qualitative Study

The UK healthcare system's ability to cope during an influenza pandemic will largely depend on the number of healthcare workers (HCWs) who are able and willing to work through the crisis. This paper includes the results of a qualitative study exploring the views of UK HCWs on working during an influenza pandemic in order to identify factors that might influence their willingness and ability to work. [from abstract]

Knowledge and Utilization of the Partograph Among Obstetric Care Givers in South West Nigeria

This cross-sectional study assessed knowledge and utilization of the partograph, an effective tool for monitoring labour that can prevent prolonged or obstructed labour, among health care workers in southwestern Nigeria. [adapted from author]

Poor Knowledge on New Malaria Treatment Guidelines among Drug Dispensers in Private Pharmacies in Tanzania: the Need for Involving the Private Sector in Policy Preparations and Implementation

Irrational drug use is contributed by many factors including care providers giving wrong drug information to patients. Dispensing staff in private pharmacy shops play a significant role in pharmaceutical management and provision of relevant information to clinicians and patients, enhancing the improvement of rational medicine use. This report offers an evaluation/staff assessment of pharmacist knowledge in a situation where they function as health workers in dispensing and prescribing medications. [adapted from introduction]

Male Circumcision for HIV Prevention: a Prospective Study of Complications in Clinical and Traditional Settings in Bungoma, Kenya

Prior to implementing male circumcision as a public health measure against the spread of HIV, the feasibility, safety and costs of the procedure within target countries should be evaluated to understand what measures need to be taken to ensure access to safe, affordable voluntary circumcision services. The aims of this study were to assess variation and safety of male circumcision practices, as well as resource and training needs related to the procedure, in a community that has been practicing circumcision traditionally for many generations. [from introduction]

Payment for Performance (P4P): International Experience and a Cautionary Proposal for Estonia

Incentives such as P4P can be very powerful in their effects. Caution in their design and deployment is essential. However, ignoring their potential would be unwise, as they offer the possibility of improving value for money for taxpayers and patients. The first section of the paper will review evidence of common provider problems in all health care systems and their implications for introducing a P4P system. This will be followed by a review of P4P reforms in the United Kingdom and United States in particular. [from author]

Motivation of Health Care Workers in Tanzania: a Case Study of Muhimbili National Hospital

The Tanzanian health system is currently undergoing major reforms. As part of this, a study was commissioned into the delivery of services and care at the Muhimbili National Hospital. One of the main components of this comprehensive study was to measure the extent to which workers in the hospital were satisfied with the tasks they performed and to identify factors associated with low motivation in the workplace. [from abstract]

Global Knowledge/Local Bodies: Family Planning Service Providers’ Interpretations of Contraceptive Knowledge

This paper examines Tanzanian service providers’ perceptions of contraceptives to shed light on questions of local level dissemination of population knowledge and shaping of identities. The findings suggest that the family planning program serves in a process of differentiation between two groups of local women: the service providers and their clients. [adapted from abstract]

Healthcare Workers' Attitudes Towards Working During Pandemic Influenza: a Multi-Method Study

Healthcare workers (HCWs) will be key players in any response to pandemic influenza, and will be in the front line of exposure to infection. This study is designed to determine the range of factors associated with their responses to the prospect of working through pandemic influenza. The findings will be used to estimate of the likely proportion of HCWs affected by each factor, and how likely it is that they would be willing and/or able to continue to work during an influenza pandemic. [adapted from abstract]

Improving Retention and Performance in Civil Society in Uganda

This article describes the experience of the Family Life Education Programme, a reproductive health program that provides community-based health services through 40 clinics in five districts of Uganda, in improving retention and performance by using the Human Resource Management Rapid Assessment Tool. [adapted from abstract]

Andhra Pradesh, India: Improving Health Services through Community Score Cards

The community score card process is a community-based monitoring tool that is a hybrid of the techniques of social audits and citizen report cards.The CSC is an instrument to exact social and public accountability and responsiveness from service providers. By linking service providers to the community, citizens are empowered to provide immediate feedback to service providers. [from author]

Guidelines and Mindlines: Why Do Clinical Staff Over-Diagnose Malaria in Tanzania? A Qualitative Study

Malaria over-diagnosis in Africa is widespread and costly both financially and in terms of morbidity and mortality from missed diagnoses. An understanding of the reasons behind malaria over-diagnosis is urgently needed to inform strategies for better targeting of antimalarials. [from abstract]

Knowledge of Iraqi Primary Health Care Physicians about Breastfeeding

A questionnaire survey was conducted on 50 primary health care physicians in Iraq to assess their knowledge and identify misperceptions about breastfeeding. Basic knowledge about the main processes of breastfeeding was good (when to start feeding, frequency of feeding, relactation, importance of psychological factors), but there were deficiencies in their ability to deal with some practical problems related to breastfeeding. Steps for improving the knowledge and training are addressed. [from abstract]

Policy on Quality in Health Care for South Africa

Knowing that quality is never an accident, always the result of high intention, sincere effort, intelligent direction and skillful execution, and that it represents the wise choice of many alternatives, this abbreviated version of the Policy attempts to provide the strategic direction health facilities and officials need to follow to assure quality in health care and continuous improvement in the care that is being provided. Health care personnel are encouraged to use this copy of the Policy to focus their intentions and guide their efforts. [from foreword].

Provider Selection of Evidence-Based Contraception Guidelines in Service Provision: a Study in India, Peru, and Rwanda

This study evaluated biases in guideline untilization of evidence-based practice concerning contraception perscription. It was found that in India, Peru, and Rwanda, health care providers underutilize evidence-based practice guidelines as they prescribe contraceptives. This article ends with recommendations for providers to most effectively utilize evidence-based practice. [adapted from abstract]

Selecting Effective Incentive Structures in Health Care: a Decision Framework to Support Health Care Purchasers in Finding the Right Incentives to Drive Performance

This article discusses the development of a decision framework to assist policymakers in choosing and designing effective incentive systems. The researchers identified several models that have proven to be effective in changing or enabling a health provider’s performance.

Key Factors Influencing High-Performing Healthcare Sites in Low-Resource Settings

This study focused on the positive traits and strategies exhibited by high-performing facilities to determine how to improve performance at average and low-performing sites. [from author]

Strengthening Management in Low-Income Countries: Lessons from Uganda: a Case Study on Management of Health Services Delivery

In an initiative to collate experiences on management development in low resource settings, WHO carried out case studies to explore management development approaches and how these impacted managerial and service delivery performance. [adapted from author]