Planning

The out-of-pocket expenditure is quite high in Punjab. Hence, a rapid review of health facilities was undertaken to suggest remedial measures.[from abstract]

The majority of African countries lack sufficient human resources for health (HRH) to deliver basic maternal, newborn, child health (MNCH) care, particularly in rural areas. To inform planning for the scarce HRH available, specifically as it pertains to the Millennium Development Goals and the post-2015 agenda, a rapid systematic review of evidence on training and deployment policies for doctors, nurses and midwives for MNCH in rural Africa was undertaken. [from abstract]

This study intends to provide an update of the status of the human resources for health (HRH) subsystem in six countries of Latin America and the Caribbean (LAC)—Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. The study’s discussion centers around five questions: how the health workforce is financed, how it is organized, how it is managed, how it is regulated, and how it performs. Further, the study strives to understand what role, if any, performance management policies and incentives play in these countries’ HRH subsystems.

Ineffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana. [from abstract]

This study sought to assess the staff requirements, work load and performance with respect to the CH work force
using workload indicator of staffing need (WISN) tool. The ultimate objective was to provide information to guide the organization, management and development of the work force. [from abstract]

The meeting was organized under three themes: (i) rural retention of health workforce; (ii) transforming and scaling up health professionals’ education and training; and (iii) human resources for health in the context of universal health coverage(UHC). [from abstract]

The health systems in the Americas region are characterized by fragmentation and segmentation, which constitute an important barrier to expanding coverage, achieving integrated primary health care, and reducing inefficiency and discontinuity of care. [from abstract]

In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). [from abstract]

Kenya, like many developing countries, suffers from a persistent misalignment between policy, planning and budgeting; resulting in a failure of the government to achieve public sector targets and respond to changing population needs. Research conducted by KEMRI-Wellcome Trust Research Programme has found that several years after the adoption of these planning and budgeting tools, the desired linkage between policy, planning and resource allocation in the health sector is far from being realised.

In the health sector, planning and resource allocation at country level are mainly guided by national plans. For each such plan, a midterm review of progress is important for policy-makers since the review can inform the second half of the plan’s implementation and provide a situation analysis on which the subsequent plan can be based. [from abstract]

The aim of this article was to compare the advance of women with that of men and determine the differences between hierarchical status and professional recognition achieved by women in medicine. Methods A retrospective study was carried out in the Hospital Clinic Barcelona, Spain, of the period from 1996 to 2008. [from abstract]

This report explores the role of strategic planning in Turkey’s successful transformation of its health sector since 2002. It analyses the evolution of strategic planning for health from an informal tool to an official and highly structured process that closely follows the steps identified in accepted models of strategic planning. [from abstract]

The aim of this study is to assess the factors affecting performance of nurses in Prince Sultan Military Medical City (PSMMC) Riyadh, Saudi Arabia. [from abstract]

The Health Workforce Productivity Analysis and Improvement Toolkit describes a step-wise process to measure the productivity of facility-based health workers, understand the underlying causes of productivity problems, and identify potential interventions to address them and improve health service delivery and achieve health goals. This toolkit focuses specifically on the productivity of facility-based health workers and not that of the health system as a whole. [from introduction]

The time has come to move from a focus on health security and international crisis response, to a system of global
governance capable of addressing infectious disease outbreaks in an orderly, organised and sustainable manner. [from abstract]

This study was performed to illustrate structural and contextual dimensions of organizational structure and relationship between them in Iranian primary health care system at local level. [from abstract]

This paper uses a secondary data analysis of existing documents by the Ministry of Public Health, Institut National de la Statistique, des Etudes Economiques et Démographiques(INSEED), the Ministry of Economy and Agence Française de Cooperation to analyze critically the shape and performance of health systems in Chad based on key concepts and
components of the right to health contained in article 12 of the International Covenant on Economic, Social and Cultural Rights, and on General Comment 14. [from abstract]

This review analyses various approaches to health workforce planning and presents the Six-Step Methodology to Integrated Workforce Planning which highlights essential elements in workforce planning to ensure the quality of services. [from abstract]

District clinical specialist teams were formed in 2012. One member of the team is the family physician. The role of the district family physician is discussed and the case made for focusing on the organisational health of the medical teams practising family medicine within the district as an effective way to improve the quality of medical care delivered in the district. [from abstract]

The aim of this descriptive, interventional study is to highlight positive steps taken by governments to re-establish and revitalise PHC, especially by empowering communities, the challenges, and lessons learned as potentials for improvement of a universal, qualitative PHC system in Nigeria. [from abstract]

How can the world improve the health systems in low- and middle-income countries to effectively manage future outbreaks? Recently, the Royal College of Physicians launched a new partnership with the West African College of Physicians to curtail the effects of HIV/AIDS, malaria and tuberculosis in the region. We believe that strengthened health systems, skilled human resources for health and national ownership of problems are key to effective management of outbreaks such as Ebola Virus Disease. [from abstract]

PEPFAR is pivoting the scale-up of resources and services towards health service delivery sites with moderate and high yield of patients, communities that link patients to those sites, and geographic areas with high burden of HIV. Meeting demand in those settings requires an adequate supply and appropriate skills mix of HRH available to provide quality HIV services along the continuum of care. [from introduction]

Establishment of a comprehensive National Health Laboratory System provides the framework for coordinated development and delivery of accessible, quality laboratory services countrywide. This ‘’Guidance for Establishing a National Health Laboratory System‘’ provides technical guidance for the steps required to develop a National Laboratory Policy and National Laboratory Strategic Plan, and effectively implement all the key elements of a comprehensive National Health Laboratory System. [from executive summary]

A guide to accounting for rural contexts in health policy, strategic planning and resourcing. Addressing the
specific rural health context in policy design, budget allocations and implementation plans is not yet a standard process in South Africa. This guide addresses that, to ensure that “the rural health context” is addressed adequately
when new policies and budgets are drawn up and implemented in the beautiful rural parts of our country. [adapted from resource]

A national patient safety policy is essential but it must reflect the context and needs of the individual country. To avoid reinventing the wheel, patient safety policy must reference internationally approved and tested guidelines and policy recommendations. Policy-makers require an accessible resource for the task of developing the national patient safety policy and patient safety strategic plan in order that they are comprehensive as well as precise and yet uncomplicated and flexible. [from introduction]

This paper is a comparative analysis between China’s and Myanmar’s health systems, viewed through the WHO’s six building blocs of health systems: service delivery, health workforce, health information, access to essential medicines, health financing, leadership or governance.

This paper examines wage setting mechanisms for health workers in hospitals across eight different OECD countries. It describes similarities and differences and how fixed or fluid these approaches have been in recent years through health system reforms, labour market dynamics and economic pressures. [from abstract]

The discussion paper provides guidance to those tasked with conducting an economic evaluation of complex health system interventions. The guidance will be an elaboration of existing National guidelines for economic evaluation and serve as a discussion paper to aid investigators conducting economic evaluations of complex health interventions. This paper is intended to be a starting point for heatlh system and policy researchers who wish to understand some of the fundamentals of economic evaluation and its application complex interventions. [from abstract]

The policy on gender equality and social inclusion (GESI) in health sector of Nepal is formulated in 2009 targeting toward poor, vulnerable, marginalized social and ethnic groups. Gender inequality and social discrimination are a social problem that affect on individual health finally. The main objective of this paper is to critically analysis and evaluates the Government’s strategy on health sector gender equality and social inclusion in Nepal. [from abstract]

This paper suggests that there are risks associated with health-financing reforms, for the geographical distribution
and performance of the health workforce. These risks require greater attention if poor and rural populations are to benefit from expanded financial protection. [from abstract]