Browse by Geographic Focus

Sources of Community Health Worker Motivation: A Qualitative Study in Morogoro Region, Tanzania

This study aimed to explore sources of community health worker motivation to inform programs in Tanzania and similar contexts. [from abstract]

Insights from Community Case Management Data in Six Sub-Saharan African Countries

This study analyzed monitoring data from community case management (CCM) programs supported by the International Rescue Committee, covering over 2 million treatments provided from 2004 to 2011 in six countries by 12,181 community health workers to generate evidence on how to implement CCM. [adapted from abstract]

Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi

As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register review, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and weaknesses of the four assessment methods in the Malawi context. [adapted from author]

Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do?

This article describes community health workers in government community case management programs for child survival across sub-Saharan Africa. [from abstract]

Health Workers' and Managers' Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services

Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. This study uses qualitative methods to explore health workers’ and managers’ perceptions about CCM provided by health surveillance assistants during the program’s first year in Malawi. [adapted from abstract]

Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi

This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainability of the program, and proposes solutions. [adapted from introduction]

Introduction of Newborn Care within Integrated Community Case Management in Uganda

This article assessed how a program for integrated community case management (iCCM) for children under 5 years addresses newborn care in three mid-western districts through document reviews, structured interviews, and focus group discussions with village health team members trained in iCCM, caregivers, and other stakeholders. [adapted from abstract]

Increased Use of Community Medicine Distributors and Rational Use of Drugs in Children Less than Five Years of Age in Uganda Caused by Integrated Community Case Management of Fever

This study compared effectiveness and use of community medicine distributors and drug use under integrated community case management and home-based management strategies in children 6–59 months of age in eastern Uganda. [adapted from abstract]

Use of Community Health Workers for Management of Malaria and Pneumonia in Urban and Rural Areas in Eastern Uganda

This study assessed the potential differences between urban and rural areas in the implementation of community case management is implemented for malaria and pneumonia and how community health workers are being used alongside other partners in health care provision. [adapted from introduction]

Estimated Risk of HIV Acquisition and Practice for Preventing Occupational Exposure: A Study of Healthcare Workers at Tumbi and Dodoma Hospitals, Tanzania

The main objective of this study was to estimate the risk of HIV transmission and examine the practices for preventing occupational exposures among health care workers at Tumbi and Dodoma Hospitals in Tanzania. [from abstract]

Health System Challenges to Integration of Mental Health Delivery in Primary Care in Kenya: Perspectives of Primary Care Workers

This paper uses focus group methodology to explore health worker perspectives on the challenges posed to integration of mental health into primary care by generic health system weakness. [from abstract]

When Women Deliver with No One Present in Nigeria: Who, What, Where and So What?

This paper focuses on maternal “no one present” (NOP) deliveries and aims at using empirical data to describe patterns, levels, and correlates of deliveries with NOP in Nigeria. Findings from this study are expected to contribute to policy and program strategy to better address the delivery needs of women in the community. [adapted from author]

Safety Measures to Prevent Workplace Violence in Emergency Primary Care Centres: A Cross-Sectional Study

The objective of this study was to investigate to which extent general practitioners work alone in emergency primary care centers in Norway, and to estimate the prevalence of other preventive measures against workplace violence. [from abstract]

Randomized Controlled Trial Comparing the Impact of Access to Clinical Endocrinology Video Demonstrations with Access to Usual Revision Resources on Medical Student Performance and Clinical Endocrinology Skills

The aim of this study was to determine the value of on-demand video-based training for clinical skills acquisition by medical students in endocrinology in comparison to traditional revision materials. [adapted from abstract]

Role of AFB Microscopy Training in Improving the Performance of Laboratory Professionals: Analysis of Pre and Post Training Evaluation Scores

The objective of this study was to investigate the role of AFB microscopy refresher training on the performance of tuberculosis laboratory professionals in Ethiopia. [adapted from author]

Impact of Nurse Working Hours on Patient Safety Culture: A Cross-National Survey Including Japan, the United States and Chinese Taiwan Using the Hospital Survey on Patient Safety Culture

The purpose of this study was to clarify the impact of long nurse working hours on patient safety culture in Japan, the US, and Chinese Taiwan using the Hospital Survey on Patient Safety Culture assessment tool. [adapted from abstract]

Final Push for Polio Eradication: Addressing the Challenge of Violence in Afghanistan, Pakistan, and Nigeria

The authors explore the different contexts of violence against polio vaccination workers and make policy proposals on how to respond to attacks on vaccination workers and to other factors that are impeding the final push for polio eradication. [adapted from author]

Why We Must Provide Better Support for Pakistan's Female Frontline Health Workers

This article summarizes the key role that lady health workers play in polio eradication; outlines the problems faced by these workers such as the risk to their lives through shootings and bombings, the lack of a living wage and dearth of advancement opportunities; and offers suggestions to improve the situation.

Effects of Improving Hospital Physicians Working Conditions on Patient Care: A Prospective, Controlled Intervention Study

This study aimed to explore whether a participatory work-design intervention involving hospital physicians is effective in improving working conditions and quality of patient care. [from abstract]

Assessing Health Workers' Revenues and Coping Strategies in Nigeria: A Mixed Methods Study

This study examined the coping mechanisms of health workers in the public health sector of Nasarawa and Ondo states in Nigeria to supplement their salaries and benefits; it also estimated the proportionate value of the revenues from those coping mechanisms in relation to the health workers’ official incomes. [from abstract]

Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project

This study aimed to evaluate the influence of a national child survival quality improvement project, on key maternal and child health outcomes. [adapted from abstract]

Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A Community-Based, Cluster-Randomized Trial

This study assessed the effectiveness, safety, and feasibility of prevention of postpartum hemorrhage using oxytocin injected by peripheral health care providers without midwifery skills at home births. [adapted from abstract]

Does Finnish Hospital Staff Job Satisfaction Vary across Occupational Groups?

The aim of this study was to evaluate job satisfaction of all staff working at a Finnish university hospital, identify differences in job satisfaction between staff groups, and explore the relationship between their self-evaluated quality of work and job satisfaction. [from abstract]

That's Improvement: Uganda Focuses on Health Workers

In this short video, Ugandan health workers, managers, and leaders show how the country’s efforts to strengthen its health workforce and increase access to quality care are paying off—and how service delivery has improved. [adapted from publisher]

National Study on Nurses' Retention in Healthcare Facilities in Underserved Areas in Lebanon

This study investigates the characteristic and the factors associated with the retention of nurses working in rural areas in Lebanon. [from abstract]

Global Mental Health: Transformative Capacity Building in Nicaragua

Using the framework of best practice literature, this article analyses a four-year collaborative process between two universities to build health worker capacity at the primary healthcare and system levels to address gaps in mental health services. [adapted from abstract]

Thailand Special Recruitment Track of Medical Students: A Series of Annual Cross-Sectional Surveys on the New Graduates between 2010 and 2012

This study compared the rural attitudes, intention to fulfill mandatory rural service and competencies between medical graduates’ from two modes of admission, normal and special tracks in order to evaluate Thailand’s comprehensive policies for rural retention of medical doctor and other health professional, including education strategy and mandatory service. [adapted from abstract]

Implementation of Evidence-Based Practice across Medical, Nursing, Pharmacological and Allied Healthcare Professionals: A Questionnaire Survey in Nationwide Hospital Settings

This study investigated the implementation of evidence-based practice, which is regarded as core competence to improve healthcare quality, of six groups of professionals: physicians, nurses, pharmacists, physical therapists, technicians, and other allied healthcare personnel.

Evaluation of Facilitative Supervision Visits in Primary Health Care Service Delivery in Northern Ghana

This paper presents the standard evaluation results of facilitative supervisory visits, which form an integral part of a new system of management for Ghana’s community-based health planning services. [adapted from abstract]

Reducing Inequities in Neonatal Mortality through Adequate Supply of Health Workers: Evidence from Newborn Health in Brazil

Using the case of Brazil, this study investigates the extent to which policies and interventions seeking to increase the accessibility of health services among the poor have been effective in decreasing neonatal mortality. [adapted from abstract]