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Human Resources for Health Management from Central to District Level in Nepal

The report analyses the Ministry of Health and Population Human Resources for Health Management system in Nepal. It examines the main gaps in the human resources management system in the health sector and makes recommendations for viable mechanisms to strengthen the system. [from summary]

Health Workforce Performance and Accoutability (Availability, Competency, Responsiveness and Productivity)

This report provides insight into health workforce performance in Nepal, looking at the four dimensions of health workforce performance: availability, competency, responsiveness and productivity. It informs policy-makers and managers on interventions to improve health workforce performance in Nepal. [from summary]

Training, Recruitment, Placement and Retention of Health Professionals with an Emphasis on Public Private Partnership (PPP)

This report analyses the current situation of HRH training, recruitment, placement and retention in the health system of Nepal with an emphasis on role of public private partnership to address the HRH related gaps with suitable policy interventions. [from summary]

Distribution and Skill Mix of Human Resources for Health in Nepal

The Ministry of Health and Population of Nepal has identified major challenges in human resources for health, specifically in the shortage, distribution and skill mix of health workers in the country. This report aims to provide insight into specific challenges and policy recommendations for the ministry and concerned stakeholders. [from summary]

Recall of Lost to Follow-Up Pre-Antiretroviral Therapy Patients in the Eastern Cape: Effect of Mentoring on Patient Care

This study sought to prove that mentoring plays an important role in professional nurse training and support and that recall of lost-to-follow-up patients is feasible and effective in improving ART services in rural settings. [adapted from author]

Policy Options to Attract Nurses to Rural Liberia: Evidence from a Discrete Choice Experiment

A discrete choice experiment was used to test how nurses and certified midwives in Liberia would respond to alternative policies being considered by the ministry of health and social welfare to predict the share of nurses and certified midwives who would accept a job in a rural area under different schemes. [from abstract]

Lifecourse Factors and Likelihood of Rural Practice and Emigration: A Survey of Ghanaian Medical Students

The aim of this study was to investigate the contribution of experiential factors across Ghanaian medical students’ lifespans on intent to practice in a rural area and intent to emigrate. [from abstract]

Planning, Implementing, and Monitoring, Home-Based HIV Testing and Counselling: A Practical Handbook for Sub-Saharan Africa

Because programming for home-based HIV testing and counselling (HBHTC) services poses a series of practical challenges with design, cost, human resource, and logistical implications, the purpose of this handbook is to provide practical guidance on ways to address these challenges and to outline some of the key considerations when planning, implementing, and monitoring HBHTC. [from author]

Workforce Planning Tool: User's Guide

This tool collects data related to the current size of staff by position and the facility workload for each department. It then uses worker activity standards developed by Egyptian expert panels to calculate the precise workforce required to meet the workload of each facility. The tool’s output capabilities display the size of the gaps between current and required staff, examined across facilities, specialty areas, and types of worker, as well as among specialties within a facility. [from author]

User's Manual for Developing a Workload-Based Staffing Model in Egypt

This manual is a how-to guide to the workload indicators of staffing need (WISN) process and its implementation in Egypt. It provides a
step-by-step review of the WISN method and the calculations used in the analysis of the workforce to determine staffing needs. This guide is largely based on the Egyptian experience with the WHO methodology and how it was tailored to meet Egypt’s specific context and needs. [from introduction]

Reforming Nursing Education in Egypt: A Case Study in Reform Management

The case study outlines a program of nursing reform in Egypt to correct shortages and improve nursing quality by restructuring nursing education.

Capacity Building in Egypt: Management and Leadership Training at the Leadership Academy

This case study explores the development and impact of a training program to improve health sector management and leadership so that the ministry of health could become more efficient and provide the quality of services that the Egyptian population needed and demanded. [adapted from author]

Development of Workforce Activity Standards in Egypt

The purpose of this report is to discuss the process of developing health workforce activity standards in Egypt and its importance in estimating workforce requirements. The report describes the methodology used to develop and test these standards, as well as the challenges faced during the process and the lessons learned. [from introduction]

Using Primary Health Care (PHC) Workers and Key Informants for Community Based Detection of Blindness in Children in Southern Malawi

The current study compared the effectiveness of trained health surveillance assistants versus trained volunteer key informants in identifying blind children in southern Malawi. [from abstract]

Hotline HRH September 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.

Conscientious Objection and Reproductive Health Service Delivery in Sub-Saharan Africa

Lack of access to quality reproductive health services is the main contributor to the high maternal mortality and morbidity in sub-Saharan Africa. This is partly due to a shortage of qualified and experienced health care providers. However this article explores conscientious objection amongst the available few as a hitherto undocumented potential factor influencing access to health care. [from abstract]

Are Dutch Patients Willing to be Seen by a Physician Assistant Instead of a Medical Doctor?

The objective of this study was to assess the willingness of Dutch patients to be treated by a physician assistant or a medical doctor under various time constraints and semi-urgent medical scenarios to determine the patients’ perspectives on using physician assistants as a means to bridge the growing gap between the supply and demand of medical services. [adapted from abstract]

Effort-Reward Imbalance and Quality of Life of Healthcare Workers in Military Hospitals: A Cross-Sectional Study

This study investigates the association between job stress, psychological morbidity and quality of life in healthcare workers in three military hospitals in Taiwan. [from abstract]

Assessing Performance Enhancing Tools: Experiences with the Open Performance Review and Appraisal System (OPRAS) and Expectations Towards Payment for Performance (P4P) in the Public Health Sector in Tanzania

This article addresses health workers’ experiences with the open performance review and appraisal system (OPRAS) in Tanzania, expectations towards pay for performance, and how lessons learned from OPRAS can assist in the implementation of pay for performance. The broader aim is to generate knowledge on health workers’ motivation in low-income contexts. [adapted from abstract]

Practicing Medicine without Borders: Tele-Consultation and Tele-Mentoring for Improving Paediatric Care in a Conflict Setting in Somalia

In a district hospital in conflict-torn Somalia, the authors assessed the impact of introducing telemedicine on the quality of paediatric care, and the added value as perceived by local clinicians. [from abstract]

Health Worker Satisfaction and Motivation: An Empirical Study of Incomes, Allowances and Working Conditions in Zambia

In this study the authors examine the relationship between health worker incomes and their satisfaction and motivation. [from abstract]

India's Health Workforce: Current Status and the Way Forward

This article compiles the information available on the health workforce of India from different sources and suggests a plan to address the shortages in different cadres. [from introduction]

District Health Executives in Midlands Province, Zimbabwe: Are They Performing as Expected?

This study investigated the reasons for the poor performance of the district health executives reported by provincial health managers in the Midlands province of Zimbabwe. [adapted from abstract]

Effect of UK Policy on Medical Migration: A Time Series Analysis of Physician Registration Data

This study compared the trends in new professional registrations in the UK from doctors qualifying overseas before and after the national ethical guidance on international recruitment to determine what, if any, effect these policies have had on ethical recruitment. [adapted from author]

Client Characteristics and Acceptability of a Home-Based HIV Counselling and Testing Intervention in Rural South Africa

There is growing interest in expanding testing coverage through the implementation of innovative models such as home-based HIV counselling and testing (HBHCT) by trained lay counsellors. With the aim of informing scale up, this paper discusses client characteristics and acceptability of an HBHCT intervention implemented in rural South Africa. [from abstract]

Knowledge, Attitude and Behavior about Public Health Emergencies and the Response Capacity of Primary Care Medical Staffs of Guangdong Province, China

The main objective of this study is to explore the knowledge, attitudes, behaviors and the response capacity of primary care medical staff related to public health emergencies in Guangdong Province, China. [adapted from abstract]

Assessment of the Routine Health Management Information System in Taraba State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Taraba state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Imo State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Imo state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Oyo State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Oyo state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Niger State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Niger state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]