Browse by Geographic Focus

Can Primary Health Care Staff be Trained in Basic Life-Saving Surgery?

This article advocates training rural primary health care staff in basic emergency surgery in those areas of South Sudan where there is no access to secondary or tertiary level facilities (i.e. surgical task-shifting). Based on their experience, the authors describe and recommend the type of on-the-job training that they feel is most suitable for this level of staff. [from publisher]

Brain Drain and Health Workforce Distortions in Mozambique

This observational study was conducted to estimate the degree of internal and external brain drain among Mozambican nationals qualifying from domestic and foreign medical schools between 1980–2006. [from abstract]

Augmenting Surgical Capacity in Resource-Limited Settings

This article outlines an educational partnership model designed to increase local capacity for postgraduate education at a Rwandan surgical residency program and to reduce dependence on foreign programs for the training of Rwandan surgeons. [adapted from author]

Medical Students' Characteristics as Predictors of Career Practice Location: Retrospective Cohort Study Tracking Graduates of Nepal's First Medical College

The objective of this study was to determine, in one low income country (Nepal), which characteristics of medical students are associated with graduate doctors staying to practise in the country or in its rural areas. [from abstract]

So Many, Yet Few: Human Resources for Health in India

This paper aims to address provide a more complete picture of India’s health workforce.

Performance of Community Health Workers Under Integrated Community Case Management of Childhood Illnesses in Eastern Uganda

This study compared the performance of community health workers managing malaria and pneumonia with performance of those managing malaria alone in eastern Uganda and the factors influencing performance. [from abstract]

Task Shifting of Antiretroviral Treatment from Doctors to Primary-Care Nurses in South Africa (STRETCH): A Pragmatic, Parallel, Cluster-Randomised Trial

This article aimed to assess the effects on mortality, viral suppression, and other health outcomes and quality indicators of program for task shifting of antiretroviral therapy from doctors to nurses, which provides educational outreach training for nurses to initiate and represcribe. [adapted from summary]

Human Resources Information System for the Health Sector

This brief outlines a comprehensive human resources information system to support management functions in the public health sector that is being implemented by the Ministries of Health in Kenya. [adapted from author]

Performance of Health Workers in the Management of Seriously Sick Children at a Kenyan Tertiary Hospital: Before and after a Training Intervention

This article describes the process and results of an uncontrolled before and after study to explore intervention dose-effect relationships, as clinical practice guidelines were disseminated and training was progressively implemented. [adapted from author]

Evaluation of a Task-Shifting Strategy Involving Peer Educators in HIV Care and Treatment Clinics in Lusaka, Zambia

The purpose of this study was to evaluate patient and staff perceptions regarding whether the peer education program as as part of a task-shifting strategy for HIV care relieved the workload on professional health care workers and delivered services of acceptable quality. [adapted from author]

Does the Positive Influence of an Undergraduate Rural Placement Persist into Postgraduate Years?

The purpose of this study was to test whether or not the effects of a seven week rural undergraduate placement for medical students (which showed positive influence on student attitudes to rural health and their intention to practise in a rural settings) persisted into postgraduate years. [adapted from abstract]

Challenges Confronting Clinicians in Rural Acute Care Settings: A Participatory Research Project

The major aims of this study were to better understand the challenges faced by rural acute care clinicians and the impact of these challenges on their capacity to carry out their roles. A secondary aim was to explore and prioritise strategies to address selected challenges. [from introduction]

Issues Affecting Therapist Workforce and Service Delivery in the Disability Sector in Rural and Remote New South Wales, Australia: Perspectives of Policy-Makers, Managers and Senior Therapist

This article reports the findings of a qualitative study of therapist workforce and service delivery in the disability sector in rural and remote Australia. The aim was to investigate issues of importance to policy-makers, managers and therapists providing services to people with disabilities in rural and remote areas. [from abstract]

Rural Nursing Education: A Photovoice Perspective

The purpose of this study was to explore the use of the innovative research approach called photovoice as an educational strategy to foster learning about and interest in rural locations and rural nursing as future practice settings. [from abstract]

Characteristics of Physicians, Their Migration Patterns and Distance: A Longitudinal Study in Hiroshima, Japan

The authors analyzed the flow of all the clinical physicians in Hiroshima Prefecture, Japan, with particular attention to migration to rural and distant places to determine effective workforce policies for rural and remote areas. [adapted from introduction]

Occupational Violence against Dental Professionals in Southern Nigeria

The objective of this study was to determine the prevalence of workplace violence in oral healthcare centres against Nigerian dental professionals. [from abstract]

Community Health Workers Provide Crucial Health Services in Ghana's Remote Communities

The brief describes the difference a community health worker program has made to the lives of children in one remote region of Ghana.

US Distribution of Physicians from Lower Income Countries

Given concerns regarding the effects of this loss to their countries of origin, the authors undertook a study of international medical graduates from lower income countries currently practicing in the United States. [from abstract]

Can Volunteer Community Health Workers Decrease Child Morbitiy and Mortality in Southwestern Uganda? An Impact Evaluation

This impact evaluation was conducted to assess volunteer community health workers’ effect on child morbidity, mortality and to calculate volunteer retention. [from abstract]

Already We See the Difference: Strengthening District Health Workforce Leadership and Management in Uganda

Participants in the Human Resources for Health Leadership and Management Course in Uganda share some perspectives on a program designed to help them address health workforce challenges at the district level. [from publisher]

Response to Gender-Based Violence in Eastern Europe and Central Asia: Training Programme for Health Care Providers

This online training manual containing background information, handouts, exercises and powerpoint presentations to train health professionals on gender-based violence. [from publisher]

Perception of Evidence-Based Practice and the Professional Environment of Primary Health Care Nurses in the Spanish Context: A Cross-Sectional Study

The main aim of this work was to assess the factors that influence an evidence-based clinical practice among nursing professionals in primary health care. [from abstract]

Hotline HRH July 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.

Value for Money, Sustainability and Accountability in Health: A New Governance Framework for Africa Towards and Beyond the MDGs: Financing Human Resources for Health

The health sector in Sub-Saharan Africa is most often unfunded, including the health workforce, but many countries do not meet the minimum health staffing levels to provide essential care. This brief outlines the the need for ministries of finance and health to allocate additional financial resources for HRH to maximize the efficiency and effectiveness of current capital and recurrent expenditures. [adapted from author]

Engaging the Private Sector to Increase Tuberculosis Case Detection: An Impact Evaluation Study

In many countries with a high burden of tuberculosis, most patients receive treatment in the private sector. This study evaluates a multifaceted case-detection strategy in Karachi, Pakistan, targeting the private sector. [from abstract]

Perceived Barriers and Motivating Factors Influencing Student Midwives' Acceptance of Rural Postings in Ghana

The objectives of this study are to determine the perceived barriers and motivators influencing final year midwifery students’ acceptance of rural postings in Ghana. [from abstract]

Integrated Health Sector Response to Violence against Women in Malaysia: Lessons for Supporting Scale Up

Malaysia has been at the forefront of the development and scale up of an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the model to two states in Malaysia in order to identify lessons for supporting successful scale-up. [from abstract]

Qualitative Study of Factors Influencing Different Generations of Newfoundland and Saskatchewan Trained Physicians to Leave a Work Location

This study examined the factors associated with a physician’s decision to leave a work location. We compared different generations of physicians to assess whether these factors have changed over generations. [from abstract]

What Impedes Working in Rural Areas? A Study of Aspiring Doctors In the National Capital Region, India

This study examined the attitudes of and inclination to rural healthcare careers among medical students in India. [from abstract]

Wages and Health Worker Retention in Ghana: Evidence from Public Sector Wage Reforms

This paper investigates whether governments in developing countries can retain skilled health workers by raising public sector wages using sudden, policy-induced wage variation, in which the Government of Ghana restructured the pay scale for government health workers. [adapted from abstract]