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Training and Clinical Mentorship to Support the Scale-Up of Pediatric HIV Care: Lessons Learned from Uganda

The principles and practices outlined in this document are based on the author’s experience with creating a health worker clinical mentorship program for pediatric HIV care in Uganda as part of the continuum of education required to create competent health-care providers. [adapted from author]

Supporting National ART Scale-Up in Botswana through Standardized, Multiphased Training

The need to strengthen health-care worker capacity was identified by the Botswana Ministry of Health and confirmed by a training needs assessment conducted in 2001. In response, Botswana embarked on the first phase of a national antiretroviral training program, which this document outlines. [adapted from author]

Caring for Caregivers: Lessons Learned in Addressing the Needs of Health-Care Workers Affected by HIV/AIDS

This article shares experiences and insights gained, primarily in Zambia but also in Malawi, from the implementation of the “Caring for Caregivers” projects in Zambia and Malawi. [from author]

Training Program for Birth Attendance Reduces Neonatal and Perinatal Mortality in Zambian Clinics

A birth attendant training program that has been shown in a multinational trial to reduce stillbirth and perinatal mortality rates among neonates weighing at least 1.5 kilograms - most of them born outside of hospitals, also reduced mortality among infants of all weights born in Zambian clinics. [from author]

Improving Maternal and Newborn Care Counselling in Benin: Operations Research on the Use of Job Aids and Task Shifting

This study examined whether a pictorial set of job aids could improve the quality of maternal and newborn care counseling by skilled providers and whether similar performance levels could be achieved by clinic-based lay providers as part of a task shifting initiative to expand their role. [from author]

Baseline Assessment of HIV Service Provider Productivity and Efficiency in Uganda

As part of the collaborative to improve the efficiency of HIV service delivery, the authors conducted a baseline assessment of HIV/AIDS provider productivity, efficiency, and engagement in Uganda. [adapted from author]

Strengthening Human Resources for Health to Improve Maternal Care in Niger's Tahoua Region

This brief outlines a collaborative to improve health worker performance and improve the quality and efficiency of maternal care services by building the capacity of local management and health workers to implement sustainable improvements in maternal care provided in Tahoua. [adapted from author]

Staffing in Maternity Units: Getting the Right People in the Right Place at the Right Time

This report considers the available evidence about the relationship between staffing levels and deployment practices and safety of care for mothers and babies. In so doing, the report considers different staffing models and approaches.

Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa: a Labor Market Perspective on What Works, What Does Not, and Why

This report discusses and analyzes labor market dynamics and outcomes (including unemployment, worker shortages, and urban-rural imbalances of categories of health workers) from a labor economics perspective to address undesirable outcomes (including urban-rural HRH imbalances) more effectively. [adapted from summary]

Mandatory Rural Service for Health Care Workers in Thailand

This article discusses Thailand’s mandatory health service system. Under this system, all early-career health workers from public professional schools serve in rural areas as a governmental worker to maintain the rural health workforce. The system has ameliorated the shortage of physicians in rural areas by substantially decreasing the emigration of Thai physicians to foreign countries.

Training and Professional Expectations of Medical Students in Angola, Guinea-Bissau and Mozambique

The purpose of this paper is to describe and analyze the professional expectations of medical students during the 2007-2008 academic year at the public medical schools of Angola, Guinea-Bissau and Mozambique, and to identify their social and geographical origins, their professional expectations and difficulties relating to their education and professional future. [from abstract]

Effectiveness of the Tailored EBP Training Program for Filipino Physiotherapists: a Randomised Controlled Trial

This study assesses the effectiveness of a tailored evidence-based practice (EBP) training program for Filipino physiotherapists in improving knowledge, skills, attitudes, behaviour, and capacity to engage with referring doctors to determine the most effective treatments for their patients. [adapted from abstract]

Practicing Provider-Initiated HIV Testing in High Prevalence Settings: Consent Concerns and Missed Preventive Opportunities

The aim of this study was to determine the use of different types of HIV testing services and to investigate perceptions and experiences of these services with a particular emphasis on the provider initiated testing in three selected districts in Kenya, Tanzania, and, Zambia.

Estimates Of Health Care Professional Shortages In Sub-Saharan Africa By 2015

This paper uses a forecasting model to estimate the need for, supply of, and shortage of doctors, nurses, and midwives in thirty-nine African countries for 2015, the target date of the United Nations Millennium Development Goals. [from abstract]

Using Technology for Supportive Supervision for TB in Nigeria

This presentation outlines an intervention that introduced PDAs or Smartphones for data collection in Nigeria to improve the supervision, assessment and creation of action plans for quality improvement in facilities where tuberculosis (TB) is diagnosed and treated. [adapted from author]

Nursing in Mauritius: Case Study

This case study provides a discussion on the key issues in the development of the nursing workforce in Mauritius. [from introduction]

Reduction of Client Waiting Time Using Task Shifting in an Anti-Retroviral Clinic at Specialist Hospital Bauchi, Nigeria

This study aimed to assess the impact of a task shifting intervention in an ARV clinic in reducing the patients’ waiting time in the clinic. [adapted from author]

Institutional Public Private Partnerships for Core Health Services: Evidence from Italy

This work is a comparative analysis of the reasons for the adoption of institutional public-private partnerships and the governance and managerial features necessary to establish them as appropriate arrangements for public health services provisions. [from abstract]

Toolkit: Community Empowerment in MNH Towards the Alert Village (Desa Siaga)

The toolkit describes a process of implementing community empowerment in maternal and neonate health (MNH) and each step of the process, including guidelines and training manuals for the implementation process. The aim of this toolkit is to provide an example of possible best practice in community mobilisation to compliment medical based initiatives to reduce maternal death. [adapted from author]

Desa Siaga Cost Analysis

The term “Desa Siaga” describes the concept of community members owning their own resources and capacities for preventing and overcoming their own health problems, health emergencies and disasters based on mutual support and in a spirit of togetherness. This cost analysis provides additional information for all stakeholders contributing to informed decision making regarding DS implementation and this from an economic perspective. [from executive summary]

Hospital Management Training: New Ways to Improve Services in Indonesia: a Text Book and Guide

The quality of health services is influenced by the technical and managerial skills of the hospital team. This training curriculum aims to improve the management skills of the hospital teams by focusing on behavioral change and institutionalizing of the culture of quality improvement. [from foreword]

Influence of Burnout on Skills Retention of Junior Doctors at Red Cross War Memorial Children's Hospital: a Case Study

This study used the Maslach Burnout Inventory to evaluate the degree of burnout among junior doctors at Red Cross War Memorial Children’s Hospital and the influence on the retention of valuable skills in the hospital. [from author]

Efficiency and Effectiveness of Aid Flows Towards Health Workforce Development: Exploratory Study Based on Four Case Studies from Ethiopia, the Lao People's Democratic Republic, Liberia and Mozambique

This paper reflects an initial review of aid effectiveness in relation to human resources for health. It asks whether the recent aid effectiveness agenda, as expressed in commitments made to the Paris Declaration, is responding appropriately to the specific needs of HRH and countries’ efforts to strengthen and scale up human resources. [from author]

Educational Factors that Influence the Urban-Rural Distribution of Health Professionals in South Africa: a Case-Control Study

This study aimed to evaluate the influence of educational factors on the choice of rural or urban sites of practice of health professionals in South Africa. [from abstract]

Contribution of South African Curricula to Prepare Health Professionals for Working in Rural or Under-Served Areas in South Africa: a Peer Review Evaluation

The Collaboration for Health Equity through Education and Research was formed in 2003 to examine strategies that would increase the production of health professionals who choose to practise in rural and under-served areas in South Africa. This article aimed to identify how each faculty is preparing its students for service in rural or under-served areas. [from abstract]

Fit for Purpose? The Appropriate Education of Health Professionals in South Africa

This editorial explores what health sciences training institutions achieved in the past 50 years to address the health care priorities of South Africans who are most in need. [adapted from author]

Smart Phones Improving Clinical Outcomes

This article outlines a mobile health information pilot project in South Africa that provides nurses with instant access to a clinical library and treatment guidelines to improve their performance and positively impact patient care. [adapted from author]

Migration of Health Workers in the Asia-Pacific Region

This report examines the growing phenomenon of the international migration of skilled health workers (nurses, doctors and more specialised workers, such as pharmacists, radiologists and lab technicians) in the Asia-Pacific region. [from summary]

Newborn Care and Knowledge Translation: Perceptions among Primary Health Care Staff in Northern Vietnam

Nearly four million neonatal deaths occur annually in the world despite existing evidence-based knowledge with the potential to prevent many of these deaths. Effective knowledge translation (KT) could help to bridge this know-do gap in global health. The aim of this study was to explore aspects of KT at the primary healthcare level in a northern province in Vietnam. [from abstract]

Pilot Evaluation of Distance Education Modalities for Health Workers in the U.S. Affiliated Pacific Islands

This article reports on a pilot evaluation of distance education modalities was conducted among U.S. Affiliated Pacific Islands healthcare workers. [from abstract]