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Role of Nurses and Midwives in Polio Eradication and Measles Control Activities: a Survey in Suday and Zambia

We conducted a survey among nurses and midwives working at district level in Sudan and Zambia to determine their roles and functions in polio eradication and measles elimination programs. [from abstract]

Factors Predicting Team Climate and Its Relationship with Quality of Care in General Practice

Quality of care in general practice may be affected by the team climate perceived by its health and non-health professionals. This study aimed to explore individual and practice factors that were associated with team climate, and to explore the relationship between team climate and quality of care. [from abstract]

Systematic Inclusion of Mandatory Interprofessional Education in Health Professions Curricula at Gunma University: a Report of Student Self-Assessment in a Nine-Year Implementation

The mandatory interprofessional education program - a process by which students and practitioners from various health professions learn together with the goals of interaction and collaboration in providing health promotion, disease prevention, curative services, rehabilitation and palliation - was initiated in 1999 at Gunma University. This paper is a statistical evaluation of the programme from 1999 to 2007. [adapted from abstract]

Physicians' Working Conditions and Job Satisfaction: Does Hospital Ownership in Germany Make a Difference?

This study’s purpose is to compare how physicians, working for both public and privatized hospitals, rate their respective psychosocial working conditions and job satisfaction. [from abstract]

Health Sector Strategic Plan II 2009-2012 (Rwanda)

The Health Sector Strategic Plan II is a three year strategic plan that will guide all interventions in the Rwandan health sector for July 2009 - June 2012. The plan details the direction the health sector will take in the next three years, the achievements and outcomes that will be attained and the interventions that will be undertaken to make sure these targets are met.

Nursing the Future: E-Learning and Clinical Care in Kenya

This document chronicles the evolution of e-learning among nurses in Kenya. It charts the obstacles - a shortage of qualified tutors, the scarcity of clinical placements - and the priorities to overcome them. [adapted from author]

Bridging the Gaps: Improving Decentralized HIV Services in Panama

This version of Voices reveals how hospital staff are using the Project’s performance improvement approach to strengthen comprehensive HIV care. [adapted from author]

Placing Learning Needs in Context: Distance Learning for Clinical Officers in Tanzania

Poor public health indicators in Tanzania have led to the upgrading of nursing and clinical personnel who currently have just core training. This article reports on a project to assist the upgrade of clinical officers working around sexually transmissible infections within the context of healthcare, education and policy developments in Tanzania. [adapted from abstract]

Continuing Professional Development Accreditation System for Uganda

This publication outlines the processes to be followed by the Uganda Health Continuing Professional Development (CDP) Accreditation Agency, providers of CPD and health professionals applying for relicensure after CPD training.

Methods for Evaluating Effectiveness and Cost-Effectiveness of a Skilled Care Initiative in Rural Burkina Faso

This paper aims to describe the design, methods and approaches used to assess the effectiveness and cost-effectiveness of the skilled care initiative in reducing pregnancy-related and perinatal mortality in Ouargaye district, Burkina Faso. [from summary]

Effects of a Skilled Care Initiative on Pregnancy-Related Mortality in Rural Burkina Faso

The aim of this paper is to assess to what extent a skilled care initiative was associated with pregnancy-related mortality in Ouargaye district, Burkina Faso. [from summary]

Provision of Emergency Contraceptive Services through Paraprofessionals in India

This two-year study to assessed the usefulness and effectiveness of using paraprofessionals in educating and providing emergency contraceptive pill services to potential users. [from summary]

Integrating Family Planning and VCT Services in Ethiopia: Experiences of Health Care Providers

This study was undertaken primarily to understand what effect the efforts to integrate family planning and VCT services in health facilities had on health care providers’ work and service delivery practices in two regions of Ethiopia. [from summary]

Integrating Family Planning and HIV Services Improves Service Quality

This study tested the feasibility, acceptability, and cost of two models for integrating HIV prevention services, including counseling and testing, within established family planning programs, and evaluated their quality against the standard practice. [from author]

Quality Improvement Handbook for Primary Health Care

This handbook contains the complete set of resources and tools required to introduce and maintain a performance and quality improvement process at primary health care centers in the Hashemite Kingdom of Jordan including: facilitator’s guide; performance improvement review process and tools; monitoring and support guide; and monitoring tools and forms handbook. [adapted from introduction]

Retention of Community Service Officers for an Additional Year at District Hospitals in KwaZulu-Natal and the Eastern Cape and Limpopo Provinces

This study sought to gain understanding of the motivations of community service (CS) officers to continue working at the same district hospital for a subsequent year after their obligatory year was over. The objectives were to determine the number of CS officers who actually remained at the same district hospital after completing their CS in 2002, the major factors that influenced them to remain and factors that would encourage the 2003 cohort of CS officers to remain at the same district hospital for an additional year. [from abstract]

Reasons for Doctor Migration from South Africa

The aim of the study was to investigate the profile of South African qualified physicians who had emigrated from South Africa. [from abstract]

Traditional Health Practitioners in South Africa

This article discusses the prevalence of traditional health practitioners and what South Africa has done to support the cadre, including formalized recognition and licensing through the South African Traditional Health Practitioners Act.

Expanding Comprehensive Postabortion Care to Primary Health Facilities in Geita District, Tanzania

A postabortion care program was implemented in 11 primary and secondary health facilities in rural Tanzania in order to decentralize comprehensive postabortion care to community level by upgrading midlevel providers to perform manual vacuum aspiration. [from abstract]

Staffing Needs for Quality Perinatal Care in Tanzania

In Tanzania maternal and perinatal mortalities and morbidities are problems of public health importance, and have been linked to the shortage of skilled staff. We quantified the available workforce and the required nursing staff for perinatal care in 16 health institutions in Dar es Salaam. [from abstract]

Transition of Physician Distribution (1980–2002) in Japan and Factors Predicting Future Rural Practice

The maldistribution of physicians between urban and rural areas has long been an important political issue in Japan. The aim of this study was to evaluate long-term transition in the geographic distribution of physicians, and to reveal which rural physician characteristics predict their retention in rural areas. [adapted from abstract]

Agreement Between Physicians and Non-Physician Clinicians in Starting Antiretroviral Therapy in Rural Uganda

Access to HIV treatment in sub-Saharan Africa is constrained by the scarcity of physicians as they are the only providers legally allowed to initiate antiretroviral therapy in HIV-positive patients. This particularly impacts rural clinics staffed entirely by non-physician health workers. This article presents a pilot study from Uganda assessing agreement between non-physician clinicians and physicians regarding their decisions regarding the initiation of antiretroviral therapy. [adapted from abstract]

Where Do Students in the Health Professions Want to Work?

Rural and remote areas of Australia are facing serious health workforce shortages. While a
number of schemes have been developed to improve recruitment to and retention of the rural
health workforce, they will be effective only if appropriately targeted. This study examines
the factors that most encourage students attending rural clinical placements to work in rural
Australia, and the regions they prefer. [from abstract]

Distribution and Transitions of Physicians in Japan: a 1974-2004 Retrospective Cohort Study

This article presents the results of a study analyzing national trends in Japan regarding the distribution and career transitions of physicians among types of facilities and specialties over a 30-year period. [adapted from abstract]

Task Shifting for Emergency Obstetric Surgery in District Hospitals in Senegal

This article discusses the issues facing the district training program for emergency obstetric surgery teams in Senegal. [adapted from abstract]

Community-Based Skilled Birth Attendants in Bangladesh: Attending Deliveries at Home

A program to create a cadre of skilled birth attendants for home births was launched by the Government of Bangladesh Bangladesh in 2004. This article suggests that the task-shifting program can only serve as an interim measure rather than a long-term solution as more women decide to seek institutional delivery and professional midwifery care. [adapted from abstract]

Provision of Anesthesia Services for Emergency Obstetric Care Through Task Shifting in South Asia

This paper provides a literature review and documents existing programmes for task shifting anaesthesia services to mid-level providers in South Asia to increase access to emergency obstetric care and reduce maternal mortality. [adapted from abstract]

Community-Based Care of Stroke Patients in a Rural African Setting

This article describes an attempt at developing a community-based model of stroke care based on the discharge planning of stroke patients, available resources and continuity of care between hospital and community in a remote rural setting in South Africa. [adapted from introduction]

Stigma and Discrimination in HIV Counseling and Testing Services in the Private Health Sector in Guatemala: A Qualitative Study

This document discusses the outcomes of a qualitative study to describe the knowledge and practices of private clinic and laboratory service providers regarding HIV and HIV counseling and testing.

The study also identifies the characteristics of the stigma that private service providers place on female sex workers, men who have sex with men, people living with HIV/AIDS and describes the experiences of these groups regarding private counseling and testing services. [adapted from executive summary]

Impact of a Quality Improvement Package on the Quality of Reproductive Health Services Delivered by Private Providers in Uganda

This document details the results of a study to determine whether a quality improvement package designed to enable small-scale commercial reproductive health service providers to improve the quality of services provided through self-assessment, action-planning, and supervisors’ support is effective in improving service quality. [adapted from sbatract]