Browse by Geographic Focus

Nepal’s Safe Delivery Incentive Programme (SDIP) was introduced nationwide in 2005 with the intention of increasing utilisation of professional care at childbirth. It provided cash to women giving birth in a health facility and an incentive to the health provider for each delivery attended, either at home or in the facility. We explored early implementation of the programme at the district-level to understand the factors that have contributed to its low uptake. [from abstract]

This case outlines how Oman is continuing to turn around its excessive dependence on expatriate workforce through strategic workforce development planning. [from abstract]

In Southern Sudan, the Capacity Project is strengthening the Ministry of Health’s ability to hire, train and manage a high-quality health workforce. Opened in May 2008, the Project-supported resource center provides hospital staff, medical students and Ministry of Health personnel with print and electronic materials, library services, Internet access and computer training. [adapted from author]

Given that IT projects may take a long time to be fully institutionalized, sufficient resources are required to build the local capacity to support and sustain the project after the withdrawal of donors. Inadequate donor support often contributes to weakening rather than strengthening human resource capacity and effective system design, since it emphasizes the technology itself at the expense of the needs of the users. These factors contribute to the design and implemntation of unsustainable health information systems in developing countries. [from abstract]

District health systems in Africa depend largely on public funding. In many countries, not only are these funds insufficient, but they are also released in an untimely fashion, thereby creating serious cash flow problems for district health managers. This paper examines how the untimely release of public sector health funds in Ghana affects district health activities and the way district managers cope with the situation. [from abstract]

Rwanda is one of the pioneers of performance-based financing. Building on lessons from three donor-financed pilots, the government has assumed leadership for this approach and is scaling up a standardized model nationwide. [from author]

The regional guidelines for implementing the SDNM in the African Region are to accelerate action at country level. The guidelines also provide both a framework for WHO action to support countries in improving the quality of nursing and midwifery services, and a guide for action at national and local levels. Possible priority actions have been proposed to countries to facilitate strengthening of nursing and midwifery services at national and local levels. [from foreword]

This paper aims to discuss the challenges influencing the state of caregiving in the Kanye community home-based care programme in Botswana. [from abstract]

The Zambia Prevention, Care and Treatment Partnership began training and placing community volunteers as lay counsellors in order to complement the efforts of the health care workers in providing HIV counselling and testing services. These volunteers are trained using the standard national counselling and testing curriculum. This study was conducted to review the effectiveness of lay counsellors in addressing staff shortages and the provision of HIV counselling and testing services. [from abstract]

The potential for traditional birth attendants (TBAs) to improve neonatal health outcomes has largely been overlooked during the current debate regarding the role of TBAs in improving maternal health. Randomly selected TBAs were interviewed to gain a more thorough understanding of their knowledge, attitudes, and practices regarding maternal and newborn care. [from abstract]

Recent years have seen growing awareness of the importance of human resources for health in health systems and with it an intensifying of the international and national policies in place to steer a response. This paper looks at how governments and donors in five countries: Cameroon, Indonesia, Malawi, Rwanda and Tanzania, have translated such policies into action. [from abstract]

Prevention of mother-to-child transmission has been considered as not a simple intervention but a comprehensive set of interventions requiring capable health workers. Viet Nam’s extensive health care system reaches the village level, but still HIV-infected mothers and children have received inadequate health care services for prevention of mother-to-child transmission. We report here the health workers’ perceptions on factors that lead to their failure to give good quality prevention of mother-to-child transmission services. [from abstract]

We wanted to try to account for worker motivation as a key factor that might affect the success of an intervention to improve implementation of health worker practices in eight district hospitals in Kenya. In the absence of available tools, we therefore aimed to develop a tool that could enable a rapid measurement of motivation at baseline and at subsequent points during the 18-month intervention study. [from abstract]

The last two decades has seen an explosion of institutions involved in the training of health personnel. This is possibly because of the huge demand of human resources of health (HRH) not only in Nepal, but worldwide. Various grades of HRH are going out of the country and seeking their livelihood elsewhere. [from abstract]

Regional Australia is critically short of registered nurses (RNs) due to an ageing nursing workforce and difficulty in attracting new staff. It is recognised that rural background is the most influential factor shaping a health professional’s decision to practise in regional areas. Because of this, Charles Sturt University offered a bachelor of nursing by distance education (DE), enabling rural and remote enrolled nurses (ENs)to upgrade their qualifications to RN. However, despite the flexible study mode offered, many rural and remote ENs were reluctant to progress to university study.

This presentation provides the results of studies designed to ascertain which Ghanaian trainee health professionals are more likely to emigrate, as well as the rationale for these choices. It also attempts to identify potential areas for policy intervention in order to moderate the benefits and costs of both the long-term and short-term impact of this situation.

This presentation chronicles the emigration patterns of Ghanaian health professionals and the effects on that country's own health services. There is a specific focus on the emigration expectations of Ghanaian trainee health personnel, as well as offering suggestions for potential methods for addressing the situation.

This presentation offers the findings of a study assessing how policies in richer countries impact least-developed countries, specifically regarding skilled labour migration.

This presentation details issues surrounding the recruitment and utilization of foreign health professionals in the UK.

This presentation describes perspectives on the out-migration of health professionals in Africa.

This presentation offers the results of a study examining organizational and institutional perspectives on international labor migration, as well as a case study on nurse migration and recruitment from the Philippines to the U.S.

This presentation addresses issues pertaining to nurse migration in the UK including trends, patterns and the impact of soft regulation.

This presentation explores the primary characteristics of the migrant labor force in the UK healthcare sector, including the implications for policies regulating migration and the care sector.

In Zimbabwe, as in many parts of sub-Saharan Africa, home-based care (HBC) plays a vital role in the response to HIV as overwhelmed public health and welfare systems fail to cope with the demands of the epidemic. This document details a project designed to contribute to better understanding and evidence-based decision-making in the implementation of HBC interventions in Zimbabwe and beyond. [adapted from executive summary]

This report provides a short summary of the key discussion points from a meeting in Addis Ababa, Ethiopia on the 10th and 11th of January 2008. The meeting followed on from the launch of the WHO Guidelines on Task-Shifting and was attended by participants who are actively involved in addressing HRH. [adapted from author]

In response to the critical HRH shortages in Africa, the UK Department for International Development (DFID) and Office of the US Global Aids Coordinator (OGAC) have been in discussion with a number of African countries to develop strategies and country level actions. The aim is to demonstrate the maximum flexibility of disease specific programmes to support broad based primary care in line with countries’ health plans. This report presents a summary of the main findings from the country visit to Kenya. [from introduction]

This document details the efforts of the Christian Health Association to strengthen sub-Saharan Africa’s national health sectors by mitigating the the HR shortage. [adapted from executive summary]

A study on workplace violence within the health sector in Rwanda was conducted in 2007 in order to determine the type, impact, context, consequences and prevention strategies of workplace violence in Rwanda; to assist the Ministries of Health, Public service and Labor (MIFOTRA) as well as other stakeholders in developing a political, legal and programmatic response to improve providers’ safety, satisfaction and retention. This study also explored the characteristics of gender-based violence, including gender-based discrimination and its relation to workplace violence. [adapted from foreword]

This report details the work of the the Capacity Project assistance to the Lesotho Ministry of Health and Social Welfare to strengthen its capacity to respond to the HIV/AIDS pandemic by addressing gender segregation in nonformal caregiving through the active engagement of men as providers of community and home-based HIV/AIDS care and support. [adapted from foreword]

These guidelines target all health workers at the different levels of the health care delivery system and apply to both the formal and informal workplaces within the health sector. This document covers the basic principles that are required to ensure workplace safety and health including hazard identification, risk management, prevention and management of exposures and incidents. [from foreword]