Browse by Geographic Focus

Youth Friendly Pharmacies and Partnerships: the CMS-CELSAM Experience

The Commercial Market Strategies project (CMS) developed a network of youth-friendly pharmacies to provide reproductive health information and contraceptives to youth in Guanajuato, Mexico. The network involved the commercial sector in providing reproductive health and family planning services, as well as respecting youths’
privacy and reducing their potential embarrassment when obtaining those services. [from abstract]

Nigeria Private Sector Health Assessment

This document is the result of an assessment of the private sector in Nigeria for the provision of reproductive health and family planning products and services. [from abstract]

Evaluation of Immunization Knowledge, Practices, and Service-delivery in the Private Sector in Cambodia

A study of private-sector immunization services was undertaken to assess scope of practice and quality of care and to identify opportunities for the development of models of collaboration between the public and the private health sector. A questionnaire survey was conducted with health providers at 127 private facili¬ties; clinical practices were directly observed; and a policy forum was held for government representatives, private healthcare providers, and international partners. [from abstract]

Empowering Primary Care Workers to Improve Health Services: Results from Mozambique's Leadership and Management Development Program

The article presents a successful application in Mozambique of a leadership development program created by Management Sciences for Health. [from abstract]

Double Burden of Human Resource and HIV Crises: a Case Study of Malawi

Two crises dominate the health sectors of sub-Saharan African countries: those of human resources and of HIV. There is considerable variation in the extent to which these two phenomena affect sub-Saharan countries, with a few facing extreme levels of both. This paper reviews the continent-wide situation with respect to this double burden before considering the case of Malawi in more detail. [from abstract]

National Survey of the Impact of Rapid Scale-Up of Antiretroviral Therapy on Health-Care Workers in Malawi: Effects on Human Resources and Survival

Sub-Saharan Africa is the epicenter of the HIV/AIDS epidemic. An assessment of health-care worker availability in the region against health system needs for that area reveals stark gaps. This article details the contributing reasons for health-care worker shortages, as well as the effect of these shortages on antiretroviral therapy (ART) for HIV-infected patients. [from abstract]

Human Resource Development and Antiretroviral Treatment in Free State Province, South Africa

This article focuses on professional nurses in a study of patterns of planning, recruitment, training and task allocation associated with an expanding antiretroviral program in the districts of Free State. [from abstract]

Malawi's Emergency Human Resources Program

Malawi’s health human resources initiatives since the late 1990s provide a good example of a comprehensive national scale-up plan for the health workforce. Its Emergency Human Resources Plan has shown modest but promising results. Health worker attrition remains high and tutor supply low, but training capacity has been substantially expanded and Malawi is expected to begin meeting training output targets in 2008. [from introduction]

Ghana: Implementing a National Human Resources for Health Plan

Ghana addresses its serious health workforce shortage and consequent issues with health service delivery through a new human resources strategic plan developed to guide scale-up from 2007 to 2011. [from abstract]

Migration of Health Workers in Kenya: the Impact on Health Service Delivery

This study was conducted to identify determinants, benchmarks and indicators of the costs and benefits and distributional impact of the migration of human resources for health on health services in Kenya and to make policy proposals for intervention. [from abstract]

Health Workforce and International Migration: Can New Zealand Compete?

This paper examines health workforce and migration policies in New Zealand, with a special focus on the international recruitment of doctors and nurses. [from abstract]

Yielding Very Positive Results: Improving Decentralized HIV Services in Costa Rica

Most Central American hospitals that provide decentralized HIV services struggle with issues such as weak infection prevention practices, poor nutritional care and persistent discriminatory practices. The Capacity Project is helping national HIV programs in Belize, Costa Rica, El Salvador, Guatemala, Nicaragua and Panama to improve performance and supervision systems that will help address these issues. [from author]

Understanding and Measuring AIDS-Related Stigma in Health Care Settings: a Developing Country Perspective

This paper reports on AIDS-related stigma baseline findings from a study to evaluate the impact of a stigma-reduction intervention in three large hospitals in New Delhi, India. The study highlights issues particular to the health care sector in limited-resource settings. [from abstract]

From Research to National Expansion: 20 Years’ Experience of Community-Based Management of Childhood Pneumonia in Nepal

This paper describes Nepal’s efforts, starting from the mid-1980s, to develop and implement community-based management of pneumonia. [from abstract]

AWARENESS Project Design, Implementation and Evaluation of a Distance Learning Course for Training in the Standard Days Method

This report summarizes key results of the evaluation of a distance learning course in the Standard Days Method. This course responds to a growing demand for low-cost options to training for family planning service providers. This option was considered as a potentially useful alternative to traditional class-room training, which can be both costly and time-consuming. [adapted from abstract]

Cost Effectiveness of Standard Days Method Refresher Trainings Using the Knowledge Improvement Tool in Guatemala

The Knowledge Improvement Tool (KIT) was created to allow family planning supervisors to quickly identify gaps in knowledge of Standard Days Method (SDM) providers, allowing them to provide targeted, effective support during routine supervisory visits. This study was designed to compare the effectiveness and the cost benefit of KIT to other methods of reinforcing SDM provider knowledge. [adapted from author]

Tuberculosis Suspicion and Knowledge Among Private and Public General Practitioners: Questionnaire Based Study in Oman

Early detection of smear positive tuberculosis (TB) cases by smear microscopy requires a high level of suspicion of TB among primary care physicians. The objective of this study is to measure TB suspicion and knowledge among private and public sector general practitioners using clinical vignette-based survey and structured questionnaire. [from abstract]

Improving Retention and Performance in Civil Society in Uganda

This article describes the experience of the Family Life Education Programme, a reproductive health program that provides community-based health services through 40 clinics in five districts of Uganda, in improving retention and performance by using the Human Resource Management Rapid Assessment Tool. [adapted from abstract]

Has the Navrongo Project in Northern Ghana Been Successful in Altering Fertility Preferences?

This document evaluates the expected change in the reproductive preferences of women due to the presence of volunteers and community health workers providing health service delivery in the communities through the Community Health and Family Planning project. In the communities where there is intervention, women seem to show that their fertility preferences are generally shifting towards small family sizes although the fertility levels are still high. [adapted from author]

Monitoring the Performance of a Reproductive Health Franchise in Nepal

This study examines the experience of the Sewa nurse and paramedic franchise in Nepal and assesses whether there were changes in the perceived quality of services approximately one year after the formation of the network. This study also examines the extent to which there was an increase in the use of reproductive health services during this period. [from introduction]

Effectiveness of a Home Care Program for Supporting Caregivers of Persons with Dementia in Developing Countries: A Randomised Controlled Trial from Goa, India

This study was implemented to develop and evaluate the effectiveness of a home based intervention in reducing caregiver burden, promoting caregiver mental health and reducing behavioural problems in elderly persons with dementia. [from abstract]

Mapping the Human Resources Management Processes in Uganda

The purpose of this study was to identify and recommend strategies for tackling the underlying issues in the human resources for health (HRH) management process in Uganda with an eye towards addressing the HRH crisis. [from executive summary]

The Cost of Antiretroviral Therapy in Haiti

This study details the costs and personnel requirements for the provision of antiretroviral therapy (ART) to patients with AIDS in Haiti. [from abstract]

Confidentiality or Continuity? Family Caregivers’ Experiences with Care for HIV/AIDS

The overall objective of this study was to analyse the challenges which family caregivers encountered in home-based care when they tried to access medical treatment for home-based AIDS patients in the context of confidentiality and limited medical care. [from abstract]

Workforce Participation Among International Medical Graduates in the National Health Service of England: a Retrospective Longitudinal Study

Balancing medical workforce supply with demand requires good information about factors affecting retention. Overseas qualified doctors comprise 30% of the National Health Service workforce in England yet little is known about the impact of country of qualification on length of stay. We aimed to address this need. [from abstract]

Interprofessional Education in Rural Practice: How, When and Where?

Interprofessional education (IPE) has been suggested as an answer to improving the effectiveness of health professional teamwork, which in turn is regarded as a key strategy for improving the delivery and outcomes of increasingly complex healthcare approaches. There is a strong theoretical base to support the implementation of IPE for all health professionals, and in response many training programs now do this. This article presents some theory-based but practical advice for how to develop effective IPE activities. [from abstract]

Supportive Supervision to Sustain Health Worker Capacity in Nanggroe Aceh Darussalam and North Sumatera

This brief describes PATH’s project to implement supportive supervision techniques to improve health worker training in Indonesia.

Human Resources for Health Challenges of Public Health System Reform in Georgia

The aim of this study was to assess adequacy of HR of local public health agencies to meet the needs emerging from health care reforms in Georgia. [from abstract]

Review of the Utilization of HEEPF: Competitive Projects for Educational Enhancement in the Egyptian Medical Sector

The aim of this paper is to review the share of the medical sector in the higher education enhancement project fund (HEEPF), its outcomes, sustainability, and to provide recommendations for keeping the momentum of reform pursuit in the future. [from abstract]

Regional Consultation on the Accreditation of Health Professions Education in the Eastern Mediterranean Region

The WHO Regional Office for the Eastern Mediterranean held a regional consultation on the accreditation of health professions education. The objectives of the meeting were to enable countries of the Eastern Mediterranean Region to exchange experience in establishing national systems of accreditation, identifying strengths and constraints, and to formulate region- and country-specific plans of action for establishing accreditation of health professions education. [from author]