Sub-Saharan Africa

This paper offers an example of a highly effective and cost efficient model of care that has transformed the ability to humanely manage the problems of those with terminal illness, and to offer a culturally appropriate “good death”. [from abstract]

The overview involved a synthesis and review of recent data and information from key
national representative peer reviewed articles and grey literature from the National Department of
Health and related stakeholder reports. [from abstract]

The purpose of this study was to determine the impacts of the various health worker retention strategies on health workers in two rural districts of Zambia. [from abstract]

The task-shifting and retention and recruitment research conducted within the context of the AHSI-RES program has uncovered important areas of focus for refining current human resources for health strategies, and approaches to evaluate whether these are producing the intended results. [from paper]

During the three-and-a-half years of implementation, Ethiopia’s [Federal Ministry of Health] developed a new community health strategy for the Health Extension Program consisting of Primary Health Care Units (health centers and health posts) and the Health Development army. [adapted from abstract]

There are complex and multisectoral interdependent relationships between health systems
and economic development in Cameroon that have been barely described in literature. Having analyzed these challenges, the author of this capstone proposes many policy alternatives to the Ministry of Public Health.

The purpose of this contribution is to analyse and explain the South African HRH case, its
historical evolution, and post-apartheid reform initiatives aimed at addressing deficiencies
and shortfalls. [from abstract]

This paper analyses the importance of the services rendered by traditional birth attendants (TBAs) to pregnantwomen in Zimbabwe.It argues that, though an integral part of the health system, the ambivalence in terms of policy on the part of the government leaves them in a predicament. [from abstract]

The primary purpose of this study is to identify predictors of complete household enrollment into the National Health Insurance Scheme (NHIS) among inhabitants of the Barekese sub-district in the Ashanti Region of Ghana. [from abstract]

The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. [from abstract]

This paper identifies, ranks and compares perceptions of insured and uninsured households in Ghana on health care providers (quality of care, service delivery adequacy, staff attitudes), health insurance schemes (price, benefits and convenience) and community attributes (health ‘beliefs and attitudes’ and peer pressure). [from abstract]

This paper provides an overview of innovative experiences adapted while addressing these urban health issues, including the process of deriving constructive lessons needed to inform discourse on the design and implementation of the sustainable Community-Based Health Planning and Services (CHPS) model as a response to urban health challenges in Southern Ghana. [from abstract]

In 2003 the Government of Ghana established a National Health Insurance Scheme (NHIS) to improve health care access for Ghanaians and eventually replace the cash-and-carry system. This study evaluates the NHIS to determine whether it is fulfilling its purpose in the context of the Millennium Development Goals #4 and #5 which deal with the health of women and children. [from abstract]

This study helps government and donors to understand how local government and service delivery work and to assess whether the return of local councils is likely to improve their functioning. [from introduction]

The paper presents a quantitative investigation on the National Health Insurance Scheme (NHIS) in the Dormaa Municipality, Ghana: Why some residents remain uninsured? [from abstract]

Theory of Change (ToC) approach workshops are a useful approach for developing ToCs as a basis for mental health care plans because they facilitate logical, evidence based and contextualised plans, while promoting stakeholder buy in.
Because of the existing hierarchies within some health systems, strategies such as limiting the types of participants
and stratifying the workshops can be used to ensure productive workshops.

The objective of this study was to explore what the implementation of the [Ukwanda Rural Clinical School] meant for the practice of these physicians and to what extent the shift from full-time practising clinician to clinical teacher required them to adapt and change. [from abstract]

The objective of this study was to understand the performed versus documented roles of the [Health Surveillance Assistants], to examine how tasks were prioritized, and to understand HSAs’ perspectives on their
roles and responsibilities. [from abstract]

This study examined the Perception of health workers on the constraints to effective administration of quality health care to the mentally ill patients in psychiatric hospital in Anambra State, Nigeria.

This paper examines three groups of innovative ideas have been institutionalized in African countries to improve maternal health: policy, institutional and experimental innovations. [adapted from abstract]

The pap er studies the effects of a financing mechanism for the health sector in which governmental payment to health facilities is contingent up on the number of patients for some predetermined health services, as opposed to a fixed payment. [from abstract]

Uganda, like other low-income sub-Saharan African countries, bears a heavy burden of surgical conditions with low surgical output in health facilities and significant unmet need for surgical care. To address this lack of adequate surgical services in Uganda, a diverse group of local stakeholders met in Kampala, Uganda, in May 2008 to develop a roadmap of key policy actions that would improve surgical services at the national level.This article is a critical discussion of these health policy priorities with references to recent literature. [adapted from abstract]

The purpose of this study was to identify the various problems with surgical care in the developing world and enumerate identified strategies or propose solutions. We also sought to rank these strategies in order of potential impact. [from abstract]

This paper calculates the faculty turnover rate at the College of Health Sciences of Addis Ababa University during the period of September 1991 to August 2011. [from abstract]

This study aims to highlight these demotivating factors by exploring the critical aspects that influence [Mid-Level Providers’] intention to leave their jobs [from abstract]

This study explores the personal experiences of health workers using e-health innovations in selected
post-conflict situations. [from abstract]

The objective of this study is to provide information on the current state of physician tracking systems in the region, highlighting emerging themes and innovative practices. [from abstract]

From 1989 through 1997, Rwanda had the lowest life expectancy of any country in the world. Workforce setbacks further plagued the country as many clinicians fled or were killed. During the last decade, however, Rwanda has rebuilt its health system and registered some of the steepest declines in premature mortality in recent history.[adapted from introduction]

The Ministry of Health/Ghana Health Service in collaboration with the World Health Organization (W.H.O.) country office commissioned the development of this policy and guidelines on occupational health and safety (OHS) of health workers in view of the tremendous risks posed to these workers in the process of rendering invaluable services to mankind. We wish to express our appreciation to the W.H.O. for supporting this effort. [from introduction]

Using the IST Improvement Framework, developed by the USAID Applying Sciences to Strengthen and Improve Systems Project (ASSIST), as a guide, the authors developed a survey tool to assess the efficiency, effectiveness and sustainability of IST provided between January 2007 and July 2012 by PEPFAR-funded implementing partners in Nigeria. [from abstract]