Sub-Saharan Africa

This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health using case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each the authors reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. [from abstract]

Supervision plays a key role in performance and motivation, but is frequently characterized by periodic inspection and control, rather than support and feedback to improve performance. This paper explores the perceptions of district health management teams in Tanzania and Malawi on their role as supervisors and on the challenges to effective supervision at the district level. [from abstract]

Health care professionals are expected to be aware of how to identify and manage the consequences of female genital mutilation in order to ensure that those affected by the practice receive quality health care, and their integration and legitimacy within the communities allow them to play a key role in the prevention of the practice. This study sought to examine the knowledge, attitudes, and practices regarding female genital mutilation among health workers in rural settings in Gambia. [adapted from abstract]

This study examined the implementation of performance management of health care workers in order to propose strategies for improvement. [from abstract]

This study investigated the acceptance of home-based counselling and testing by lay counselors, its equity in uptake and the effect of negative life events with a cluster-randomized trial. [adapted from abstract]

The objective of this study was to determine current emigration trends of sub-Saharan African physicians found in the physician workforce of the United States. [from abstract]

This report is an interim summary of ongoing supply chain strengthening interventions focused on community health workers in Mozambique. The piloting of these interventions aims to improve the performance of the supply chain that provides these community health workers with antimalarial drugs, rapid diagnostic tests, male condoms, and essential medicines for a variety of treatments. [from summary]

This study evaluates the impact of an intervention that improve the quality of services to prevent mother-to-child transmission of HIV at its health facilities, which included provider training, supportive supervision, detailed performance standards, repeated assessments of service quality, and task shifting of group education to lay workers. [adapted from abstract]

This study qualitatively assessed the process of implementing a tool developed to integrate data from health programs at the district level to enable district health management teams to review and monitor program progress for specific health issues to make informed service delivery decisions; and evaluated the tool’s effect on data-informed decision making at the district level. [adapted from abstract]

This report presents the results of a consultancy to facilitate agreement and document current flexibility of funding streams for HRH in Ethiopia, building on existing work and within national frameworks for priority actions on HRH to develop strategies and country level actions. [adapted from author]

Providing education and training to healthcare staff is an important strategy in implementing a tuberculosis infection prevention program. This manual and training curriculum provide information to begin improving infection prevention practices in health facilities and home based care. [adapted from publisher]

This study was undertaken as part of a multi-country study to determine providers’ adherence with evidence based tuberculosis (TB) standards and guidelines. This particular study assesses adherence with TB guidelines in Zambia at national, provincial/district and facility-based levels. [adapted from summary]

This study was undertaken to determine providers’ and patients’ adherence to national tuberculosis (TB) treatment guidelines. The key findings are expected to provide information regarding factors influencing provider adherence to guidelines, such as providers’ TB-related knowledge and attitudes, environmental factors and resources necessary to adhere to TB diagnosis and treatment standards. [adapted from author]

This study describes the knowledge, attitudes, and practices of tuberculosis (TB) program personnel involved with tracing activities as part of a national pilot project in South Africa, the TB Tracer Project, which aims to decrease default rates and improve patient outcomes. [adapted from abstract]

The purpose of this paper is to disseminate the protocol for a project designed to identify ways of strengthening district management in order to address health workforce inadequacies by improving health workforce performance in sub-Saharan Africa and reflect on the key challenges encountered during the development of this methodology and how they are being overcome. [adapted from abstract]

Since 2007 a portfolio of learning has become a requirement for assessment of postgraduate family medicine training by the Colleges of Medicine of South Africa. The aim of this study was to investigate the portfolio’s acceptability, educational impact, and perceived usefulness for assessment of competence. [from abstract]

This report provides recommendations for initiating, sustaining and expanding rural dental education programs based on the experience of the University of Ibadan in Nigeria where dental students are prepared not only to provide skilled care to individual patients, but also to assume responsibility for the community as a whole. [adapted from abstract]

Rural health training programs for health professionals have been slow to develop in low- and middle-income countries, and the impact of clinical leadership is under-researched in such settings. This report lists recommendations focused on supporting local rural clinical academic leaders; training health professionals for leadership roles in rural settings; and advancing the clinical academic leadership agenda through advocacy and research. [adapted from abstract]

This study evaluated the effect of a program that trained community health nurses and relocated them to the community to provide door-to-door services on the level of male involvement in family planning services. [adapted from author]

This article assesses the effect of a trial multifaceted intervention to promote maternity death reviews and onsite training for health workers in emergency obstetric care in referral hospitals with high maternal mortality rates in Senegal and Mali. [adapted from summary]

This review highlights the key strengths and weaknesses associated with performance-based funding (PBF) schemes in their use in low- and middle-income countries. It illustrates the theoretical thinking behind PBF implementation. It also seeks to draw out analysis of the role of African actors in global health diplomacy and decision-making surrounding PBF. [from summary]

This study set out to assess the views of clinicians and managers on the use of task shifting as an effective way of alleviating shortages of skilled personnel at a facility level. [from abstract]

This edition of Hotline, an HRH newletter focused on the needs of faith-based organizations (FBOs) in Africa, highlights resources, trainings and workshops, articles of interest and other information for FBO HRH pracitioners.

This edition of Hotline, an HRH newletter focused on the needs of faith-based organizations (FBOs) in Africa, highlights resources, trainings and workshops, articles of interest and other information for FBO HRH pracitioners.

In Malawi, the Ministry of Health contracts selected health facilities owned by the main faith-based provider, the Christian Health Association of Malawi to deliver care at no fee to the most vulnerable and under-served populations in the country through Service Level Agreements (SLAs).

This article describes the strategies, human resource developments, service delivery modalities, progress in service coverage, and the challenges in the implementation of the Health Extension Program, a a primary care delivery strategy, to address the challenges and achieve the World Health Organization Millennium Development Goals within a context of limited resources in Ethiopia. [adapted from abstract]

This study aims to describe and assess selected clinical and reporting information processes of health workers providing antenatal care services in three Kenyan facilities to the national health information system. It assessed different aspects of clinical information systems and the quality of data. [adapted from author]

This article examines and documents the experiences facing the implementation of decentralization of health services from the perspective of national and district officials, including inadequate funding, untimely disbursement of funds from the central government, insufficient and unqualified personnel, lack of community participation in planning and political interference. [adapted from author]

This article reports on a survey implemented in seven Sub-Saharan African countries developed to assess the factors responsible for job satisfaction and retention as a key component for tailoring specific interventions aiming at improving the overall impact of health programs. [adapted from abstract]

This guidance document is for use principally by the district experts, heath extension supervisors and health extension workers all over the country as training on the health information systems requirements for local (community level) data collection, processing, analysis and dissemination, as well as linking to the national health management and information systems. [adapted from publisher]