Sub-Saharan Africa

This paper investigates whether governments in developing countries can retain skilled health workers by raising public sector wages using sudden, policy-induced wage variation, in which the Government of Ghana restructured the pay scale for government health workers. [adapted from abstract]

This study examined the quality of facility-based maternal and newborn health care by describing the implementation of recommended practices for maternal and newborn care among health care facilities to determine whether increased training, supervision, and incentives for health workers were associated with implementing these recommended practices. [adapted from author]

This study was conducted to explore stigma and discrimination against PLHIV amongst healthcare providers in Jimma zone, Southwest Ethiopia. [from abstract]

This paper presents the results of a qualitative study to investigate the perceptions and experiences of health workers involved in a a cluster-randomized controlled trial of a novel intervention to improve health worker malaria case management in 107 government health facilities in Kenya. The intervention involved sending text-messages about paediatric outpatient malaria case-management accompanied by motivating quotes to health workers’ mobile phones. [from abstract]

This health information needs assessment, conducted in the capital city and 3 districts of Malawi from July 2009 to September 2009, aimed to determine access to, and need for, health information by health workers in HIV/AIDS and family planning/reproductive health at all levels of the health system. [adapted from abstract]

Many health professionals and policymakers in Africa lack access to the information needed to make evidence-based decisions for effective health care. This study collected qualitative data from 75 key informants and members of two focus groups in Senegal on various aspects of health information needs, particularly in family planning and reproductive health, including information sources, strategies, and systems to transfer and share information; and barriers to accessing, sharing, and using health information. [from abstract]

The STRETCH (Streamlining Tasks and Roles to Expand Treatment and Care for HIV) progra was an intervention implemented in South Africa to enable nurses providing primary HIV/AIDS care to expand their roles and include aspects of care and treatment usually provided by physicians. The effects of STRETCH on pre-ART mortality, ART provision, and the quality of HIV/ART care were evaluated through a randomised controlled trial. This study was conducted alongside the trial to develop a contextualised understanding of factors affecting the implementation of the program. [adapted from abstract]

This study investigated preferences for job characteristics among final year medical, nursing, pharmacy, and laboratory students at select universities in Uganda to elicit preferences for attributes of potential job postings they were likely to pursue after graduation. [adapted from abstract]

This study evaluated a nintervention to support health workers after training in integrated management of childhood illness, a strategy that can improve outcomes for children in developing countries by encouraging workers’ use of evidence-based guidelines for managing the leading causes of child mortality. [from author]

This research attempted to test the hypothesis that health information systems data quality and data use are interrelated: poor quality data will not be used, and because they are not used, the data will remain of poor quality; conversely, greater use of data will help to improve their quality, which will in turn lead to more data use. [from introduction]

Although a community-based health insurance scheme (CBI) was introduced in Burkina Faso, coverage has remained low and dropout rates high because health workers are dissatisfied with the provider payment mechanism. This research was used to examine CBI provider payment attributes that influence healthcare workers’ stated preferences for payment mechanisms. [adapted from abstract]

This article describes a task shifing intervention in Malawi where a cadre of expert patients was trained to assist with some of the clinical tasks of antiretroviral (ART) services as a way to fill the gap in the availability of health workers. [adapted from author]

The objective of this study was to identify and characterize contracting models that have existed in the Zambian health sector and their consequences on access to health care. The study was aimed at assessing the extent to which the identified contracting models have been successful in achieving their intended goals and at determining their potential to be scaled up to the entire health sector, including the private sector. [from summary]

This study sought to understand what the field of mHealth had to offer, to explore how mHealth is implemented in practice and to use these two sources of information to reflect on the lessons and implications for implementing mHealth at scale for monitoring and evaluation of community based services and community health workers. [adapted from summary]

This book presents the principal findings of a study on contractual arrangements between faith-based hospitals and public health authorities in four sub-Saharan African countries.

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 article describes a methodology developed to establish tuberculosis (TB) related work load in a given context and for a given patient load for use by TB program managers and health planners. The authors piloted this methodology in Tanzania in three districts; one rural, one urban and one semi-urban district as the countrycurrently faces a health workforce shortage of 65% in the public sector and 86% in the private sector, with unequal distribution between urban and rural areas. [adapted from author]

This overview outlines how the growing trend in online learning can open up new perspectives and opportunities for Africa’s health professionals. [adapted from author]

This report describes pioneering work where quality improvement methods are being applied to strengthen human resources management and performance at the facility, district, and regional management levels to improve maternal care in Niger’s Tahoua Region. [from summary]

This study evaluates the Midwives Service Scheme in Nigeria which engaged newly graduated, unemployed, and retired midwives to work temporarily in rural areas to improve the wide variation between maternal, newborn, and child health indices across geopolitical zones and between urban and rural areas, mostly due to variations in the availability of skilled attendance at birth. [adapted from author]

HIV/AIDS is fast becoming a chronic disease with the advent of antiretroviral drugs, therefore making home based care key in the management of chronically ill HIV/AIDS patient. The objective of this study was to determine the perception and practice of health care workers on HIV/AIDS related home based care in the health facilities in Ogun state, Nigeria. [from abstract]

This study investigates how physical space, level of staffing, staff burnout, staff absenteeism, staff experience and facilities’ experience with ART provision are associated with levels of adherence to clinical protocol as part of Zambian HIV care and treatment program. [adapted from author]

The West African Health Organization is implementing a regional approach to strengthening human resource information systems that is closely aligned with key principles of the US Government’s Global Health Initiative—supporting country ownership and country-led plans, encouraging sustainability through health systems strengthening and capacity-building, and leveraging partnerships. This CapacityPlus technical brief provides an overview of this approach, highlights lessons learned, and provides recommendations for other regions and countries to adopt the approach.

A better understanding of how public sector midwives in Senegal are experiencing their work and how it is affecting them is needed in order to better address their needs and incite them to remain in their posts. This study aims to explore their job satisfaction and its effects on their burnout, intention to quit and professional mobility. [from abstract]

This policy brief explores actual performance of emergency obstetric care (EmOC) and other related maternal and newborn health services by Nurses, nurse-midwives, and non-physician clinicians who provided at least one of the EmOC signal functions in the previous three months preceding data collection in hospitals and health centres throughout Malawi, Mozambique, and Tanzania. [adapted from author]

This report contains the results of an in-depth training needs assessment of Lesotho health workers foces on workers at the central and district level. [adapted from summary]

The purpose of this document is to act as a master plan for all the resources, methodologies, priorites and monitoring & evaluation processes to implement a program for continuing education for Lesotho health workers and serve as a point of reference for all stakeholders and beneficiaries. [adapted from author]

A team of nursing leaders collaborated to identify essential nursing competencies to address the HIV and AIDS epidemics in the sub-Saharan African region. This document includes: evidence supporting the need to establish core competencies in HIV and AIDS; concepts related to the core competencies for nursing related to HIV and AIDS; and the essential core competencies for nursing related to HIV and AIDS.

Drawing on livelihood studies in health and sociological theory of capitals, this study develops and evaluates the new concept of workhood. As an analytical device the concept aims at understanding health workers’ capacities to access resources (human, financial, physical, social, cultural and symbolic capital) and transfer them to the community from an individual perspective. [from abstract]

The aim of this study was to explore contemporary lay health worker policy development processes and the extent to which issues of gender are taken up within this process. [from abstract]