Sub-Saharan Africa

This assessment was designed to provide detailed information on the availability and quality of facility infrastructure, resources, and management systems. Detailed information was also collected on services for child health, family planning, maternal health, antenatal care, and delivery care. Furthermore, selected infectious diseases, namely STIs and tuberculosis, were also covered under the survey. Information was collected on the capacity of health facilities to provide quality HIV/AIDS services.

This study focused on factors associated with the readiness of Kenyan health facilities to provide quality and appropriate care to family planning clientele; the degree to which health care providers foster informed selection of an appropriate contraceptive method; and the extent to which clients perceive services to be of high quality. [from abstract]

Given the worrying trends in infant and child mortality rates, there is a clear need to assess current practices in the management of childhood illnesses and to identify opportunities for intervention. The 2004 Kenya Service Provision Assessment Survey (KSPA) findings indicate that most health care providers are not taking care of sick children holistically, but rather are treating children only for the presenting illness.

Empirical investigations of health worker training in Kenya have been limited to mappings of health service providers in terms of cadre and distribution and assessments of the training needs for various skills. However, there has not been a comprehensive study of the influence of training on the provision of quality Emergency Obstetric Care (EmOC). We seek to fill this gap by assessing the link between health provider training and practice with regard to the provision of EmOC. [from author]

Mid-level cadres of health workers provide the bulk of emergency obstetric and neonatal care in Malawi. This study set out to explore the perceptions of mid-level providers regarding the factors affecting their performance and retention within the Malawian health system. [adapted from author]

The study had three objectives: to determine the current competency levels of the workforce attending women during labor, delivery, and the early postpartum period; examine conditions at the workplace to determine environmental and organizational factors that affect workforce productivity and performance; and assess implications for regional training and performance improvement at the workplace. [from author]

The goal of the assessment was to review the quality of HIV care, antiretroviral treatment and tuberculosis services provided in private-for-profits in Uganda in order to generate appropriate recommendations and inform the development of a strategy to improve the quality of those services. [from author]

This study explores the factors that affect performance of nurses in Namibia with the aim of providing a management framework for improving the performance of professional nurses. [from author]

The objective of this study was to investigate the effect of scaling up antiretroviral treatment (ART) on the working environment and motivation of health workers in South Africa; and to suggest strategies to minimize negative effects and maximise positive effects. [from summary]

Zambia, like many of the countries heavily affected by HIV and AIDS in southern Africa, also faces a shortage of human resources for health. The country receives significant amounts of funding from GHIs for the large-scale provision of antiretroviral treatment through the public and private sector. This paper examines the impact of GHIs on human resources for ART roll-out in Zambia, at national level, in one province and two districts. [from abstract]

This document provides resources on Ethiopia’s experiences with community health worker programs. [from abstract]

The already inadequate health systems of sub-Saharan Africa have been badly damaged by the emigration of their health professionals. This article suggests some practical measures to address the situation. [adapted from summary]

Nurses and managers interviewed in Cape Town primary care facilities share their insights, experiences and how they cope with the impact of the HIV/AIDS epidemic. [from introduction]

The author presents a report on the career paths taken by graduates of Makerere Medical School in Uganda.

This paper examines the impact of Global Health Initiatives on human resources for antiretroviral treatment roll-out in Zambia at a national level, in one province and two districts. [adapted from abstract]

This paper describes the results of a study to assess patients consulting full-time traditional health practitioners (THP) and the THPs' practices after they had been trained on HIV/Sexually Transmitted Infections prevention and care. [adapted from abstract]

This paper describes the results of safer circumcision training designed to improve circumcision knowledge, attitude and practice which was successfully delivered to traditional surgeons and nurses in South Africa. [adapted from abstract]

To build instructors’ capacity and address the knowledge gaps, the Capacity Project partnered with East, Central and Southern Africa Health Community and Africa’s Health in 2010 to deliver a week-long workshop on Contemporary Issues in Family Planning for midwifery tutors in Kenya, Tanzania and Uganda. [from author]

This study investigated the role of traditional healers in sexually transmitted infections including HIV/AIDS as well as a collaboration between the traditional and biomedical health care systems as seen by nurses and traditional healers. Qualitative analyses are presented on themes including attitude and respect; collaboration between traditional healers and nurses; control and regulation of traditional health practices; and the training needs of healers and nurses. [adapted from abstract]

Prevention of Mother-to-Child Transmission of HIV is among the key HIV prevention strategies in Zimbabwe. The main objective of this study was to evaluate acceptability and feasibility of reinforcing the role of traditional birth attendants (TBAs) in family and child health services through their participation in PMTCT programmes in Zimbabwe. [from abstract]

Increasing access to safe delivery and family planning services within rural communities increases the opportunities for women to have positive outcomes for their pregnancies as well as to plan and achieve their desired family size. This paper examines the scaling up of a community-based model in Kenya that enabled women to give birth safely at home or to be referred to a hospital when attended by a self-employed skilled midwife living in the community. [adapted from summary]

This article measured the productivity of cataract surgeons in Africa and assesses the factors that predict high productivity among surgeons in general. [adapted from abstract]

Our study aimed to explore a neglected but crucial aspect of human resources for health in Africa: the provision of a work environment that will promote motivation and performance of mid-level providers. This paper explores the work environment of mid-level providers in Malawi, and contributes to the validation of an instrument to measure the work environment of mid-level providers in low income countries. [from abstract]

Work satisfaction of nurses is important, as there is sufficient empirical evidence to show that it tends to affect individual, organizational and greater health and social outcomes. This paper presents a national study that compares and contrasts satisfaction levels of nurses in both public and private sectors. [from abstract]

This presentation discusses an ineffective incentives effort to retain rural health workers and suggestions for more useful interventions.

This document details the specific hiring criteria for allied health staff as established by the Health Services division of the Ghana Ministry of Health. Primary areas of interest to HRH facilitators include positions in the fields of optometry, dentistry, oral health and laboratory staff.

This document details the specific hiring criteria for allied health staff as established by the Health Services division of the Ghana Ministry of Health. Primary areas of interest to HRH facilitators include positions in the fields of physiotherapy, occupational therapy and disease control.

This document details the specific hiring criteria for administrative and support staff as established by the Health Services division of the Ghana Ministry of Health.

This article describes issues raised by the deployment of civil servants through the public-private partnership for health to work in private-not-for-profit health facilities in Kibaale region of Uganda. [adapted from abstract]

This article describes the issues facing Uganda’s health system and presents arguments for and against instituting a performance-based pay system.