Sub-Saharan Africa

Strategic Human Resources Solutions for Healthcare Systems in Central and Eastern Africa

This article explores the human resources problems along with the health status and services for Kenya, Rwanda and Uganda. Situational analysis on health status and service delivery is presented via a thorough examination of country specific National Health Sector Strategic Plans. Strategic solutions based on improving the Human Resources for Health are explained and World Health
Organization’s Millennium Development Goals are examined. [from abstract]

Human Resources in Health Research Institutions in Sub-Saharan African Countries: Results of a Questionnaire-Based Survey

To describe human capacity and staff movement in national health research institutions in 42 sub-Saharan African countries. [from abstract]

Creating a Charter of Collaboration for International University Partnerships: The Elmina Declaration for Human Resources for Health

The project had four objectives: to create a “charter for collaboration” (CFC), to improve data-driven policy making, to enhance health care provider education, and to increase research capacity. [from abstract]

A Synthesis and Systematic Review of Policies on Training and Deployment of Human Resources for Health in Rural Africa

The primary question guiding the review was: What is known about policies to support training and deployment of nurses, midwives and doctors for maternal-child health care in rural Africa? [from summary]

HIV in Fragile States

Case studies on the HIV response in South Sudan, Haiti and Cote d’Ivoire. [from introduction]

HIV Prevention for Women in Kenya: An Advocacy Guide for Gender-Sensitive Microbicide Introduction

This document is a guide for advocating for attention to gender issues in future microbicide introduction. The guide is based on the findings from a gender analysis conducted by FHI 360 in Kenya in 2012–2013. The purpose of this analysis was to examine how gender norms and inequalities may affect women’s access to and use of a microbicide product. [from introduction]

A Pocket Guide to Thinking About Gender & Vaginal Microbicides in South Africa

This pocket card, created with input from the South African National AIDS Council (SANAC) Men’s and Women’s Sectors, is designed to build support for a gender-integrated microbicides rollout among both community members and policy makers. [from introduction]

Addressing Unmet Need for Contraception among HIV - positive Women

A facility-based endline survey was conducted as part of a program evaluation to assess the Arise—Enhancing HIV Prevention for At-Risk-Populations project in Uganda. The base
line and endline surveys used the same approach, interviewing women aged 15–49 years who
sought HIV care and treatment at a sample of health facilities covered by Arise. [adapted from summary]

Reshaping Maternal Services in Nigeria: Any Need for Spiritual Care?

High maternal and perinatal mortalities occur from deliveries conducted in prayer houses in Nigeria. This study therefore seeks to determine the perception of booked antenatal
patients on spiritual care during pregnancy and their desire for such within hospital setting. [adapted from abstract]

A Spatial Conceptual Data Model For Public Health In Nigeria

This paper proposed a well organised conceptual public health data model for Nigeria,
which addresses all the health problems and their causes. The proposed data model could be used to develop any health related system such as national public health database system, and disease surveillance system, which we intend to develop from this, proposed data model. [adapted from abstract]

The Emergence of Hospital Accreditation Programs in East Africa: Lessons from Uganda, Kenya, and Tanzania

The objective of this manuscript was to examine existing hospital accreditation systems in three East African countries (Uganda, Kenya and Tanzania), assess attitudes and opinions of key stakeholders regarding hospital accreditation systems in the region, and identify lessons regarding sustainable and effective implementation of hospital accreditation systems in resource-limited countries. [from abstract]

Rethinking Issues of Migration and Brain Drain of Health-Related Professionals: New Perspectives

The intention of this study was not to particularly engage issues of health worker brain drain and migration, but to reveal some of those elements which can motivate and retain health-related professionals in South Africa. [from abstract]

Integration of Oral Health into Primary Health Care System: Views of Primary Health Care Workers in Lagos State, Nigeria

The limited access to oral health care in developing countries can be greatly improved by integrating oral health into the Primary Health Care (PHC) system. This study was designed to assess the views of PHC workers on integrating oral health care into the PHC system. [from abstract]

Systems Approach to Monitoring and Evaluation Guides Scale Up of the Standard Days Method of Family Planning in Rwanda

After providing a brief introduction about the outcomes of the pilot phase as well as goals and outcomes of national scale up, this article provides lessons learned about how to successfully scale up health interventions. [from introduction]

Work Experience, Job-Fulfillment and Burnout among VMMC Providers in Kenya, South Africa, Tanzania and Zimbabwe

This analysis examines this issue of performance and attrition in [voluntary medical male circumcision] programs by looking descriptively at job-fulfillment and burnout. [from introduction]

Barriers to Accessing Health Care in Nigeria: Implications for Child Survival

There has not been a systematic attempt to examine the effects of barriers to health care on under-five mortality in Nigeria. This study is designed to address this knowledge gap. [from abstract]

Competency-Based Training “Helping Mothers Survive: Bleeding after Birth” for Providers from Central and Remote Facilities in Three Countries

To validate a new training module for skilled and semiskilled birth attendants authorized to provide care at birth—Helping Mothers Survive: Bleeding After Birth (HMS:BAB) [from abstract]

Inadequate Knowledge of Neonatal Danger Signs among Recently Delivered Women in Southwestern Rural Uganda: A Community Survey

The aim of this study was to explore the knowledge of key newborn danger signs among mothers in southwestern Uganda. [from abstract]

Nurses' Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital

The purpose of this study was to determine the nurses’ knowledge and practices regarding risk factors, prevention, and management of pressure ulcers at a teaching hospital in Uganda. The study employed a descriptive cross-sectional design. [from abstract]

SMS Versus Voice Messaging to Deliver MNCH Communication in Rural Malawi: Assessment of Delivery Success and User Experience

To determine the difference in delivery success of health messages delivered through pushed SMS, pushed
voice messages sent to personal phones, and voice messages retrieved from a community phone (‘‘retrieved voice
messaging’’), as well as the difference in quality of the user experience. [from abstract]

SMS Versus Voice Messaging to Deliver MNCH Communication in Rural Malawi: Assessment of Delivery Success and User Experience

To determine the difference in delivery success of health messages delivered through pushed SMS, pushed
voice messages sent to personal phones, and voice messages retrieved from a community phone (‘‘retrieved voice
messaging’’), as well as the difference in quality of the user experience. [from abstract]

Addressing the human resource for health crisis in Tanzania: the lost in transition syndrome

The objective of this study was to improve knowledge on the HRH status in Tanzania by analyzing what happens to the number of medical doctors (MD) and doctor of dental surgery (DDS) degree graduates during the transition period from graduation, internship to appointment. [from abstract]

From Policy to Action: Implementing the Kenyan Community Strategy

This technical highlight provides a brief overview of Pathfinder’s experience implementing the Kenyan Community Strategy through the USAID-funded APHIAplus (AIDS, Population, and Health Integrated Assistance Plus) Nairobi-Coast project (2011-2014). [from abstract]

Holding a National Summit to Improve Health Outcomes through Health and Mapping Sector Collaboration in the Development of National Geospatial Data Infrastructure: The Nigerian Strategy

This paper provides a description of the summit and offers lessons learned on key aspects of the event, including the post-summit communiqué presented to both executive and legislative arms of the government with the intent of improving the NGDI. This paper also discusses progress on health and mapping sector collaboration and coordination since the summit.[from abstract]

Fracture Treatment by Bonesetters in Central Ghana: Patients Explain Their Choices and Experiences

To understand factors influencing patients’ decisions to choose either fracture treatment by a bonesetter or in the hospital and to explore patients’ experiences with bonesetter treatment. [from abstract]

Which Incentive Package Will Retain Regionalized Health Personnel in Burkina Faso: A Discrete Choice Experiment

The objective of the study was to identify a package for attracting and retaining health workers in underserved areas. [from abstract]

Nursing and Midwife Staffing Needs in Maternity Wards in Burkina Faso Referral Hospitals

The aim of this study was to measure the capacity of referral hospitals’ maternity services to cope with the demand for health services after the implementation of this policy. [from abstract]

An Exploratory Analysis of the Regionalization Policy for the Recruitment of Health Workers in Burkina Faso

The idea for this policy emerged after finding a highly uneven distribution of health personnel across urban and rural areas, the availability of a large number of health officers in the labour market, and the opportunity given to the Ministry of Health by the government to recruit personnel through a specific budget allocation. [from abstract]

Task Shifting for Cataract Surgery in Eastern Africa: Productivity and Attrition of Non-Physician Cataract Surgeons in Kenya, Malawi and Tanzania

This project examined the surgical productivity and attrition of non-physician cataract surgeons (NPCSs) in Tanzania, Malawi, and Kenya. [from abstract]

Palliative Care in Enugu, Nigeria: Challenges to a New Practice

The aim of this article is to present a view of the challenges encountered by us as we established the Pain and Palliative Care Unit of our hospital and to give suggestions and recommendations to leaders and policymakers in emerging and developing economies around the world on how best to encourage and promote the field of palliative care. [from introduction]