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Key Characteristics of Positive Practice Environments for Health Care Professionals
This document presents a checklist of key characteristics of quality workplaces for health care professionals. It is intended for use by employers, professional organizations, regulatory bodies, government agencies as well as health sector professionals. It is designed as a reference tool to enable these groups to assess the quality of their practice environment, identify any deficiencies and develop strategies to address priority gaps. [adapted from introduction]
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Global Action for Health System Strengthening: Policy Recommendations to the G8
This report is a follow-up to the G8 Hokkaido Toyako Summit held in Japan in July, 2008. It was prepared by government officials in health and foreign policy from the G8 countries, with leadership from Japan, and covered a number of critical issues in global health. The report reflected growing policy attention to health system strengthening by Japan and the global health community more broadly. [from introduction]
The chapter containing on "Opportunities for Overcoming the Health Workforce Crisis" begins on page 27.
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Assessment of the Training of the First Intake of Health Extension Workers
Ethiopia’s poor health status is due primarily to communicable diseases, poor nutrition, and lack of access to health services in general and for most of the rural, nomadic pastoralist and fringe areas in particular. In response, the government has launched a Health Extension Program for which training of Health Extension Workers has been started. This study assesses the first year’s training program in terms of its inputs, processes and output. [from abstract]
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Human Resource Development for Health in Ethiopia: Challenges of Achieving the Millennium Development Goals
Review of different documents on human resource for health in Ethiopia was undertaken. Generally there is shortage in number of different groups of professionals, maldistribution of professionals between regions, urban and rural setting, and governmental and non governmental/private organizations. A number of measures are being taken to alleviate these problems. The implications of these for human resource development by 2015 are explored briefly. [adapted from abstract]
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Remuneration of General Practitioners and Specialists in 14 OECD Countries: What are the Factors Influencing Variations across Countries?
This paper provides a descriptive analysis of the remuneration of doctors in 14 OECD countries for which reasonably comparable data were available in OECD Health Data 2007 (Austria, Canada, the Czech Republic, Denmark, Finland, France, Germany, Hungary, Iceland, Luxembourg, Netherlands, Switzerland, the United Kingdom and the United States).
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Accuracy of the Jamaican National Physician Register: a Study of the Status of Physicians Registered and Their Countries of Training
Clinical research activities have suggested that the current records of physicians registered to practice in Jamaica may not be accurate. Our objective was to determine whether the Medical Council of Jamaica (MCJ) accurately records and reports the identities, number and specialty designation of physicians in Jamaica. An additional aim was to determine the countries in which these physicians were trained. [from abstract]
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Using Non-State Providers to Meet Public Health Goals in Fragile States: Can They Fill the Gap?
This presentation was from the “Health Service Delivery in Fragile States for US$ 5 perperson per year: Myth or Reality?” conference. It discusses the limited public sector capacity to deliver priority services in fragile states and the opportunities and challenges of using non-state providers to increase coverage. [adapted from author]
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Service Delivery-Based Training for Long-Acting Family Planning Methods: Pathfinder International in Ethiopia
Long-Acting Family Planning (LAFP) methods, provide uninterrupted protection to women for 3 to 12 years. But they must be inserted by trained providers in a safe clinical environment. With limited facilities and few providers, widespread implementation of LAFP in Ethiopia requires training of significant numbers of rural providers and developing properly equipped facilities for implant and IUCD insertions. This document describes a training program for family planning. [from author]
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Healthcare Delivery Outside the Public Sector
Non-state providers (NSP) of healthcare, whether philanthropic or commercial, exist outside the public sector. Research by the London School of Hygiene and Tropical Medicine found evidence that NSPs provide the majority of primary contacts with the health system in all six countries, except possibly South Africa. [from author]
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HIV/AIDS-Related Stigma, Fear, and Discriminitatory Practices among Healthcare Providers in Rwanda
The purposes of this study were to quantify stigma among Rwandan healthcare providers toward patients with HIV/AIDS; to assess healthcare provider fears and perceived risks for HIV while providing services to patients with HIV/AIDS; to quantify practices in hospitals and health centers and among health providers that discriminate against HIV-positive patients; and to evaluate the relationship between provider stigma, provider fears, and perceived risks with discrimination against HIV-positive patients in health facilities and among healthcare providers. [from summary]
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Stigmatization and Discrimination of HIV-Positve People by Providers of General Medical Services in Ukraine
HPI conducted a survey in Ukraine to test indicators and questions regarding HIV/AIDS-related stigma and discrimination at the facility/provider level. This research examined HIV/AIDS-related stigma and discrimination by providers of general medical services in three regions in Ukraine. [from summary]
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Analytical Report on Female Community Health Volunteers of Selected Districts of Nepal
Female Community Health Volunteers (FCHVs) act as a bridge between the government and the community and serve as a frontline for local health resources. The objectives of this study of FCHV in Twenty Districts of Nepal was to see the existing condition of the FCHVs working in the communities of Nepal. The survey collected information on basic health services provided by FCHVs to the community in terms of the provision of specific commodities and the provision of information, communication, counseling, and other support to the rural community. [adapted from summary]
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Ten Best Public and Private Sector Practices in Reproductive Health and Family Planning in the Europe and Eurasia Region
This brief synthesizes best practices in achieving reproductive health and family planning (RH/FP) goals for the Europe and Eurasia region, and highlights the role of the private sector in meeting these goals. [from author]
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Green Paper on the European Workforce for Health
This paper aims to increase the visibility of the issues facing the EU health workforce, to generate a clearer picture of the extent to which local and/or national health managers face the same challenges and to provide a better basis for considering what could be done at EU level to address these problems effectively, and in a manner which does not have a negative impact on health systems outside the EU. [from author]
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Rethinking the Role of Community Health Workers
The shortage of health staff in developing countries has led to renewed interest in community-based health care workers. However, poor populations are increasingly accessing health services from a wide variety of providers operating as private or semi-private agents in unregulated markets. In this environment, is there a role for the community health worker? [from author]
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Freedom to Do the Job: Barriers to Female Health Workers Practicing in Pakistan
Pakistan has introduced female health workers to make sure that women are able to receive the health care they need. However, these health workers face the same cultural constraints as other women in their society. Male colleagues and managers must be more supportive to female health workers, whilst formal structures should be provided for training and effective complaints procedures. [from author]
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Contracting Out: the Case of Primary Care in South Africa
Contracts can be used to govern the relationship between the public and the private sectors where the private sector delivers services on behalf of the state. On occasion, this allows the state to offer services such as basic medical provision where public sector provision does not reach. Researchers examine the case of primary care in South Africa where such contracts are being utilised. [from author]
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Identification of Recruitment and Retention Strategies for Rehabilitation Professionals in Ontario, Canada: Results from Expert Panels
Health human resource (HHR) strategies for Canadian rehabilitation professionals are lagging behind other professional groups such as physicians and nurses. The objectives of this study were: 1) to identify recruitment and retention strategies of rehabilitation professionals including occupational therapists, physical therapists and speech language pathologists from the literature; and 2) to investigate both the importance and feasibility of the identified strategies using expert panels amongst HHR and education experts. [from abstract]
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Managing the Multi-Generational Nursing Workforce: Managerial and Policy Implications
The nursing workforce in many countries today is more age diverse than ever before in history. Each generation has a distinct set of characteristics, values, beliefs and preferences. Understanding these differences and blending them in the workplace challenges even the most experienced and capable leader. This paper identifies the characteristics of each generation and explores several implications for the effective management of nursing services. [from foreword]
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Diagnostics: Key Issues for Workforce Planning
The objective of this paper is to identify the future workforce challenges that will have a profound impact on the capacity to recruit and retain staff. In addition, issues that pertain to key staff groups for this care group will be identified. [from introduction]
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TTR Plan and Measures to Protect Health Workers
This presentation covers the World Health Organization’s Treat, Train and Retain activities in terms of the key elements for health worker safety and protection. [adapted from author]
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Supply, Distribution and Migration of Canadian Physicians 2011
This report utilizes statistical information derived from a central data source for resource planning regarding the supply, distribution and migration of physicians in Canada. [from introduction]
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Staying the Course: Reducing Attrition in Diagnostic and Therapeutic Radiography Degree Courses
This report discusses attrition rates in diagnostic and therapeutic radiography degree courses, and includes recommendations on how these rates could be reduced. [from introduction]
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Long-term Conditions: Key Issues for Workforce Planning
The objective of this report is to identify future workforce challenges that will have a profound impact on the capacity to recruit and retain staff. In addition, issues that pertain to key staff groups for this care group will be identified. [from introduction]
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Orthopedics: Key Issues for Workforce Planning
The objective of this paper is to identify the future workforce challenges that will have a profound impact on the capacity to recruit and retain staff. In addition, issues that pertain to key staff groups for this care group will be identified. [from introduction]
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Need for National Medical Licensing Examination in Saudi Arabia
Medical education in Saudi Arabia is facing multiple challenges, including the rapid increase in the number of medical schools over a short period of time, the influx of foreign medical graduates to work in Saudi Arabia, the award of scholarships to hundreds of students to study medicine in various countries, and the absence of published national guidelines for minimal acceptable competencies of a medical graduate. We are arguing for the need for a Saudi national medical licensing examination that tests the basic science and clinical knowledge and the clinical skills and attitudes.
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New Face for Private Providers in Developing Countries: What Implications for Public Health?
The use of private health care providers in low- and middle-income countries is widespread and is the subject of considerable debate. We review here a new model of private primary care provision emerging in South Africa, in which commercial companies provide standardized primary care services at relatively low cost. [from abstract]
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Effects of Job Rotation and Role Stress among Nurses on Job Satisfaction and Organizational Commitment
The motivation for this study was to investigate how role stress among nurses could affect their job satisfaction and organizational commitment, and whether the job rotation system might encourage nurses to understand, relate to and share the vision of the organization, consequently increasing their job satisfaction and stimulating them to willingly remain in their jobs and commit themselves to the organization. [from abstract]
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Level and Determinants of Incentives for Village Midwives in Indonesia
Since the early 1990s Indonesia has attempted to increase the level of skilled attendance at birth by placing rural midwives in every village in an effort to reduce persistently high levels of maternal mortality. Yet evidence suggests that there remains insufficient incentive to ensure an equal distribution across areas while the poor in all areas continue to access skilled attendance much less than those in richer groups.
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Persistence and Challenges of Homebirths: Perspectives of Traditional Birth Attendants in Urban Kenya
Through an analysis of focus group discussion data, we examine Kenyan traditional birth attendants’ accounts of the persistence of homebirths and the key challenges they present. [from abstract]
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