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Final Push for Polio Eradication: Addressing the Challenge of Violence in Afghanistan, Pakistan, and Nigeria

The authors explore the different contexts of violence against polio vaccination workers and make policy proposals on how to respond to attacks on vaccination workers and to other factors that are impeding the final push for polio eradication. [adapted from author]

Why We Must Provide Better Support for Pakistan's Female Frontline Health Workers

This article summarizes the key role that lady health workers play in polio eradication; outlines the problems faced by these workers such as the risk to their lives through shootings and bombings, the lack of a living wage and dearth of advancement opportunities; and offers suggestions to improve the situation.

Effects of Improving Hospital Physicians Working Conditions on Patient Care: A Prospective, Controlled Intervention Study

This study aimed to explore whether a participatory work-design intervention involving hospital physicians is effective in improving working conditions and quality of patient care. [from abstract]

Assessing Health Workers' Revenues and Coping Strategies in Nigeria: A Mixed Methods Study

This study examined the coping mechanisms of health workers in the public health sector of Nasarawa and Ondo states in Nigeria to supplement their salaries and benefits; it also estimated the proportionate value of the revenues from those coping mechanisms in relation to the health workers’ official incomes. [from abstract]

Pursuit of a Valid Information Assessment Method for Continuing Education: A Mixed Methods Study

This study evaluated a tool that allows health professionals to report the search objective, cognitive impact, use and patient health benefit associated with health information retrieved from electronic knowledge resources. [adapted from author]

Impact Evaluation of a Quality Improvement Intervention on Maternal and Child Health Outcomes in Northern Ghana: Early Assessment of a National Scale-up Project

This study aimed to evaluate the influence of a national child survival quality improvement project, on key maternal and child health outcomes. [adapted from abstract]

Effective in-Service Training Design and Delivery: Evidence from an Integrative Literature Review

This integrative review of the education and training literature was conducted to identify effective training approaches for health worker continuing professional education and what evidence exists of outcomes derived from this training. [from abstract]

Framework for Outcome-Level Evaluation of in-Service Training of Health Care Workers

This paper presents the methods and results of a project to develop an outcome-focused training evaluation framework that links health care worker training to improved health outcomes. [adapted from abstract]

Effect on Postpartum Hemorrhage of Prophylactic Oxytocin (10 IU) by Injection by Community Health Officers in Ghana: A Community-Based, Cluster-Randomized Trial

This study assessed the effectiveness, safety, and feasibility of prevention of postpartum hemorrhage using oxytocin injected by peripheral health care providers without midwifery skills at home births. [adapted from abstract]

Does Finnish Hospital Staff Job Satisfaction Vary across Occupational Groups?

The aim of this study was to evaluate job satisfaction of all staff working at a Finnish university hospital, identify differences in job satisfaction between staff groups, and explore the relationship between their self-evaluated quality of work and job satisfaction. [from abstract]

Correlates of Physician Burnout across Regions and Specialties: A Meta-Analysis

The many functions of health human resources include identifying and managing burnout risk factors for health professionals, while also promoting effective coping. This study of physician burnout aims to show which correlates are most strongly associated with emotional exhaustion and depersonalization, and whether the associations vary across regions and specialties. [adapted from abstract]

That's Improvement: Uganda Focuses on Health Workers

In this short video, Ugandan health workers, managers, and leaders show how the country’s efforts to strengthen its health workforce and increase access to quality care are paying off—and how service delivery has improved. [adapted from publisher]

National Study on Nurses' Retention in Healthcare Facilities in Underserved Areas in Lebanon

This study investigates the characteristic and the factors associated with the retention of nurses working in rural areas in Lebanon. [from abstract]

Performance-Based Financing as a Health System Reform: Mapping the Key Dimensions for Monitoring and Evaluation

This paper presents a framework for assessing the interactions between performance-based financing (meaning performance-based incentives are earned by service providers) and health systems, focusing on low and middle income countries in order to develop a framework for monitoring and evaluating health system reforms in general. [adapted from author]

Global Mental Health: Transformative Capacity Building in Nicaragua

Using the framework of best practice literature, this article analyses a four-year collaborative process between two universities to build health worker capacity at the primary healthcare and system levels to address gaps in mental health services. [adapted from abstract]

Thailand Special Recruitment Track of Medical Students: A Series of Annual Cross-Sectional Surveys on the New Graduates between 2010 and 2012

This study compared the rural attitudes, intention to fulfill mandatory rural service and competencies between medical graduates’ from two modes of admission, normal and special tracks in order to evaluate Thailand’s comprehensive policies for rural retention of medical doctor and other health professional, including education strategy and mandatory service. [adapted from abstract]

Implementation of Evidence-Based Practice across Medical, Nursing, Pharmacological and Allied Healthcare Professionals: A Questionnaire Survey in Nationwide Hospital Settings

This study investigated the implementation of evidence-based practice, which is regarded as core competence to improve healthcare quality, of six groups of professionals: physicians, nurses, pharmacists, physical therapists, technicians, and other allied healthcare personnel.

Evaluation of Facilitative Supervision Visits in Primary Health Care Service Delivery in Northern Ghana

This paper presents the standard evaluation results of facilitative supervisory visits, which form an integral part of a new system of management for Ghana’s community-based health planning services. [adapted from abstract]

Reducing Inequities in Neonatal Mortality through Adequate Supply of Health Workers: Evidence from Newborn Health in Brazil

Using the case of Brazil, this study investigates the extent to which policies and interventions seeking to increase the accessibility of health services among the poor have been effective in decreasing neonatal mortality. [adapted from abstract]

Web-Based Telemedicine System for Low-Resource Settings 13 Years on: Insights from Referrers and Specialists

This article evaluates the use and impact of a 13 year old web-based telemedicine system on the health care services provided by health professionals who have used the system. [adapted from author]

Directive on Continuing Professional Development for Health Professionals

This directive outlines the systematic organization of the fragmented continuing professional development (CPD) activities of health professionals in Ethiopia and describes the CPD requirements and roles for health workers and the government offices responsible for standardizing and accrediting CPD and health worker licensing. [adapted from author]

Continuing Professional Development (CPD) Guideline for Health Professionals in Ethiopia

With the ultimate aim of improving the health status of Ethiopians through the delivery of quality health services by competent health professionals, this guideline helps to establish a CPD system in the country through outlining the process of accreditation of CPD courses and CPD providers and linking CPD with re-licensure. [from author]

Development of a Theory-Based Instrument to Identify Barriers and Levers to Best Hand Hygiene Practice among Healthcare Practioners

The article reports on the development of an instrument to assess barriers and levers to hand hygiene and to allow the subsequent tailoring of theoretically informed implementation strategies. The study has produced encouraging findings suggesting the potential for improved hand hygiene and resulting effects on the human and financial costs of healthcare associated infection. [adapted from author]

Assessment of Junior Doctor Performance: A Validation Study

This paper reports on a validation study of an assessment tool for junior doctors to evaluate the psychometric properties of the instrument and to explore the effect of length of experience as a first year post-graduate on assessment scores. [adapted from author]

Evaluation of the Global Network of Field Epidemiology and Laboratory Training Programmes: A Resource for Improving Health Capacity and Increasing the Number of Public Health Professionals Worldwide

This study surveyed field epidemiology training program that are members of the a globally applied epidemiology network to determine progress toward increasing public health capacity for health professionals trained in controlling infectious epidemics globally. [adapted from author]

Health Worker Factors Associated with Prescribing of Artemisinin Combination Therapy for Uncomplicated Malaria in Rural Tanzania

Improving malaria case management is partially dependent on health worker compliance with clinical guidelines. This study assessed health worker factors associated with correct anti-malarial prescribing practices at two sites in rural Tanzania. [from abstract]

Impact of Nurse Practitioners on Care Delivery in the Emergency Department: A Multiple Perspectives Qualitative Study

This study aimed to investigate the perceived impact of the nurse practitioner on the delivery of care in the emergency department by senior doctors, nurses, and nurse practitioners. Results will facilitate adoption and best use of this human resource innovation. [from abstract]

Removing Financial Barriers to Access Reproductive, Maternal and Newborn Health Services: The Challenges and Policy Implications for Human Resources for Health

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]

District Health Managers' Perceptions of Supervision in Malawi and Tanzania

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]

Interventions for Supporting Nurse Retention in Rural and Remote Areas: An Umbrella Review

This umbrella review aims to synthesize the current evidence on the effectiveness of interventions to promote nurse retention in rural or remote areas, and to present a taxonomy of potential strategies to improve nurse retention in those regions. [from abstract]