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Capacity Building in Egypt: Management and Leadership Training at the Leadership Academy

This case study explores the development and impact of a training program to improve health sector management and leadership so that the ministry of health could become more efficient and provide the quality of services that the Egyptian population needed and demanded. [adapted from author]

Development of Workforce Activity Standards in Egypt

The purpose of this report is to discuss the process of developing health workforce activity standards in Egypt and its importance in estimating workforce requirements. The report describes the methodology used to develop and test these standards, as well as the challenges faced during the process and the lessons learned. [from introduction]

Using Primary Health Care (PHC) Workers and Key Informants for Community Based Detection of Blindness in Children in Southern Malawi

The current study compared the effectiveness of trained health surveillance assistants versus trained volunteer key informants in identifying blind children in southern Malawi. [from abstract]

Increasing Community Health Worker Productivity and Effectiveness: A Review of the Influence of the Work Environment

This article presents policy-makers and programme managers with key considerations for a model to improve the work environment as an important approach to increase community health worker productivity and, ultimately, the effectiveness of community-based strategies. [from abstract]

Selecting and Implementing Vendor Managed Inventory Systems for Public Health Supply Chains: A Guide for Public Sector Managers

Vendor Managed Inventory (VMI) systems have gained prominence in the private sector as a task shifting approach to strengthening supply chain performance. The authors present a public sector–specific definition of VMI and present a number of models of VMI systems that are applicable to the unique context of the public health sector in developing countries. [from abstract]

Hotline HRH September 2012

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.

Conscientious Objection and Reproductive Health Service Delivery in Sub-Saharan Africa

Lack of access to quality reproductive health services is the main contributor to the high maternal mortality and morbidity in sub-Saharan Africa. This is partly due to a shortage of qualified and experienced health care providers. However this article explores conscientious objection amongst the available few as a hitherto undocumented potential factor influencing access to health care. [from abstract]

Are Dutch Patients Willing to be Seen by a Physician Assistant Instead of a Medical Doctor?

The objective of this study was to assess the willingness of Dutch patients to be treated by a physician assistant or a medical doctor under various time constraints and semi-urgent medical scenarios to determine the patients’ perspectives on using physician assistants as a means to bridge the growing gap between the supply and demand of medical services. [adapted from abstract]

Effort-Reward Imbalance and Quality of Life of Healthcare Workers in Military Hospitals: A Cross-Sectional Study

This study investigates the association between job stress, psychological morbidity and quality of life in healthcare workers in three military hospitals in Taiwan. [from abstract]

Assessing Performance Enhancing Tools: Experiences with the Open Performance Review and Appraisal System (OPRAS) and Expectations Towards Payment for Performance (P4P) in the Public Health Sector in Tanzania

This article addresses health workers’ experiences with the open performance review and appraisal system (OPRAS) in Tanzania, expectations towards pay for performance, and how lessons learned from OPRAS can assist in the implementation of pay for performance. The broader aim is to generate knowledge on health workers’ motivation in low-income contexts. [adapted from abstract]

Practicing Medicine without Borders: Tele-Consultation and Tele-Mentoring for Improving Paediatric Care in a Conflict Setting in Somalia

In a district hospital in conflict-torn Somalia, the authors assessed the impact of introducing telemedicine on the quality of paediatric care, and the added value as perceived by local clinicians. [from abstract]

Health Worker Satisfaction and Motivation: An Empirical Study of Incomes, Allowances and Working Conditions in Zambia

In this study the authors examine the relationship between health worker incomes and their satisfaction and motivation. [from abstract]

India's Health Workforce: Current Status and the Way Forward

This article compiles the information available on the health workforce of India from different sources and suggests a plan to address the shortages in different cadres. [from introduction]

District Health Executives in Midlands Province, Zimbabwe: Are They Performing as Expected?

This study investigated the reasons for the poor performance of the district health executives reported by provincial health managers in the Midlands province of Zimbabwe. [adapted from abstract]

Effect of UK Policy on Medical Migration: A Time Series Analysis of Physician Registration Data

This study compared the trends in new professional registrations in the UK from doctors qualifying overseas before and after the national ethical guidance on international recruitment to determine what, if any, effect these policies have had on ethical recruitment. [adapted from author]

Client Characteristics and Acceptability of a Home-Based HIV Counselling and Testing Intervention in Rural South Africa

There is growing interest in expanding testing coverage through the implementation of innovative models such as home-based HIV counselling and testing (HBHCT) by trained lay counsellors. With the aim of informing scale up, this paper discusses client characteristics and acceptability of an HBHCT intervention implemented in rural South Africa. [from abstract]

Knowledge, Attitude and Behavior about Public Health Emergencies and the Response Capacity of Primary Care Medical Staffs of Guangdong Province, China

The main objective of this study is to explore the knowledge, attitudes, behaviors and the response capacity of primary care medical staff related to public health emergencies in Guangdong Province, China. [adapted from abstract]

Online Self-Administered Training for Post-Traumatic Stress Disorder Treatment Providers: Design and Methods for a Randomized, Prospective Intervention Study

The overall objective of this study was to conduct a prospective, randomized controlled trial to evaluate the feasibility, implementation, and effectiveness of internet based training in cognitive behavioral therapy techniques for mental health providers, including a standardized telephone-delivered supervision method. [from author]

Assessment of the Routine Health Management Information System in Taraba State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Taraba state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Imo State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Imo state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Oyo State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Oyo state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Niger State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Niger state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Delta State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Delta state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Assessment of the Routine Health Management Information System in Kebbi State, Federal Republic of Nigeria

The goal of this assessment was to evaluate the routine health Information system in Kebbi state to identify the strengths, weaknesses, threats, and opportunities of the health management information system unit in the state and its local government areas with a view to identifying risks that pose a threat to the implementation of software upgrades. [adapted from publisher]

Are Community Midwives Addressing the Inequities in Access to Skilled Birth Attendance in Punjab, Pakistan? Gender, Class and Social Exclusion

To address its high maternal mortality rate, in particular the inequities in access to maternal health care services, the government of Pakistan created a new cadre of community-based midwives. This study is designed to address a critical gap in our knowledge about whether this cadre of workers, operating in the private health care context, will meet the expectation to provide care to the poorest and most marginalized women. [adapted from author]

Enhanced Maternal and Child Health Nurse Care for Women Experiencing Intimate Partner/Family Violence: Protocol for MOVE, a Cluster Randomised Trial of Screening and Referral in Primary Health Care

This protocol describes the development and design of MOVE, a study to examine intimate partner violence screening effectiveness for nurses and the sustainability of screening practice. [adapted from abstract]

Primary Health Care in Rural Malawi: A Qualitative Assessment Exploring the Relevance of the Community-Directed Interventions Approach

Community-directed treatment with ivermectin (CDTi) and community-directed interventions (CDI) are participatory approaches to strengthen health care at community level. This study aimed at assessing primary health care in two rural Malawian districts without CDTi experience with a view to explore the relevance of the CDI approach. [adapted from abstract]

Private Rural Health Providers in Haryana, India: Profiles and Practices

Despite a widespread public health system, the private healthcare sector is the major provider of health care in rural India. This study describes the profile and medical practices of private rural health providers in rural Haryana, India. [from abstract]

Maternal and Newborn Healthcare Providers in Rural Tanzania: In-Depth Interviews on Motivation, Performance and Job Satisfaction

This article describes an exploratory study that asked: what is understood by the term motivation; what encourages and discourages providers of maternal and newborn care in rural areas; and which factors influence their performance and job satisfaction. [adapted from author]

Keeping Up to Date: Continuing Professional Development for Health Workers in Developing Countries

Continuing professional development (CPD) encompasses all of the activities that health workers undertake—both formal and informal—to maintain, update, develop, and enhance their professional skills, knowledge, and attitudes. This technical brief summarizes the literature concerning current best practices and innovative ideas in CPD. [from author]