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Hotline HRH December 2011

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.

Private Provision in Its Institutional Context: Lessons from Health

This paper complements several recently published discussions of options for influencing the private sector in low and middle-income countries. Its aim is to contribute to the development of common understandings of the realities of public and private provision and of policies for improving performance. It argues that we need to situate strategies towards private providers in the context of local relationships between the state, market and civil society. [from introduction]

Evaluation of Knowledge Levels Amongst Village AIDS Committees After Undergoing HIV Educational Sessions: Results from a Pilot Study in Rural Tanzania

This paper describes the evaluation of a tailored HIV curriculum for village AIDS committees (VACs) within a rural area to determine if the curriculum increased levels of HIV knowledge among the VAC members through conducting baseline and post-training surveys. [adapted from author]

Antenatal Care in Practice: An Exploratory Study in Antenatal Care Clinics in the Kilombero Valley, South-Eastern Tanzania

This paper uses ethnographic methods to document health workers’ antenatal care practices with reference to the national Focused Antenatal Care guidelines and identifies factors influencing health workers’ performance. Potential implications for improving antenatal care provision in Tanzania are discussed. [from abstract]

Gaps in the Supply of Physicians, Advance Practice Nurses, and Physician Assistants

Based on the goals of health care reform, growth in the demand for health care will continue to increase the demand for physicians and, as physician shortages widen, advanced practice nurses and physician assistants will play larger roles. The objective of this study was to assess the capacity of this combined workforce to meet the future demand for clinical services. [from author]

Distance Learning for Health: What Works - A Global Review of Accredited Post-Qualification Training Programmes for Health Workers in Low and Middle Income Countries

This document summarises findings of a global review whose aim was to identify patterns of success and impact, and outline likely trends in the nature and provision of distance learning for health in low and middle income countries, hence informing future policy, research and investment in distance learning for health workers. [from introduction]

Human Resources for Health in Maternal, Neonatal and Reproductive Health at a Community Level: A Profile of Cambodia

This profile summarises the available information on the cadres working at community level in Cambodia; their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

Missing the Essentials? Children Can Be Saved if They Are More Carefully Examined

A study from rural Tanzania shows that health workers usually don’t do the investigations that are required to identify some of the deadly illnesses that could be diagnosed and treat. [adapted from author]

Huge Potential for Improved Health Service Quality

This brief outlines a study from rural Tanzania that shows that there is a huge potential for improving service quality with the existing workforce, by reducing the large gap between knowledge and practice. [adapted from author]

Is Worker Effort Higher in Church-Based than in Government Health Facilities?

This brief reports the main results from a study aiming to compare worker effort levels in church-based and government health clinics in Tanzania. [from author]

Using Entrustable Professional Activities to Guide Curriculum Development in Psychiatry Training

Clinical activities that trainees can be trusted to perform with minimal or no supervision have been labelled as Entrustable Professional Activities. The authors sought to examine what activities could be entrusted to psychiatry trainees in their first year of specialist training. [from abstract]

How Much Time Do Nurses Have for Patients? A Longitudinal Study Quantifying Hospital Nurses' Patterns of Task Time Distribution and Interactions with Health Professionals

This article aimed to quantify how nurses distribute their time across tasks, with patients, in individual tasks, and engagement with other health care providers; and how work patterns changed over a two year period.

Factors Associated with Job Satisfaction among Chinese Community Health Workers: A Cross-Sectional Study

This study aims to clarify the level of job satisfaction of Chinese community health workers between a metropolitan and a small city in Liaoning province and explore its associated factors. [from abstract]

Governance and Human Resources for Health

The authors argue that the influence of governance is undervalued in addressing the HRH crisis, both globally and at country level; and they review a thematic series which aimed to expand the evidence base on the role of governance in addressing the HRH crisis. [adapted from abstract]

Convincing Health Workers to Work in Rural Areas

The focus of this brief is on nurses’, clinical officers’ and assistant medical officers’ job preferences and their willingness to work in rural and remote areas in Tanzania. [from author]

Assessing the Contribution of Prescribing in Primary Care by Nurses and Professionals Allied to Medicine: A Systematic Review of Literature

This review attempts to answer questions that remain on the contribution prescribing by nurses and professionals allied to medicine makes to the care of patients in primary care and define the evidence on which clinicians, commissioners of services and policy makers can consider this innovation. [adapted from abstract]

National Mental Health Programme: Manpower Development Scheme of Eleventh Five-Year Plan

India is facing shortage of qualified mental health manpower. Recognizing this key constraint, the government of India has formulated a manpower development scheme to address the issue. This article outlines the scheme’s primary initatives: centers of excellence in mental health, departments in mental health specialties, upgrading of psychiatric wings of medical colleges, and modernization of state-run mental hospitals. [adapted from abstract]

Reaching into the Community: Health Workers and Population Growth

Scott Radloff, director of USAID’s Office of Population and Reproductive Health, talks about successful strategies to bring integrated health services to communities in need. [from publisher]

Emerging Issues in HRH in Resource Poor Settings

Topics covered by this presentation include: the global backdrop; HRH in context; key HRH policy issues; interpreting the evidence base; HRH in the Pacific; and key priniciples for addressing HRH. [adapted from author]]

Evidence in Support of Community Based Interventions: Implications for Maternal, Newborn and Child Health

This presentation covers: global trends for maternal and childe survival; determinants of MDGs; current knowledge on what works and the role of human resources for health; and the role of innovations in scaling up. [adapted from author]

Service Targets Staff Projection Tool: User Guide

The Service Target Staffing Projection Tool is designed to estimate the workforce required to deliver an agreed package of health services. The tool helps to set targets for production and recruitment of staff based on assumptions concerning the staff required at each level of the health system. [from author]

Building Workforce Capacity

This presentation discusses effective and detrimental health worker environment models and definitions and the impact these have on heath worker performance.

Public Health Emergencies: Some Issues and Approaches

This presentation discusses the impact of public health emergencies on the health workforce and planning needs for addressing it.

Financing Human Resources for Health

This presentation provides a background to HRH finance, identifies the key HRH cost components, the fiscal space for HRH and expanding the HRH fiscal space. [adapted from author]

Pacific Regional Human Resource for Health: Policy Discussion Paper

This presentation was part of the University of New South Wales’ short course on managing human resources for health. It introduces the issues and challenges in HRH in 13 Pacific Island Nations leading to a proposed scheme to manage HRH migration and mobility. [adapted from author]

Human Resources for Health and Decentralization

This presentation was part of the University of New South Wales’ short course on managing human resources for health. The presention outlines the background of decentralization in the health sector including its meaning, forms, drivers, benefits and pitfalls. It also introduces the opportunities and challenges for HRH managment in a decentralized system and the concept of recentralization. [adapted from author]

Health Workforce Migration and Mobility: The Big Picture

This presentation was part of the University of New South Wales’ short course on managing human resources for health. It discusses health worker shortages, maldistribution, international health care labor markets, policy mix, factors contributing to migration, international recruitment and its ethical context. [adapted from author]

Approaches to Workforce Planning

This presentation was part of the University of New South Wales’ short course on managing human resources for health. The author outlines the issues of workforce planning and discusses tools and methodologies for effective planning.

Aboriginal Health Workers: An Illustrative Example of Workforce Substitution

This presentation was part of the University of New South Wales’ short course on managing human resources for health. It outlines an attempt to create a new form of health workforce to not only fill a gap but to deliver services better than traditional health professionals. [adapted from author]

National Health Workforce Innovation and Reform Strategic Framework for Action 2011-2015

This framework has been designed to provide an overarching, national platform that will guide future health workforce policy and planning in Australia. It sets out key priority areas and five essential domains that create the foundation for an integrated, high performing workforce fit to meet Australia’s health care needs.[from foreword]