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Thirty Years after Alma-Ata: A Systematic Review of the Impact of Community Health Workers Delivering Curative Interventions against Malaria, Pneumonia and Diarrhoea on Child Mortality and Morbidity in Sub-Saharan Africa

Given the very limited professional health care human resources in these settings, it is important to examine the evidence for the effectiveness of community health worker (CHW) programs as a delivery strategy for health interventions in sub-Saharan Africa. This review focuses on the impact CHWs have when delivering curative interventions. [adapted from author]

Systematic Review of the Links between Human Resource Management Practices and Performance

This publication assesses the results from a wide-ranging series of systematic reviews of the evidence on human resource management (HRM) and performance. It assesses evidence on use of HRM in the UK and fidelity of practice implemented and considers evidence for the impact of HRM practices on intermediate outcomes, which can impact on final outcomes, such as organisational performance or patient care. [adapted from abstract]

Problem-Solving Therapy for Depression and Common Mental Disorders in Zimbabwe: Piloting a Task-Shifting Primary Mental Health Care Intervention in a Population with a High Prvalence of People Living with HIV

This article outlines the pilot of a low-cost multi-component intervention for depression and other common mental disorders, locally adapted from problem-solving therapy and delivered by trained and supervised female lay workers, to learn if was feasible and possibly effective and how best to implement it on a larger scale. [adapted from abstract]

Improving Inpatient Postnatal Services: Midwives Views and Perspectives of Engagement in a Quality Improvement Initiative

This paper presents data on the views of midwives from one maternity unit in England following the introduction of an organisation wide quality improvement initiative to improve in-patient postnatal care and processes to transfer women home. As quality improvement initiatives are highly influenced by the context into which they are introduced and by the processes of implementation, our findings may support others to address how clinician engagement could be enhanced. [adapted from author]

Joint Statement on Scaling-Up the Community-Based Health Workforce for Emergencies

The aim of this statement is to draw attention to the vital role that the community-based health workforce plays in all phases of emergency risk management; promote the scale-up of the community-based health workforce; and encourage governments and supporting partners to reinforce the community-based health workforce by strengthening and preparing existing health systems. [from author]

Effectiveness of Mental Health Services in Primary Care: The View from the Developing World

This document reviews and evaluates the effectiveness of mental health programmes in primary health care in the developing countries. It argues that the scaricity of trained mental health professionals necessitates the use of non-specialized health workers, including primary health workers, nurses and doctors working in collaboration to bring basic mental health care within reach of the mass of the population in developing countries. [adapted from author]

Mental Health Atlas 2011

This publication provides the latest estimates on available resources for treatment and prevention of neuropsychiatric disorders globally, in WHO regions, and in groups of countries with different levels of economic development. [from preface]

For Money or Service? A Cross-Sectional Survey of Preference for Financial Versus Non-Financial Rural Practice Characteristics among Ghanain Medical Students

The purpose of this study was to identify determinants of preference for rural job characteristics among fourth year medical students in Ghana including salary, infrastructure, management style, and contract length in considering future jobs. [from author]

Human Resources for Mental Health Care: Current Situation and Strategies for Action

The overwhelming worldwide shortage of human resources for mental health, particularly in low-income and middle-income countries, is well established. This article reviews the current state of human resources for mental health, needs, and strategies for action. [from summary]

Constraints to Implementing the Essential Health Package in Malawi

The research detailed in this paper aimed to understand which health system factors constrained the delivery of the Essential Health Package (EHP) in Malawi, namely two areas factors - human resources and drug supply. [adapted from author]

Health Professional Mobility and Health Systems: Evidence from 17 European Countries

This volume presents an analysis of health professional mobility in Europe from a health system perspective. The central policy issue of this analysis is that health professional mobility impacts on the performance of health systems and that these impacts are increasing in line with increasing mobility in Europe. [from introduction]

Stop Making Excuses: Accountability for Maternal Health Care in South Africa

This report uses a human rights framework to examine accountability for maternal health care. It sets out several specific steps that South African and Eastern Cape governments should take to better integrate accountability into maternal health care programs and ensure their implementation through the health system. [from author]

How Learning Style Affects Evidence-Based Medicine: A Survey Study

Evidence-based medicine (EBM) involves the management of information in clinical practice. In order to tailor EBM education to the individual learner, this study aims to determine whether there is a relationship between an individual’s learning
style and EBM competence (knowledge/skills, attitude, behaviour). [from abstract]

Effect of Internal Marketing on Job Satisfaction in Health Services: A Pilot Study in Public Hospitals in Northern Greece

The purpose of this study was to explore the effect of internal marketing, all the actions that an organization (i.e., health care organizations, hospitals) has to perform in order to develop, train and motivate its employees to enhance the quality of the services provided to its customers, on job satisfaction in health services - particularly in public hospitals in Northern Greece. [adapted from author]

Community Participation in Rural Primary Health Care: Intervention or Approach?

This literature review focused on evidence of the effectiveness of community participation and its role in rural primary health care service design and delivery to increase the likelihood of genuine community-health sector partnerships and more responsive health services for rural communities.

Growing Caseload of Chronic Life-Long Conditions Calls for a Move towards Full Self-Management in Low Income Countries

The aim of this paper is to show that present provider-centred models of chronic care are not adequate and to propose full self-management as an alternative for low-income countries, facilitated by expert patient networks and smart phone technology. [from abstract]

Health Worker Motivation in the Context of HIV Care and Treatment Challenges in Mbeya Region, Tanzania: A Qualitative Study

The aim of this paper is to explore the challenges generated by HIV care and treatment and their impact on health worker motivation in Mbeya Region, Tanzania. [from abstract]

Systematic Factors of Errors in the Case Identification Process of the National Routine Health Information System: A Case Study of Modified Field Health Services Information System in the Philippines

This study aimed to investigate the mechanisms of errors in the case identification process in the existing routine health information system in the Philippines by measuring the risk of committing errors for health program indicators. [from abstract]

Toward the Construction of Health Workforce Metrics for Latin America and the Caribbean

This paper describes an initiative to create a framework to analyze the field of human resources for health (HRH) in Latin America and the Caribbean, more specifically the development of a set of metrics and indicators to be used in monitoring HRH policies in the region. [adapted from author]

Innovative Teaching Methods for Capacity Building in Knowledge Translation

The absence national institutions committed to the synthesis and use of evidence in healthcare decision- and policy-making creates a need to broaden the responsibilities of healthcare providers to include knowledge brokering and advocacy in order to optimize knowledge translation to other stakeholders, especially policy-makers. This article introduces two methods for capacity building in knowledge translation for healthcare providers. [adapted from abstract]

Pay-for-Performance in Disease Management: A Systematic Review of the Literature

The objectives of this paper are to provide an overview of pay-for-performance schemes used to stimulate delivery of chronic care through disease management and to provide insight into their effects on healthcare quality and costs. [from abstract]

How and Why Are Communities of Practice Established in the Healthcare Sector? A Systematic Review of the Literature

This systematic review of the literature on Communities of Practice (CoPs) was conducted to examine how and why CoPs have been established and whether they have been shown to improve healthcare practice. [from abstract]

Social Service Workforce Training Curricula: Training Programs and Tools to Support Front-Line Workers

In an effort to facilitate the social service workforce to meet the needs of a larger population, a number of training models have been developed to equip local community members with basic social work skills and support them to work with vulnerable children and families under the supervision of social work professionals. This webinar presented several promising training models currently implemented in several countries in Sub-Saharan Africa. [from summary]

Qualitative Exploration of the Human Resource Policy Implications of Voluntary Counselling and Testing Scale-Up in Kenya: Applying a Model for Policy Analysis

This article set out to examine the human resource policy implications of scaling up HIV testing and counselling in Kenya and to analyse the resultant policy against a recognised theoretical framework of health policy reform. [from abstract]

Kenyan Family Planning Providers Leverage Local Resources to Train Their Peers on Long-Acting and Permanent Methods

This report outlines a sustainable cascade training approach to train a subset of the doctors, nurses, and clinical officers who provide long-acting and permanent methods (LA/PM) to serve as district-level LA/PM trainers. These trainers trained other doctors, nurses, and clinical officers in their districts to offer LA/PMs.

Preventing Postpartum Hemorrhage: Community-Based Distribution of Misoprostol in Tangail District, Bangladesh

This brief outlines a project whose objective was to have health and family planning field workers from the government and from nongovernmental organizations distribute misoprostol tablets to pregnant women in Tangail District in central Bangladesh, to assess the approach’s effectiveness, and to gather lessons learned and provide recommendations for national scale-up. [adapted from author]

Health-Related Rehabilitation Services: Assessing the Global Supply of and Need for Human Resources

The objective of this study was to quantitatively describe the global situation in terms of supply of and need for human resources for health-related rehabilitation services, as a basis for strategy development of the workforce in physical and rehabilitation medicine. [from abstract]

Paying Health Workers for Performance in Battagram District, Pakistan

This article presents the results of an evaluation of a project in Pakistan to contribute to learning about the design and implementation of pay-for-performance systems and their impact on health worker motivation. [adapted from abstract]

Benefits and Problems of Electronic Information Exchange as Perceived by Health Care Professionals: an Interview Study

This study aims to increase our understanding of health care providers’ attitude towards a national electronic patient record, by investigating their perceptions of the benefits and problems of electronic information exchange in health care. The results of this study provide valuable suggestions about how to promote health care providers’ willingness to adopt electronic information exchange. [adapted from abstract]

Urbanization and Physician Maldistribution: a Longitudinal Study in Japan

In this study, the authors analyze the trends in the geographic disparities of population and physician distribution among the secondary tier of medical care in Japan. [adapted from author]