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South African Health Review 2010

The 2010 edition of the SAHR focuses on two main issues: Reflections on the Millennium Development Goals (MDGs) and the Perspectives on a National Health Insurance (NHI) for South Africa. As is customary, the Review ends with the Indicators section which provides a range of indicators relevant to the MDGs and NHI. [from summary]

Job Satisfaction and Motivation of Health Workers in Public and Private Sectors: Cross-Sectional Analysis from Two Indian States

The objective of this paper is to identify important aspects of health worker satisfaction and motivation in two Indian states working in public and private sectors. [from abstract]

Motivation and Job Satisfaction among Medical and Nursing Staff in a Cyprus Public General Hospital

The objective of this study was to investigate how medical and nursing staff of the Nicosia General Hospital is affected by specific motivation factors, and the association between job satisfaction and motivation; and to determine the motivational drive of socio-demographic and job related factors in terms of improving work performance. [from abstract]

Employment of Foreign Health Professionals in the South African Health Sector

The aim of this policy is to promote high standards of practice in the recruitment and employment of health professionals who are not South African Citizens or permanent residents in the health sector in South Africa. It attempts to preclude the active recruitment of health professionals from developing countries without specific government agreements. [adapted from author]

Monitoring Community Pharmacist's Quality of Care: a Feasibility Study Using Pharmacy Claims Data to Assess Performance

The purpose of this project was to determine the feasibility of routine use of information from community pharmacy claims databases by regulatory authorities to screen the quality of care provided at community pharmacies. [from abstract]

Density of Healthcare Providers and Patient Outcomes: Evidence from a Nationally Representative Multi-Site HIV Treatment Program in Uganda

This article examined the association between density of healthcare providers and patient outcomes using a large nationally representative cohort of patients receiving combination antiretroviral therapy in Uganda. [from abstract]

Competencies Tools

This is a digital collection of health competency tools. The Competence Search tool enables you to search the database for specific health worker competencies. The Health Functional Map is another tool to help you find relevant competences based upon the Skills for Health, Health Functional Map, and covers all of the functions that are needed to deliver effective health care services. The Self Assessment tool enables assessment of your own abilities against competences in lists/profiles. The Team Assessment tool enables a skills mix analysis of your team.

Towards a Comprehensive Approach to Enhancing the Performance of Health Workers in Maternal, Neonatal and Reproductive Health at Community Level: Learning from Experiences in the Asia and Pacific Regions

This discussion paper presents a comprehensive approach to the assessment of individual health worker, team and HRH management performance in the context of health system strengthening and the achievement of Millennium Development Goal 5. It provides examples of lessons learned in the planning, implementation and evaluation of HRH interventions in maternal, neonatal and reproductive health at the community level in the Asia and Pacific regions and considerations for enhanced performance in this area. [from introduction]

Strengthening Health Systems by Engaging the Private Health Sector: Promising HIV/AIDS Partnerships

While purely private sector initiatives can also help to achieve HIV/AIDS objectives, this paper focuses on how public-private engagement can more sustainably contribute to health systems strengthening. [from introduction]

Increasing Health Worker Capacity Through Distance Learning: a Comprehensive Review of Programmes in Tanzania

This study reviewed and assessed the Tanzania’s current distance learning programs for health care workers, as well as those in countries with similar human resource challenges, to determine the feasibility of distance learning to meet the need of an increased and more skilled health workforce. [adapted from abstract]

Health Workforce Skill Mix and Task Shifting in Low Income Countries: a Review of Recent Evidence

This study uses an economics perspective to review the skill mix literature to determine its strength of the evidence, identify gaps in the evidence, and to propose a research agenda. [from abstract]

Partnering to Keep Health Workers in the Communities That Need Them

Carmen Dolea of the World Health Organization talks about the challenge of retaining health workers in rural areas, and how CapacityPlus is helping to apply the WHO’s new retention recommendations. [from author]

Sharing Best Practices through Online Communities of Practice: A Case Study

The USAID-funded Capacity Project established the Global Alliance for Pre-Service Education (GAPS) to provide an online forum to discuss issues related to teaching and acquiring competence in family planning, with a focus on developing countries’ health related training institutions. The success of the Global Alliance for Nursing and Midwifery’s ongoing web-based community of practice provided a strong example of the successful use of this medium to reach many participants in a range of settings. [from abstract]

Worth More than Any Money: Building Local Capacity in Health Worker Information Systems

This Voices features Kayode Odusote’s experiences with helping West African countries to gather and use health worker data. [from publisher]

Individual Determinants of Research Utilization by Nurses: A Systematic Review Update

Interventions that have a better than random chance of increasing nurses’ use of research are important to the delivery of quality patient care. This article updates the evidence published in a previous systematic review on individual characteristics influencing research utilization by nurses. [from abstract]

Challenges in Physician Supply Planning: The Case of Belgium

This paper has two objectives: to identify the key challenges in HRH planning in Belgium and to formulate recommendations for an effective HRH planning, on the basis of the Belgian case study and lessons drawn from an international benchmarking. [from abstract]

Reviewing the Benefits of Health Workforce Stability

This paper examines the issue of workforce stability and turnover in the context of policy attempts to improve retention of health workers. [from abstract]

Task Shifting: Maximizing Healthcare in Low-Resource Countries

Low-resource countries often carry the heaviest disease burden and maintain the smallest health workforce. The deadly cholera epidemic in Haiti is only the most recent example of how the time for ‘task shifting’ has arrived. [from author]

Universal Antiretroviral Treatment: The Challenge of Human Resources

This paper we discusses the effect of feedback from current antiretroviral (ART) coverage to future ART human resources need on the sustainability of high levels of ART coverage.

Retaining Hospital Workers: a Rapid Methodology to Determine Incentive Packages

The article describes CapacityPlus’s rapid retention survey tool for determining the relative importance health workers place on characteristics related to their choice of employment. This will allow human resource maangers to rapidly assess retention preferences to better pinpoint the incentives and interventions that would most cost-effecively motivate health workers to take up posts in underserved facilities. [adapted from abstract]

Sub-Saharan African Medical School Study: Data, Observation and Opportunity

This study is an examination of the state of medical education in Sub-Saharan Africa including all countries, all identified and recognized schools, and all languages of instruction. The study was undertaken to help provide a platform of understanding regarding the status, trends and present and future capacity building efforts for educators, policy makers, and international organizations. [from summary]

The Global Shortage of Registered Nurses: Summary

This summary report on the global nursing workforce is the first output from a program of work examining the crucial issue of nursing shortages, and identifying a framework for policy interventions. [from summary]

Improving the Health Care Response to Gender-Based Violence: Project Evaluation Report

This study investigated the change of awareness and perception towards gender-based violence (GBV) following a training project in Vietnam designed to educate health workers on the issues; evaluated changes in practice in integrating screening and treatment of GBV victims into medical and reproductive health services; and solicited recommendations from health staff about future GBV interventions. [adapted from author]

Health Research for Development Initiative in Vietnam (HRDI) Impact Evaluation Results

The HRDI project involves the collaboration of three institutions for the purpose of mobilizing the growing supply of health professionals well-trained in research, first to sustain their professional skills and development and second, to apply their skills to advance health and development in Viet Nam as effectively as possible.This report evaluates the impact of the Health (HRDI) project. [from introduction]

Programming for Training: a Resource Package for Trainers, Program Managers, and Supervisors of Reproductive Health and Family Planning Programs

This resource package provides an overall approach to programming for training health care providers in reproductive health and family planning as well as information, methods, and tools for designing, developing, planning, implementing, and evaluating training. It also provides tools and information for strengthening training systems. [from introduction]

Using Performance and Quality Improvement to Strengthen Skilled Attendance

This report documents how the use of performance and quality improvement (PQI), a technique for achieving desired performance at service delivery sites and within communities, has helped to improve skilled attendance, and shares some lessons learned about how best to use PQI in safe motherhood programs. [adapted from aouthor]

Health Worker Attitudes Toward Rural Service in India: Results from Qualitative Research

This qualitative study explores the career preferences of under-training and in-service doctors and nurses and identifies factors important to them to take up rural service. It then develops a framework for clustering these complex attributes into potential incentive packages for better rural recruitment and retention. [from abstract]

Perceptions and Attitudes of Clinicians in Spain Toward Clinical Practice Guidelines and Grading Systems: a Protocol for a Qualatative Study and a National Survey

Clinical practice guidelines (CPGs) have become a very popular tool for decision making in healthcare. While there is some evidence that CPGs improve outcomes, there are numerous factors that influence their acceptability and use by healthcare providers. This study evaluates these issues in a representative sample of clinicians in Spain. [from abstract]

Health Professionals for a New Century: Transforming Education to Strengthen Health Systems in an Interdependent World

This commission, consisting of 20 professional and academic leaders from diverse countries, came together to develop a shared vision and a common strategy for postsecondary education in medicine, nursing, and public health that reaches beyond the confines of national borders and the silos of individual professions. This comprehensive framework considers the connections between education and health systems. [from summary]

Assessment of Early Diagnosis and Treatment of Malaria by Village Health Volunteers in the Lao PDR

This article assesses the effectiveness of village health volunteers in performing early diagnosis and treatment to reduce the burden of malaria in Loa PDR. [adapted from abstract]