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Nurse Versus Doctor Mangement of HIV-Infected Patients Receiving Antiretroviral Therapy (CUORA-SA): a Randomised Non-Inferiority Trial

Expanded access to combination antiretroviral therapy (ART) in resource-poor settings is dependent on task shifting from doctors to other health-care providers. We compared outcomes of nurse versus doctor management of ART care for HIV-infected patients. [from summary]

Are Village Doctors in Bangladesh a Curse or a Blessing?

This paper investigates the role of various healthcare providers in provision of health services in a remote rural area in Bangladesh. [from abstract]

Finding Affordable Health Workforce Targets in Low-Income Nations

The World Health Organization has suggested a minimum target for all countries: 2.3 health professionals per 1,000 people. Many countries cannot afford to meet the target; in fact, funding the proposed number of health workers would require some countries to devote 50 percent of their gross domestic product to health. We offer an alternative solution that would allow governments to set targets that are realistic and achievable within their financial constraints. [from abstract]

Motivational Determinants among Physicians in Lahore, Pakistan

This study aimed to identify the determinants of job motivation among physicians, a neglected perspective, especially in developing countries. [from abstract]

Use of RDTs to Improve Malaria Diagnosis and Fever Case Management at Primary Health Care Facilities in Uganda

This study evaluated the effect of malaria rapid diagnostic tests on health workers anti-malarial drug prescriptions among outpatients at low level health care facilities within different malaria epidemiological settings in Uganda. [from abstract]

Scaling Up Integration: Development and Results of a Participatory Assessment of HIV/TB Services, South Africa

In South Africa the need to integrate HIV, TB and STI programmes has been recognised at a policy and organisation level; the challenge is now one of translating policies into relevant actions and monitoring implementation to ensure that the anticipated benefits of integration are achieved. This research set out to determine how middle level managers could be empowered to monitor the implementation of an effective, integrated HIV/TB/STI service. [from abstract]

Community Acceptability of Use of Rapid Diagnostic Tests for Malaria by Community Health Workers in Uganda

This study assessed community acceptability of the use of rapid diagnostic tests by Ugandan community health workers, locally referred to as community medicine distributors. [from abstract]

Innovative Health Service Delivery Models in Low and Middle Income Countries: What Can We Learn from the Private Sector?

A subset of private health organizations, some called social enterprises, have developed novel approaches to increase the availability, affordability and quality of health care services to the poor through innovative health service delivery models. This study aims to characterize these models and identify areas of innovation that have led to effective provision of care for the poor. [from abstract]

Not All Coping Strategies are Created Equal: a Mixed Methods Study Exploring Physicians' Self Reported Coping Strategies

The primary goal of this paper is to use interview data to explore physicians’ self reported coping strategies. In addition, questionnaire data is utilized to explore the degree to which the coping strategies are used and are associated with feelings of emotional exhaustion, a key symptom of burnout. [from abstract]

Effectiveness of a Clinically Relevant Educational Program for Improving Medical Communication and Clinical Skills of International Medical Graduates

The purpose of this study was to assess the efficacy of a clinically relevant educational program to enhance the language proficiency and professionalism of international medical graduates in a Canadian context. [adapted from introduction]

Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention: Global Policy Recommendations

After a year-long consultative effort, this document proposes sixteen evidence-based recommendations on how to improve the recruitment and retention of health workers in underserved areas. It also offers a guide for policy makers to choose the most appropriate interventions, and to implement, monitor and evaluate their impact over time. [from publisher]

Thinking Outside the Box to Meet Health Workforce Needs

The author looks at the implications and the training needs of task shifting. [adapted from author]

Planning Training Seminars in Palliative Care: a Cross-Sectional Suvey on the Preferences of General Practioners and Nurses in Austria

Against the background of the development of palliative care in Austria the authors undertook this survey to identify the preferences of the general pracitioners’ and nurses’ regarding the specific design of training seminars in palliative care. We wanted to gain a better insight into which educational topics, timeframe, location and group designs are likely to attract a majority of different professional groups. [from author]

Healthcare Professionals' Intentions to Use Wiki-Based Reminders to Promote Best Practices in Trauma Care: a Suvey Protocol

Since wikis depend on collaborators to keep content up-to-date, healthcare professionals who use wikis must adopt behaviors that foster this collaboration. This protocol describes the methods we will use to develop and test the metrological qualities of a questionnaire that will assess healthcare professionals’ intentions and the determinants of those intentions to use wiki-based reminders that promote best practices in trauma care. [from abstract]

State of the Private Health Sector Wall Chart

This document offers key concepts and definitions to establish a common language describing the private health sector. In addition, it integrates global demographic, economic, and policy data to provide a snapshot of the private health sector in selected developing countries. [from author]

Home-Based Voluntary HIV Counselling and Testing Found Highly Acceptable and to Reduce Inequalities

Low uptake of voluntary HIV counselling and testing (VCT) in sub-Saharan Africa is raising acceptability concerns which might be associated with ways by which it is offered. This study investigated the acceptability of home-based delivery of counselling and HIV testing in urban and rural populations in Zambia where VCT has been offered mostly from local clinics. [from abstract]

HRH Country Monitoring

The data presented here in 46 country fact sheets for all countries in the African Region was collected in a comprehensive HRH data collection exercise in 2005. The HRH country fact sheets presented here are intended to give a brief summary of the HRH situation in each country. [publisher’s description]

Data Mapping Template on Human Resources for Health

This tool is to be used as a starting point for the collation, analysis and synthesis of data and evidence on human resources for health (HRH), as well as for monitoring the strengths and limitations of the underlying information systems. It has been developed as part of a series of efforts to enhance country capacities to generate, analyse and use data to assess health workforce performance and track progress towards their HRH-related goals. [from publisher]

Assessing Financing, Education, Management and Policy Context for Strategic Planning of Human Resources for Health

This document contains a method for assessing the financial, educational and management systems and policy context, essential for strategic planning and policy development for human resources for health. This tool has been developed as an evidence-based comprehensive diagnostic aid to inform policy-making in low and middle income countries in regard to human resources for health. [from introduction]

Assessment of Human Resources for Health: Survey Instruments and Guide to Administration

This document is intended to help countries to identify appropriate human resource interventions, by making it possible to see how the current health workforce is distributed within and between public and private sectors, areas of specialization and level of care. It is proposed that a common approach be used to collect data in a number of areas, including workforce demographics and planning, staffing distribution, remuneration of health workers and skill mix. [from author]

HRH Country Profiles

The HRH country profiles serve as a tool for systematically presenting the HRH situation, policies and management. They are expected to help to monitor trends, generate regional HRH overviews, provide comparable data between countries and identify points for focused action in countries. They will also serve for a comparison of countries’ responses to similar HRH challenges.

Human Resources for Health and Aid Effectiveness Study in Mozambique

This report presents the results and conclusions of a case study conducted within the broader context of assessing resource flows into the development of human resources for health (HRH). Using the example of Mozambique, it examines whether the emerging policy focus on aid effectiveness responds to the evident needs in scaling up HRH. [from publisher]

Evidence-Based Choices of Physicians: a Comparative Analysis of Physicians Participating in Internet CME and Non-Participants

This study is a continuation of an earlier report that found online continuing medical education (CME) to be highly effective in making evidence-based decisions. [from abstract]

Creating an Enabling Environment for Task Shifting in HIV and AIDS Services: Recommendations Based on Two African Case Studies

This document outlines task shifting, its uses, outlines key findings from research case studies in Uganda and Swaziland, and makes recommendations for the way forward. [adapted from author]

Task Shifting in Swaziland

This case study aimed to better understand country-specific policies and regulations on task shifting, health worker attitudes, preferences, required skills, what new types of workers can be brought into the workforce to reduce health manpower deficiencies, and budgetary implications. [adapted from introduction]

Task Shifting in Uganda: Case Study

The objectives of this case study were to understand the policy and programmatic implications of task shifting in relation to the current roles, responsibilities, and workloads of health workers (especially nurses) within the context of providing high-quality HIV services; explore the policy and programmatic implications of task shifting in the utilization of community health workers and/or people living with HIV to provide peer counseling and related services; and assess the attitudes and perceptions of health workers regarding task shifting. [from summary]

Delegation of GP-Home Visits to Qualified Practice Assistants: Assessment of Economic Effects in an Ambulatory Healthcare Centre

This article examines a project to address the decreasing number of general practitioners (GPs) in rural regions in Germany through the delegation of regular GP-home visits to qualified practice assistants. [adapted from abstract]

Women on the Front Lines of Health Care: State of the World's Mothers 2010

This is the eleventh annual State of the World’s Mothers report. The focus is on the critical shortage of health workers in the developing world and the urgent need for more female health workers to save the lives of mothers, newborn babies and young children. There is a video, and executive summary, the full report and an interactive version of the report. [from publisher]

Human Resources for Health and World Bank Operations in Africa

The purpose of the present paper is to shed light on the treatment of health workforce issues under health sector investments by the World Bank and its African country borrowers and their project agencies. [from introduction]

Medical Education and Training in Nepal: SWOT Analysis

The goal of this article was to analyse the impact of the medical colleges that have been set up within the last two decades by production of doctors and the effect on the health of the people. [from abstract]