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Traditional Healers as Caregivers to HIV/AIDS Clients and Other Terminally Challenged Persons in Kanye Community Home-Based Care Programme (CHBC), Botswana

This article aims at evaluating the traditional healers’ contribution as providers of care to HIV/AIDS patients and other chronically ill persons. [from abstract]

Measuring HIV Stigma for PLHAs and Nurses Over Time in Five African Countries

The aim of this article is to document the levels of HIV stigma reported by persons living with HIV infections and nurses in Lesotho, Malawi, South Africa, Swaziland and Tanzania. HIV stigma has been shown to negatively affect the quality of life for people living with HIV infection, their adherence to medication, and their access to care. Few studies have documented HIV stigma by association as experienced by nurses or other health care workers who care for people living with HIV infection. [from abstract]

Supervision of Community Peer Counsellors for Infant Feeding in South Africa: an Exploratory Qualitative Study

This qualitative paper reports on the experience of three community health worker (CHW) supervisors who were responsible for supporting infant feeding peer counsellors. The findings highlight the complexities of supervising and supporting CHWs. [adapted from abstract]

Realignment of Incentives for Health-Care Providers in China

This review shows how lessons that have been learned from international experiences have been improved further in China by realignment of the incentives for providers towards prevention and primary care, and incorporation of a treatment protocol for hospital services. [from summary]

Effectiveness of Community Based Safe Motherhood Promoters in Improving the Utilization of Obstetric Care: the Case of Mtwara Rural District in Tanzania

Ensuring skilled attendant at birth is acknowledged as one of the most effective interventions to reduce maternal deaths. Exploring the potential of community-based interventions in increasing the utilization of obstetric care, the study aimed at developing, testing and assesses a community-based safe motherhood intervention in Mtwara rural District of Tanzania. [from abstract]

Private Pharmacists: the Missing Link in TB Control

India has the highest incidence of tuberculosis (TB) in the world. The Government’s TB programme uses Directly Observed Treatment Short course to supervise patients’ treatment. However an estimated 40-50 per cent of TB treatment is accessed through private pharmacists. A challenge is to engage these pharmacists in TB control. [from author]

Managing Pharmacist Migration: a Comprehensive Package

The migration of health workers and pharmacists in particular is seen as a problem with no easy solution. It is not simply a matter of difference in salary, but also in training and career progression opportunities and a conducive practice environment. A comprehensive package which offers a range of incentives is the best way forward. [from author]

Revitalizing Primary Health Care: the Role of Lay Health Workers

Lay or community workers can be a valuable resource in response to the human resource crisis in many low- and middle-income countries. Successful interventions by lay health workers have led to improvements in maternal and child health, including reductions in mortality and morbidity from common childhood illnesses, and effective support to people receiving treatment for tuberculosis. [from author]

WISN: a Workforce Planning Tool with Unexpected Motivational Benefits

In Indonesia, a bottom-up workforce planning tool used with health workers directly has changed practice, realigned health workers’ roles, and increased motivation among staff. It shows how effective empowerment can be in the workplace. Workload Indicators of Staffing Need, or WISN, is straightforward and easily applied. [from author]

Caring for the Carers: Wellness Centers for Health Care Workers and Their Families

Very few innovations look at providing services for health care workers and the creation of wellness centres is a real innovation. The centres have opened the door to improved retention practices, better health and an increased sense of being valued for African health workers, who toil daily on the front lines of the battle against HIV and AIDS, TB and other infectious diseases. [from author]

Improving Staff Retention in Ghana

In Ghana, faith-based organisations play an essential role in providing health care services, especially in rural areas. For a variety of reasons, it can be difficult to retain health care workers, putting essential services under threat. The National Catholic Health Service carried out some vital research to find out how to address the problem. [from author]

Kenya, South Africa and Thailand: a Study to Improve Human Resource Policies

A study across three countries to identify policies which would help recruit and retain health workers in rural areas revealed that there is a danger in one size fits all recommendations when it comes to designing human resource policies. Results also show that there is room for both financial and non-financial incentives in human resource interventions in developing countries. [from author]

Pharmacy Schools: Seven African Countries Share Solutions

Heads of pharmacy schools in Africa, as with all global regions, are facing educational challenges to meet local medicines needs, ranging from the physical infrastructure and laboratory teaching equipment to the world-wide shortage in academic capacity to fill teaching positions. Seven heads of pharmacy schools in Africa met recently to discuss how to tackle this situation in order to provide solutions from which the global educational infrastructure can learn. [from author]

Addressing the Health Workforce Challenges of the 21st Century

This article outlines the primary issues and underlying caused of the current health workforce crisis.

Re-Inventing Health Care Training in the Developing World: the Case for Satellite Applications in Rural Environments

Information and communication technology can play a vital role in training healthcare professionals, across the board - in nursing schools, medical schools, urban settings, and even in rural areas where it is often needed the most, in remote hospitals, health centers and dispensaries that are under-staffed and where the addressable population is scattered. [from author]

Task Shifting in Expanding the Roles of Family Planning Providers

Task shifting, allowing lower-level healthcare providers to perform some of the tasks normally reserved for higher—evel providers, has been proposed as one way to overcome the health workforce shortage. Studies consistently show that task shifting in the provision of HIV services (such as distributing antiretroviral therapy) and other areas of healthcare can increase access, improve the coverage and quality of health services, and reduce the costs of providing services. [adapted form author]

Calculating Human Resource Need

Who will you need, when will you need them, can you afford them? This toolkit, recently developed for use in Liberia, can substantially assist the process. [from author]

Africa's Deadly Brain Drain - Malawi

Africa is in the grip of a medical crisis because its doctors are being lured away by lucrative jobs in Europe. This video reviews the situation in Malawi, which now only has one doctor for every 50,000 people. [from author]

Worldwide Shortage of Healthcare Workers Increasing

The Global Health Workforce Alliance says there is an acute shortage of health workers around the world which is affecting the quality of care, especially in developing countries and warns that without prompt action the shortage will worsen. This video reviews the issue. [adapted from author]

Managing Health Worker Migration

Created by the Commonwealth Secretariat, this short film intertwines footage of health workers around the world and interviews taken from the September 2008 Council meeting in London, which was co-hosted by the Commonwealth Secretariat, to illustrate the work of the Council and others to manage the migration of health workers. [from author]

Mbagathi Hospital Health Workers

The critical shortage of qualified health professionals, especially in the developing world, leaves patients without access to care for even the most basic health issues. In this video, created by the Health Rights Advocacy Forum (HERAF) and PHR, health workers at Mbagathi District Hospital in Kenya talk about how they rise to the challenges they face every day. [from author]

Systematic Review of Task Shifting for HIV Treatment and Care in Africa

This systematic literature review covers the state of the evidence on task shifting, or delegating tasks performed by physicians to staff with lower-level qualifications, which is considered a means of expanding rollout of antiretroviral therapy in resource-poor or HRH-limited settings. [adapted from abstract]

Framework for Action on Interprofessional Education and Collaborative Practice

At a time when the world is facing a shortage of health workers, policymakers are looking for innovative strategies that can help them develop policy and programmes to bolster the global health workforce. This document highlights the current status of interprofessional collaboration around the world, identifies the mechanisms that shape successful collaborative teamwork and outlines a series of action items that policymakers can apply within their local health system.

Community Pharmacy Practice in India: Past, Present and Future

Today, community pharmacists play an important role in any country as they take responsibility for patient’s medicine related needs for access to healthcare. This article seeks to discuss the genesis of Indian community pharmacy, the majority of which are privately owned, and sketches its education, training and future prospects. [from abstract]

Computer-Assisted Resilience Training to Prepare Healthcare Workers for Pandemic Influenza: a Randomized Trial of the Optimal Dose of Training

Working in a hospital during an extraordinary infectious disease outbreak can cause significant stress and contribute to healthcare workers choosing to reduce patient contact. Psychological training of healthcare workers prior to an influenza pandemic may reduce stress-related absenteeism, however, established training methods that change behavior and attitudes are too resource-intensive for widespread use.

High ANC Coverage and Low Skilled Attendance in a Rural Tanzanian District: a Case for Implementing a Birth Plan Intervention

This study contends that increasing coverage of skilled delivery care and achieving the full implementation of Tanzania’s Focused Antenatal Care Package in Ngorongoro depends upon improved training and monitoring of health care providers, and greater family participation in antenatal care visits. [adapted from abstract]

Using Standardized Patients to Assess Communication Skills in Medical and Nursing Students

A number of recent developments in medical and nursing education have highlighted the importance of communication and consultation skills (CCS). Although such skills are taught in all medical and nursing undergraduate curriculums, there is no comprehensive screening or assessment programme of CCS. This study was designed to test the content, process and acceptability of a screening programme in CCS with Irish medical and nursing students. [adapted from abstract]

Evidence Based Guidelines or Collectively Constructed Mindlines? Ethnographic Study of Knowledge Management in Primary Care

The objective of this study was to explore in depth how primary care clinicians (general practitioners and practice nurses) derive their individual and collective healthcare decisions through an ethnographic study using standard methods (non-participant observation, semistructured interviews, and documentary review) over two years. [adapted from author]

Lay Health Workers in Primary and Community Health Care: a Systematic Review of Trials

Increasing interest has been shown in the use of lay health workers (LHWs) for the delivery of a wide range of maternal and child health (MCH) services in low and middle income countries. However, robust evidence of the effects of LHW interventions in improving MCH delivery is limited. The objective of this document is to review evidence from randomized controlled trials on the effects of LHW interventions in improving MCH and addressing key high burden diseases. [adapted from abstract]