Journal Articles

Involving Traditional Birth Attendants in Emergency Obstetric Care in Tanzania: Policy Implications of a Study of Their Knowledge and Practices in Kigoma Rural District

This paper reports about knowledge and practices of traditional birth attendants on emergency obstetric care in a rural district of Tanzania and discusses policy implications on involving traditional birth attendants in maternal health services. [adapted from abstract]

Tracking the Workforce: The American Society of Clinical Oncology Workforce Information System

This article reports on a workforce information system designed to assemble the latest available data on oncologist supply and cancer incidence and prevalence, which was developed in anticipation of projected oncologist workforce shortages. [adapted from abstract]

Us and Them: A Social Network Analysis of Physicians' Professional Networks and Their Attitudes towards EBM

This paper explores how physicians’ attitudes towards evidence-based medicine (EBM) is related to the network position they occupy within healthcare organizations. [from abstract]

Impact on Patient Health and Service Outcomes of Introducing Nurse Consultants: A Historically Matched Controlled Study

The position of nurse consultant (NC) was introduced in Hong Kong in five clinical specialties: diabetes, renal, wound and stoma care, psychiatry, and continence. This pilot explored the impact of the introduction of NCs on patient health and service outcomes. [adapted from abstract]

Exploring the Effects of Task Shifting for HIV through a Systems Thinking Lens: The Case of Burkina Faso

This study aims to conceptualize the wider range of effects of task shifting through a systems thinking lens and to explore these effects using task shifting for HIV in Burkina Faso as a case study. [adapted from abstract]

Attitudes toward Working in Rural Areas of Thai Medical, Dental and Pharmacy New Graduates in 2012: A Cross-Sectional Survey

This study aimed to explore the current attitudes of new medical, dental and pharmacy graduates as well as determine the linkage between their characteristics and the preference for working in rural areas. [from abstract]

Evaluating Traditional Healers Knowledge and Practices Related to HIV Testing and Treatment in South Africa

In a context of inadequate human resources for health, this study investigated whether traditional healers have the knowledge and skill base which could be utilized to assist in the scaling up of HIV prevention and treatment services in South Africa. [from abstract]

How Well Can Physicians Manage Tuberculosis? A Public-Private Sector Comparison from Karachi, Pakistan

This study endeavored to identify the gap in knowledge regarding the diagnosis and management of tuberculosis between public and private doctors and the factors affecting these knowledge scores in urban Pakistan. [adapted from abstract]

Client-Provider Interactions in Provider-Initiated and Voluntary HIV Counseling and Testing Services in Uganda

This study attempts to evaluate if the provider-client experiences, perceptions and client satisfaction with the information provided differs between provider-initiated HIV testing and counselling, which is based on information-giving - and voluntary counselling and testing, which includes individualized client-centered counseling. [adapted from abstract]

Resident and Family Perceptions of the Nurse Practitioner Role in Long Term Care Settings: A Qualitative Descriptive Study

Research evidence supports the positive impact on resident outcomes of nurse practitioners (NPs) working in long term care (LTC) homes. The purpose of this study was to explore the perceptions of residents and family members regarding the role of the NP in LTC homes. [from abstract]

Practicing Nurses' Perspectives of Clinical Scholarship: A Qualitative Study

The aim of this study was to contribute to the discussion on the nature of clinical scholarship in nursing. [from abstract]

Task-Sharing of HIV Care and ART Initiation: Evaluation of a Mixed-Care Non-Physician Provider Model for ART Delivery in Rural Malawi

This article argues that expanding access to antiretroviral therapy (ART) in sub-Saharan Africa requires implementation of alternative care delivery models to traditional physician-centered approaches. This longitudinal analysis compares outcomes of patients initiated on ART by non-physician and physician providers. [adapted from author]

How Do They Manage? A Qualitative Study of the Realities of Middle and Front-Line Management Work in Health Care

This project addressed three questions: how middle management roles in acute care settings changing, and the implications of these developments; how changes are managed following serious incidents; and how clinical and organisational outcomes are influenced by management practice and the properties an enabling environment should possess to support those contributions. [adapted from abstract]

Support Matters: A Mixed Methods Scoping Study on the Use of Assistant Staff in the Delivery of Community Nursing Services in England

This study evaluated the roles, contribution and impacts of community nursing assistants to the delivery of care and services for patients with chronic conditions and complex care needs. [adapted from author]

Negotiating Markets for Health: An Exploration of Physicians' Engagement in Dual Practice in Three African Capital Cities

This study considered dual practice patterns in three African cities and the respective markets for physician services, with the objective of understanding the influence of local determinants on the practice. [from abstract]

House Calls by Community Health Workers and Public Health Nurses to Improve Adherence to Isoniazid Montotherapy for Latent Tuberculosis Infection: A Retrospective Study

The goal of this study was to assess whether house calls by community health workers and public health nurses affected isoniazid adherence for latent tuberculosis infection or frequency of adverse effects. [adapted from author]

Sources of Community Health Worker Motivation: A Qualitative Study in Morogoro Region, Tanzania

This study aimed to explore sources of community health worker motivation to inform programs in Tanzania and similar contexts. [from abstract]

Insights from Community Case Management Data in Six Sub-Saharan African Countries

This study analyzed monitoring data from community case management (CCM) programs supported by the International Rescue Committee, covering over 2 million treatments provided from 2004 to 2011 in six countries by 12,181 community health workers to generate evidence on how to implement CCM. [adapted from abstract]

Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi

As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register review, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and weaknesses of the four assessment methods in the Malawi context. [adapted from author]

Interventions to Improve Motivation and Retention of Community Health Workers Delivering Integrated Community Case Management (iCCM): Stakeholder Perceptions and Priorities

This work reports the results of semi-structured interviews with 15 international stakeholders, selected because of their experiences in community health worker program implementation, to elicit their views on strategies that could increase community health worker motivation and retention. [from abstract]

Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do?

This article describes community health workers in government community case management programs for child survival across sub-Saharan Africa. [from abstract]

Health Workers' and Managers' Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services

Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. This study uses qualitative methods to explore health workers’ and managers’ perceptions about CCM provided by health surveillance assistants during the program’s first year in Malawi. [adapted from abstract]

Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi

This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainability of the program, and proposes solutions. [adapted from introduction]

Introduction of Newborn Care within Integrated Community Case Management in Uganda

This article assessed how a program for integrated community case management (iCCM) for children under 5 years addresses newborn care in three mid-western districts through document reviews, structured interviews, and focus group discussions with village health team members trained in iCCM, caregivers, and other stakeholders. [adapted from abstract]

Increased Use of Community Medicine Distributors and Rational Use of Drugs in Children Less than Five Years of Age in Uganda Caused by Integrated Community Case Management of Fever

This study compared effectiveness and use of community medicine distributors and drug use under integrated community case management and home-based management strategies in children 6–59 months of age in eastern Uganda. [adapted from abstract]

Use of Community Health Workers for Management of Malaria and Pneumonia in Urban and Rural Areas in Eastern Uganda

This study assessed the potential differences between urban and rural areas in the implementation of community case management is implemented for malaria and pneumonia and how community health workers are being used alongside other partners in health care provision. [adapted from introduction]

Estimated Risk of HIV Acquisition and Practice for Preventing Occupational Exposure: A Study of Healthcare Workers at Tumbi and Dodoma Hospitals, Tanzania

The main objective of this study was to estimate the risk of HIV transmission and examine the practices for preventing occupational exposures among health care workers at Tumbi and Dodoma Hospitals in Tanzania. [from abstract]

Health System Challenges to Integration of Mental Health Delivery in Primary Care in Kenya: Perspectives of Primary Care Workers

This paper uses focus group methodology to explore health worker perspectives on the challenges posed to integration of mental health into primary care by generic health system weakness. [from abstract]

When Women Deliver with No One Present in Nigeria: Who, What, Where and So What?

This paper focuses on maternal “no one present” (NOP) deliveries and aims at using empirical data to describe patterns, levels, and correlates of deliveries with NOP in Nigeria. Findings from this study are expected to contribute to policy and program strategy to better address the delivery needs of women in the community. [adapted from author]

Efficacy of Tailored Physical Activity in Reducing Sickness Absence among Health Care Workers: Design of a Randomised Controlled Trial

The aim of this study is to evaluate the efficacy of a strategy for prevention of work-related musculoskeletal disorders to enhance the physical capacity of health care workers. [adapted from abstract]