Journal Articles

Costs and Cost-Effectiveness of a Mobile Phone Text-Message Reminder Programmes to Improve Health Workers' Adherence to Malaria Guidelines in Kenya

A recent trial in Kenya showed that text-message reminders on adherence to malaria case-management sent to health workers’ mobile phones improved management of pediatric outpatients by 25 percentage points. This paper examines costs and cost-effectiveness of this intervention. [from abstract]

Applying a Framework for Assessing the Health System Challenges to Scaling up mHealth in South Africa

This paper applies a health systems perspective to guide analysis of potential challenges of scaling up mHealth for the monitoring and evaluation (M&E) of community-based health services (CBS) in South Africa. This formalisation of CBS is expected to bring greater standardisation of M&E and supervision systems for community health workers. [adapted from author]

Critical Role of Supervision in Retaining Staff in Obstetric Services: A Three Country Study

This study identifies the implications of different types of supervision for healthcare worker job satisfaction and intention to leave the workplace in Malawi, Tanzania, and Mozambique. [adapted from author]

Building Nurse Education Capacity in India: Insights from a Faculty Development Programme in Andhra Pradesh

Improving educational capacity through nursing faculty development has been proposed as one of several strategies to address a complex health human resource situation. This paper describes and critically reflects upon the experience of one such faculty development programme in the state of Andhra Pradesh. [from abstract]

NIMART Rollout to Primary Healthcare Facilities Increases Access to Antiretrovirals in Johannesburg: An Interrupted Time Series Analysis

In this study, decentralisation of anitretroviral treatement (ART) initiation by professional nurses through the Nurse Initiatied Management of Antiretroviral Treatment (NIMART) program was shown to increase ART uptake and reduce workloadat referral facilities, enabling them to concentrate on complicated cases. [adapted from author]

Systematic Review Evaluating the Impact of Task Shifting on Access to Antiretroviral Therapy in Sub-Saharan Africa

This review evaluates whether task shifting of ART initiation and management from physicians to nurses increases access to antiretroviral therapy, the primary purpose cited for the implementation of task shifting policies. [from introduction]

Successful Polio Eradication in Uttar Pradesh, India: The Pivotal Contribution of the Social Mobilization Network, an NGO/UNICEF Collaboration

This article reports on a successful partnership to improve access and reduce family and community resistance to polio vaccination in India. The partners trained thousands of mobilizers from high-risk communities to visit households, promote government-run child immunization services, track children’s immunization history and encourage vaccination of children missing scheduled vaccinations, and mobilize local opinion leaders. [adapted from author]

Lessons Learned from Scaling up a Community-Based Health Program in the Upper East Region of Northern Ghana

This paper describes the history of how an experimental study set the stage for a national program for promoting community-based primary health care—the Community-Based Health Planning and Services initiative, which deployed nurses to the community and engaged local leaders, reducing child mortality and fertility substantially. [adapted from author]

Effectiveness of a Community-Based Positive Prevention Intervention for People Living with HIV Who Are Not Receiving Antiretroviral Treatment: A Prospective Cohort Study

This controlled study aimed to assess the effectiveness of a personalized HIV risk-reduction intervention delivered by community health workers to people who know they have HIV and who are not on treatment. [from author]

Staff Retention after the Privatization of Township-Village Health Centers: A Case Study from the Haiman City of East China

In East China’s Jiangsu Province, the City of Haimen privatized all 25 township-village health centers in 2002. This study assesses the effect of privatization on staff retention among these health centers. [from abstract]

Literature Review: The Role of the Private Sector in the Production of Nurses in India, Kenya, South Africa and Thailand

This study examines the supply of, demand for, and policy
environment of private nurse production in four selected countries. [from abstract]

Evaluation of a Well-Established Task-Shifting Initiative: The Lay Counselor Cadre in Botswana

This study examined the Botswana lay counselor cadre, a task shifting initiative, to explore effectiveness and contribution to the health workforce. [from abstract]

Implementation and Scale-Up of Psycho-Trauma Centers in a Post-Conflict Area: A Case Study of a Private–Public Partnership in Northern Uganda

This article describes a public-private partnership (PPP) between the Peter C. Alderman Foundation and Ugandan government institutions that demonstrated the feasibility of delivering low cost, evidence-based mental health care to massively traumatized populations in northern Uganda through PPPs. [adapted from author]

Screening for Latent Tuberculosis in Norwegian Health Care Workers: High Frequency of Discordant Tuberculin Skin Test Positive and Interferon-Gamma Release Assay Negative Results

This study examined the role of blood based interferon-gamma release assays versus the tuberculin skin test for health workers exposed to tuberculosis. [adapted from abstract]

Impact of a Brief Lifestyle Intervention Delivered by Generalist Community Nurses

This research evaluated the effectiveness of lifestyle interventions for clients with risk factors for chronic disease in routine community nursing practice. [adapted from abstract]

Comparative Performance of Private and Public Healthcare Systems in Low- and Middle Income Countries: A Systematic Review

This article reports on a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. [adpated from abstract]

Measuring the Effectiveness of an Intensive IPV Training Program Offered to Greek General Practitioners and Residents of General Practice

The need for effective training of primary care physicians in the prevention, detection and handling of intimate partner violence (IPV) has been widely acknowledged, given its frequency in daily practice. The current intervention study aimed to measure changes in the actual IPV knowledge, perceived knowledge, perceived preparedness and detection ability of practicing general practitioners and general practice residents, following an intensive IPV training program. [from abstract]

Checklist for Identifying Determinants of Practice: A Systematic Review and Synthesis of Frameworks and Taxonomies of Factors that Prevent of Enable Improvements in Healthcare Professional Practice

Determinants of practice are factors that might prevent or enable improvements. Several checklists, frameworks, taxonomies, and classifications of determinants of healthcare professional practice have been published. In this paper, we describe the development of a comprehensive, integrated checklist of determinants of practice. [from abstract]

Aspirations for Quality Health Care in Uganda: How Do We Get There?

The authors undertook a qualitative study, along with a large census and health-provider survey in to understand priorities for quality in health care from the perspectives of health workers and community members in Tororo District, Uganda and factors potentially amenable to change that could enable these qualities to be enacted to increase equitable access to quality health care for the local population. [adapted from author]

Health Workers' Performance in the Implementation of Patient Centred Tuberculosis Treatment (PCT) Strategy Under Programmatic Conditions in Tanzania: A Cross Sectional Study

PCT aims to improve adherence to tuberculosis treatment by giving patients the choice of having drug intake supervised at the health facility by a medical professional or at home by a supporter of their choice. This study assessed whether key elements of the PCT approach were being implemented, evaluated supporters’ knowledge, captured opinions on factors contributing to treatment completion, and assessed how treatment completion was measured. [from abstract]

Engaging Primary Care Practitioners in Quality Improvement: Making Explicit the Program Theory of an Interprofessional Education Intervention

This paper describes the theory underlying an interprofessional educational intervention developed in Canada for the purpose of improving chronic disease management in primary care in order to explain explicitly the theory underlying this intervention, to describe its components in detail and to assess the intervention’s feasibility and acceptability. [adapted from abstract]

Conceptualizing Performance of Nursing Care as a Prerequisite for Better Measurement: A Systematic and Interpretive Review

The objectives of this study were to: develop a theoretically based framework to conceptualize nursing care performance; analyze how the different components of the framework have been operationalized in the literature; and develop a pool of indicators sensitive to various aspects of nursing care that can be used as a basis for designing a performance measurement system. [from abstract]

Tuberculosis in Medical Doctors: A Study of Personal Experiences and Attitudes

The concurrent tuberculosis (TB) and HIV epidemics in sub-Saharan Africa place all healthcare workers at increased risk of exposure to TB. This study explores personal experiences, attitudes and perceptions of medical doctors following treatment for TB within the healthcare system. [from abstract]

Primary Health Care and General Practice Attachment: Establishing an Undergraduate Teaching Network in Rural Greek Health Centers

This report describes the steps taken by a Greek medical school to establish and maintain a rural primary health care teaching network in order to implement community oriented primary health care and general practice for undergraduate medical education. [adapted from abstract]

Advanced Rural Skills Training: Are Recently Qualified GPs Using Their Procedural Skills?

This study aimed to: describe where general practitioners (GPs) practice in the 5 years after advanced rural skills training; describe the proportion of doctors using their advanced skills; measure doctors’ ratings of the quality of support and how critical the year directly following training is in future career choices; and measure the association between support and use of advanced skills. [from abstract]

Recruitment and Retention of Mental Health Workers in Ghana

Using qualitative interviews, the authors aimed to explore factors motivating mental health workers in order to inform interventions to increase recruitment and retention. [from abstract]

Experience of Nurses with Using eHealth in Gilgit-Baltistan, Pakistan: A Qualitative Study in Primary and Secondary Healthcare

To improve the quality of health care in remote parts of Pakistan, a research project was initiated in the mountainous region of Gilgit-Baltistan using information and communication technology to improve patient care and support continuing education of health providers (eHealth). This paper describes the experience of nurses in using eHealth in their routine practices. [from abstract]

Immersing Undergraduates into an Interprofessional Longitudinal Rural Placement

This article evaluates an Australian program that placed students from different health programs together, in a rural environment, for one or two semesters of the academic year to promote interprofessional learning. [adapted from abstract]

Nursing Leadership in a Rapidly Aging Society: Implications of the Future of Nursing Report in Japan

A recent report about the future of nursing highlights the areas where nurses can serve, contribute, and move forward to improve health care in the United States. The purpose of this paper demonstrate that the report’s recommendations could have implications for the future of nursing outside of the United States, particularly for nurses taking leadership in designing care for the rapidly aging society of Japan. [adapted from abstract]

Nurse Managers' Leadership Styles in Finland

The intention of this study was to explore nurses’ and supervisors’ perceptions of nurse managers’ leadership styles. [from abstract]