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Human Resources for Health

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https://www.readbyqxmd.com/read/28610590/a-continuous-quality-improvement-intervention-to-improve-the-effectiveness-of-community-health-workers-providing-care-to-mothers-and-children-a-cluster-randomised-controlled-trial-in-south-africa
#1
Christiane Horwood, Lisa Butler, Pierre Barker, Sifiso Phakathi, Lyn Haskins, Merridy Grant, Ntokozo Mntambo, Nigel Rollins
BACKGROUND: Community health workers (CHWs) play key roles in delivering health programmes in many countries worldwide. CHW programmes can improve coverage of maternal and child health services for the most disadvantaged and remote communities, leading to substantial benefits for mothers and children. However, there is limited evidence of effective mentoring and supervision approaches for CHWs. METHODS: This is a cluster randomised controlled trial to investigate the effectiveness of a continuous quality improvement (CQI) intervention amongst CHWs providing home-based education and support to pregnant women and mothers...
June 13, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28606105/credentialing-and-retention-of-visa-trainees-in-post-graduate-medical-education-programs-in-canada
#2
Maria Mathews, Rima Kandar, Steve Slade, Yanqing Yi, Sue Beardall, Ivy Bourgeault, Lynda Buske
BACKGROUND: Visa trainees are international medical graduates (IMG) who come to Canada to train in a post-graduate medical education (PGME) program under a student or employment visa and are expected to return to their country of origin after training. We examined the credentialing and retention of visa trainees who entered PGME programs between 2005 and 2011. METHODS: Using the Canadian Post-MD Education Registry's National IMG Database linked to Scott's Medical Database, we examined four outcomes: (1) passing the Medical Council of Canada Qualifying Examination Part 2 (MCCQE2), (2) obtaining a specialty designation (CCFP, FRCPC/SC), and (3) working in Canada after training and (4) in 2015...
June 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28606103/occupational-therapy-and-physiotherapy-education-and-workforce-in-anglophone-sub-saharan-africa-countries
#3
Augustine O Agho, Emmanuel B John
BACKGROUND: Sub-Saharan Africa (SSA) countries are faced with the challenge of educating a critical mass of occupational therapists (OTs) and physiotherapists (PTs) to meet the growing demand for health and rehabilitation services. The World Federation of Occupational Therapy (WFOT) and World Confederation of Physical Therapy (WCPT) have argued for the need of graduate-level training for OTs and PTs for decades. However, very few studies have been conducted to determine the availability of OT and PT training programs and practitioners in SSA countries...
June 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28558840/health-professionals-job-satisfaction-and-associated-factors-at-public-health-centers-in-west-ethiopia
#4
Beyazin Kebede Deriba, Shimele Ololo Sinke, Berhane Megersa Ereso, Abebe Sorsa Badacho
BACKGROUND: Human resources are vital for delivering health services, and health systems cannot function effectively without sufficient numbers of skilled, motivated, and well-supported health workers. Job satisfaction of health workers is important for motivation and efficiency, as higher job satisfaction improves both employee performance and patient satisfaction. Even though several studies have addressed job satisfaction among healthcare professionals in different part of the world, there are relatively few studies on healthcare professionals' job satisfaction in Ethiopia...
May 30, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28549434/the-potential-of-task-shifting-in-scaling-up-services-for-prevention-of-mother-to-child-transmission-of-hiv-a-time-and-motion-study-in-dar-es-salaam-tanzania
#5
Helga Naburi, Anna Mia Ekström, Phares Mujinja, Charles Kilewo, Karim Manji, Gunnel Biberfeld, David Sando, Guerino Chalamila, Till Bärnighausen
BACKGROUND: In many African countries, prevention of mother-to-child transmission of HIV (PMTCT) services are predominantly delivered by nurses. Although task-shifting is not yet well established, community health workers (CHWs) are often informally used as part of PMTCT delivery. According to the 2008 World Health Organization (WHO) Task-shifting Guidelines, many PMTCT tasks can be shifted from nurses to CHWs. METHODS: The aim of this time and motion study in Dar es Salaam, Tanzania, was to estimate the potential of task-shifting in PMTCT service delivery to reduce nurses' workload and health system costs...
May 26, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28535773/nurses-who-work-in-rural-and-remote-communities-in-canada-a-national-survey
#6
Martha L P MacLeod, Norma J Stewart, Judith C Kulig, Penny Anguish, Mary Ellen Andrews, Davina Banner, Leana Garraway, Neil Hanlon, Chandima Karunanayake, Kelley Kilpatrick, Irene Koren, Julie Kosteniuk, Ruth Martin-Misener, Nadine Mix, Pertice Moffitt, Janna Olynick, Kelly Penz, Larine Sluggett, Linda Van Pelt, Erin Wilson, Lela Zimmer
BACKGROUND: In Canada, as in other parts of the world, there is geographic maldistribution of the nursing workforce, and insufficient attention is paid to the strengths and needs of those providing care in rural and remote settings. In order to inform workforce planning, a national study, Nursing Practice in Rural and Remote Canada II, was conducted with the rural and remote regulated nursing workforce (registered nurses, nurse practitioners, licensed or registered practical nurses, and registered psychiatric nurses) with the intent of informing policy and planning about improving nursing services and access to care...
May 23, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28532426/measuring-health-workers-motivation-composition-validation-of-a-scale-based-on-self-determination-theory-in-burkina-faso
#7
Julia Lohmann, Aurélia Souares, Justin Tiendrebéogo, Nathalie Houlfort, Paul Jacob Robyn, Serge M A Somda, Manuela De Allegri
BACKGROUND: Although motivation of health workers in low- and middle-income countries (LMICs) has become a topic of increasing interest by policy makers and researchers in recent years, many aspects are not well understood to date. This is partly due to a lack of appropriate measurement instruments. This article presents evidence on the construct validity of a psychometric scale developed to measure motivation composition, i.e., the extent to which motivation of different origin within and outside of a person contributes to their overall work motivation...
May 22, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28494782/health-workforce-and-governance-the-crisis-in-nigeria
#8
Davies Adeloye, Rotimi Adedeji David, Adenike Ayobola Olaogun, Asa Auta, Adedapo Adesokan, Muktar Gadanya, Jacob Kehinde Opele, Oluwafemi Owagbemi, Alexander Iseolorunkanmi
BACKGROUND: In Nigeria, several challenges have been reported within the health sector, especially in training, funding, employment, and deployment of the health workforce. We aimed to review recent health workforce crises in the Nigerian health sector to identify key underlying causes and provide recommendations toward preventing and/or managing potential future crises in Nigeria. METHODS: We conducted a scoping literature search of PubMed to identify studies on health workforce and health governance in Nigeria...
May 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28438214/predictors-of-job-satisfaction-among-nurses-working-in-ethiopian-public-hospitals-2014-institution-based-cross-sectional-study
#9
Ayele Semachew, Tefera Belachew, Temamen Tesfaye, Yohannes Mehretie Adinew
BACKGROUND: Nurses play a pivotal role in determining the efficiency, effectiveness, and sustainability of health care systems. Nurses' job satisfaction plays an important role in the delivery of quality health care. There is paucity of studies addressing job satisfaction among nurses in the public hospital setting in Ethiopia. Thus, this study aimed to assess job satisfaction and factors influencing it among nurses in Jimma zone public hospitals, southwestern Ethiopia. METHODS: An institution-based census was conducted among 316 nurses working in Jimma zone public hospitals from March to April, 2014...
April 24, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28431553/long-working-hours-in-the-healthcare-system-of-the-belo-horizonte-municipality-brazil-a-population-based-cross-sectional-survey
#10
Juliana M Andrade, Ada A Assunção, Mery N S Abreu
BACKGROUND: Health personnel are key players in developing and improving healthcare systems, caring for individuals and their communities, and helping improve quality of life. However, these professionals are often exposed to long working hours because of the pressing need for their services at potentially any time of day. The long working hours they endure are a major risk factor for both acute and chronic health problems. The present study aimed to analyze occurrences of long working hours and their association with individual characteristics and employment factors among workers in the municipal healthcare system in Belo Horizonte, Brazil...
April 21, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28407810/does-task-shifting-yield-cost-savings-and-improve-efficiency-for-health-systems-a-systematic-review-of-evidence-from-low-income-and-middle-income-countries
#11
Gabriel Seidman, Rifat Atun
BACKGROUND: Task shifting has become an increasingly popular way to increase access to health services, especially in low-resource settings. Research has demonstrated that task shifting, including the use of community health workers (CHWs) to deliver care, can improve population health. This systematic review investigates whether task shifting in low-income and middle-income countries (LMICs) results in efficiency improvements by achieving cost savings. METHODS: Using the PRISMA guidelines for systematic reviews, we searched PubMed, Embase, CINAHL, and the Health Economic Evaluation Database on March 22, 2016...
April 13, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28381289/causes-consequences-and-policy-responses-to-the-migration-of-health-workers-key-findings-from-india
#12
Margaret Walton-Roberts, Vivien Runnels, S Irudaya Rajan, Atul Sood, Sreelekha Nair, Philomina Thomas, Corinne Packer, Adrian MacKenzie, Gail Tomblin Murphy, Ronald Labonté, Ivy Lynn Bourgeault
BACKGROUND: This study sought to better understand the drivers of skilled health professional migration, its consequences, and the various strategies countries have employed to mitigate its negative impacts. The study was conducted in four countries-Jamaica, India, the Philippines, and South Africa-that have historically been "sources" of health workers migrating to other countries. The aim of this paper is to present the findings from the Indian portion of the study. METHODS: Data were collected using surveys of Indian generalist and specialist physicians, nurses, midwives, dentists, pharmacists, dieticians, and other allied health therapists...
April 5, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28376823/training-and-deployment-of-medical-doctors-in-tanzania-post-1990s-health-sector-reforms-assessing-the-achievements
#13
Nathanael Sirili, Angwara Kiwara, Frumence Gasto, Isabel Goicolea, Anna-Karin Hurtig
BACKGROUND: The shortage of a skilled health workforce is a global crisis. International efforts to combat the crisis have shown few benefits; therefore, more country-specific efforts are required. Tanzania adopted health sector reforms in the 1990s to ensure, among other things, availability of an adequate skilled health workforce. Little is documented on how the post-reform training and deployment of medical doctors (MDs) have contributed to resolving Tanzania's shortage of doctors...
April 4, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28376822/internationally-educated-nurses-in-canada-predictors-of-workforce-integration
#14
Christine L Covell, Marie-Douce Primeau, Kelley Kilpatrick, Isabelle St-Pierre
BACKGROUND: Global trends in migration accompanied with recent changes to the immigrant selection process may have influenced the demographic and human capital characteristics of internationally educated nurses (IENs) in Canada and in turn the assistance required to facilitate their workforce integration. This study aimed to describe the demographic and human capital profile of IENs in Canada, to explore recent changes to the profile, and to identify predictors of IENs' workforce integration...
April 4, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28359313/an-examination-of-the-causes-consequences-and-policy-responses-to-the-migration-of-highly-trained-health-personnel-from-the-philippines-the-high-cost-of-living-leaving-a-mixed-method-study
#15
Erlinda Castro-Palaganas, Denise L Spitzer, Maria Midea M Kabamalan, Marian C Sanchez, Ruel Caricativo, Vivien Runnels, Ronald Labonté, Gail Tomblin Murphy, Ivy Lynn Bourgeault
BACKGROUND: Dramatic increases in the migration of human resources for health (HRH) from developing countries like the Philippines can have consequences on the sustainability of health systems. In this paper, we trace the outflows of HRH from the Philippines, map out its key causes and consequences, and identify relevant policy responses. METHODS: This mixed method study employed a decentered, comparative approach that involved three phases: (a) a scoping review on health workers' migration of relevant policy documents and academic literature on health workers' migration from the Philippines; and primary data collection with (b) 37 key stakeholders and (c) household surveys with seven doctors, 329 nurses, 66 midwives, and 18 physical therapists...
March 31, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28335776/challenges-and-strategies-to-improve-the-availability-and-geographic-accessibility-of-physicians-in-portugal
#16
Ana Paula Cavalcante de Oliveira, Gilles Dussault, Isabel Craveiro
BACKGROUND: Shortages of physicians in remote, rural and other underserved areas and lack of general practitioners limit access to health services. The aims of this article are to identify the challenges faced by policy and decision-makers in Portugal to guarantee the availability and geographic accessibility to physicians in the National Health Service and to describe and analyse their causes, the strategies to tackle them and their results. We also raise the issue of whether research evidence was used or not in the process of policy development...
March 23, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28288668/survival-analysis-to-measure-turnover-of-the-medical-education-workforce-in-ethiopia
#17
Tsion Assefa, Damen Haile Mariam, Wubegzier Mekonnen, Miliard Derbew
BACKGROUND: Until recently, there were only a few medical schools in Ethiopia. However, currently, in response to the apparent shortage in physician workforce, the country has made huge progress with respect to the expansion of medical schools, by adopting the so-called flooding strategy. Nevertheless, the effectiveness of the intended strategy also relies on physician accessibility and turnover. Therefore, the aim of this study was to examine the distribution of physicians in the medical schools of Ethiopia and to quantify the magnitude and identify factors associated with physician turnover...
March 14, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28288650/analysis-of-an-international-collaboration-for-capacity-building-of-human-resources-for-eye-care-case-study-of-the-college-college-vision-2020-link
#18
Nyawira Mwangi, Marcia Zondervan, Covadonga Bascaran
BACKGROUND: There is an extreme health workforce shortage in Eastern, Central, and Southern Africa. Shortage of eye care workers impedes effective implementation of prevention of blindness programs. The World Health Organization has identified education, partnership, leadership, financing, and policy as intertwined interventions that are critical to resolving this crisis on the long term. CASE PRESENTATION: The VISION 2020 LINK between the College of Ophthalmology of Eastern, Central, and Southern Africa and the Royal College of Ophthalmologists in the United Kingdom aims to increase the quantity and quality of eye care training in East, Central, and Southern Africa through a focus on five strategic areas: fellowship examination for ophthalmologists, training the trainers, curriculum development for residents in ophthalmology and ophthalmic clinical officers, continuous professional development (CPD), and mentoring program for young ophthalmologists...
March 14, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28249619/a-rapid-review-of-the-rate-of-attrition-from-the-health-workforce
#19
REVIEW
Sofia Castro Lopes, Maria Guerra-Arias, James Buchan, Francisco Pozo-Martin, Andrea Nove
BACKGROUND: Attrition or losses from the health workforce exacerbate critical shortages of health workers and can be a barrier to countries reaching their universal health coverage and equity goals. Despite the importance of accurate estimates of the attrition rate (and in particular the voluntary attrition rate) to conduct effective workforce planning, there is a dearth of an agreed definition, information and studies on this topic. METHODS: We conducted a rapid review of studies published since 2005 on attrition rates of health workers from the workforce in different regions and settings; 1782 studies were identified, of which 51 were included in the study...
March 1, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28245877/incentives-to-change-effects-of-performance-based-financing-on-health-workers-in-zambia
#20
Gordon C Shen, Ha Thi Hong Nguyen, Ashis Das, Nkenda Sachingongu, Collins Chansa, Jumana Qamruddin, Jed Friedman
BACKGROUND: Performance-based financing (PBF) has been implemented in a number of countries with the aim of transforming health systems and improving maternal and child health. This paper examines the effect of PBF on health workers' job satisfaction, motivation, and attrition in Zambia. It uses a randomized intervention/control design to evaluate before-after changes for three groups: intervention (PBF) group, control 1 (C1; enhanced financing) group, and control 2 (C2; pure control) group...
February 28, 2017: Human Resources for Health
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