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Human Resources for Health

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https://www.readbyqxmd.com/read/29439743/supportive-supervision-and-constructive-relationships-with-healthcare-workers-support-chw-performance-use-of-a-qualitative-framework-to-evaluate-chw-programming-in-uganda
#1
Teralynn Ludwick, Eleanor Turyakira, Teddy Kyomuhangi, Kimberly Manalili, Sheila Robinson, Jennifer L Brenner
BACKGROUND: While evidence supports community health worker (CHW) capacity to improve maternal and newborn health in less-resourced countries, key implementation gaps remain. Tools for assessing CHW performance and evidence on what programmatic components affect performance are lacking. This study developed and tested a qualitative evaluative framework and tool to assess CHW team performance in a district program in rural Uganda. METHODS: A new assessment framework was developed to collect and analyze qualitative evidence based on CHW perspectives on seven program components associated with effectiveness (selection; training; community embeddedness; peer support; supportive supervision; relationship with other healthcare workers; retention and incentive structures)...
February 13, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29433519/factors-influencing-turnover-intention-among-primary-care-doctors-a-cross-sectional-study-in-chongqing-china
#2
Tong Wen, Yan Zhang, Xue Wang, Guo Tang
BACKGROUND: The intention to leave a job, known as turnover intention, among primary care doctors has a significant impact on primary health care service delivery. We investigated primary care doctors' turnover intention and analysed associated factors involved in primary health facilities in Chongqing, China. METHODS: A total of 440 doctors were interviewed, they were selected using a multi-stage stratified random sampling method. The survey instrument was a self-administered questionnaire which assessed socio-demographic and work-related characteristics, job satisfaction and turnover intention...
February 13, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29402327/mapping-educational-opportunities-for-healthcare-workers-on-antimicrobial-resistance-and-stewardship-around-the-world
#3
Susan Rogers Van Katwyk, Sara L Jones, Steven J Hoffman
BACKGROUND: Antimicrobial resistance is an important global issue facing society. Healthcare workers need to be engaged in solving this problem, as advocates for rational antimicrobial use, stewards of sustainable effectiveness, and educators of their patients. To fulfill this role, healthcare workers need access to training and educational resources on antimicrobial resistance. METHODS: To better understand the resources available to healthcare workers, we undertook a global environmental scan of educational programs and resources targeting healthcare workers on the topic of antimicrobial resistance and antimicrobial stewardship...
February 5, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29386024/a-review-of-characteristics-and-outcomes-of-australia-s-undergraduate-medical-education-rural-immersion-programs
#4
REVIEW
Belinda G O'Sullivan, Matthew R McGrail, Deborah Russell, Helen Chambers, Laura Major
BACKGROUND: A key strategy for increasing the supply of rural doctors is rurally located medical education. In 2000, Australia introduced a national policy to increase rural immersion for undergraduate medical students. This study aims to describe the characteristics and outcomes of the rural immersion programs that were implemented in Australian medical schools. METHODS: Information about 19 immersion programs was sourced in 2016 via the grey and published literature...
January 31, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29373966/microeconomic-institutions-and-personnel-economics-for-health-care-delivery-a-formal-exploration-of-what-matters-to-health-workers-in-rwanda
#5
Pieter Serneels, Tomas Lievens
BACKGROUND: Most developing countries face important challenges regarding the quality of health care, and there is a growing consensus that health workers play a key role in this process. Our understanding as to what are the key institutional challenges in human resources, and their underlying driving forces, is more limited. A conceptual framework that structures existing insights and provides concrete directions for policymaking is also missing. METHODS: To gain a bottom-up perspective, we gather qualitative data through semi-structured interviews with different levels of health workers and users of health services in rural and urban Rwanda...
January 26, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29334969/the-effects-of-workplace-respect-and-violence-on-nurses-job-satisfaction-in-ghana-a-cross-sectional-survey
#6
Isaac Mensah Boafo
BACKGROUND: Studies have established the negative effects of workplace disrespect and violence on the personal and professional well-being of nurses. In spite of this, only a few have directly investigated the effects of these issues on nurses' job satisfaction. In Africa, research on nurses' job satisfaction continues to focus largely on economic factors. The aim of this paper was, therefore, to investigate the impact of the non-economic factors of workplace violence and respect on the job satisfaction levels of nurses in Ghana...
January 15, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29325561/workforce-patterns-in-the-prevention-of-mother-to-child-transmission-of-hiv-in-c%C3%A3-te-d-ivoire-a-qualitative-model
#7
Brianne H Rowan, Julia Robinson, Adam Granato, Claire Konan Bla, Seydou Kouyaté, Guy Vincent Djety, Kouamé Abo, Ahoua Koné, Stephen Gloyd
BACKGROUND: Côte d'Ivoire continues to struggle with one of the highest rates of mother-to-child HIV transmission in West Africa, previously thought to be in part due to suboptimal workforce patterns. This study aimed to understand the process through which workforce patterns impact prevention of mother-to child transmission of HIV (PMTCT) program success, from the perspective of healthcare workers in Côte d'Ivoire. METHODS: A total of 142 semi-structured interviews were conducted with physicians, midwives, nurses, community counselors, social workers, pharmacists, management personnel and health aides from a nationally representative sample of 48 PMTCT sites across Côte d'Ivoire...
January 11, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29325556/forecasting-imbalances-in-the-global-health-labor-market-and-devising-policy-responses
#8
Richard M Scheffler, James Campbell, Giorgio Cometto, Akiko Maeda, Jenny Liu, Tim A Bruckner, Daniel R Arnold, Tim Evans
BACKGROUND: The High-Level Commission on Health Employment and Economic Growth released its report to the United Nations Secretary-General in September 2016. It makes important recommendations that are based on estimates of over 40 million new health sector jobs by 2030 in mostly high- and middle-income countries and a needs-based shortage of 18 million, mostly in low- and middle-income countries. This paper shows how these key findings were developed, the global policy dilemmas they raise, and relevant policy solutions...
January 11, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29325554/an-analysis-of-the-global-pharmacy-workforce-capacity-trends-from-2006-to-2012
#9
Ian Bates, Christopher John, Priyanka Seegobin, Andreia Bruno
BACKGROUND: Human resources for health are at a critical low. The World Health Organization estimates that the current shortage of health workers, including pharmacists, is in excess of 7.2 million worldwide and that, by 2035, the shortage will reach 12.9 million. Pharmacists, in particular, are lacking in the workforce in many countries. The International Pharmaceutical Federation (FIP) and academic partners have conducted periodic global pharmacy workforce surveys in 2006, 2009 and 2012 which have monitored and reported on the status of the pharmacy workforce at the country and territory levels...
January 11, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29304869/improving-local-health-through-community-health-workers-in-cambodia-challenges-and-solutions
#10
Kim Ozano, Padam Simkhada, Khem Thann, Rose Khatri
BACKGROUND: Volunteer community health workers (CHWs) are an important link between the public health system and the community. The 'Community Participation Policy for Health' in Cambodia identifies CHWs as key to local health promotion and as a critical link between district health centres and the community. However, research on the challenges CHWs face and identifying what is required to optimise their performance is limited in the Cambodian context. This research explores the views of CHWs in rural Cambodia, on the challenges they face when implementing health initiatives...
January 6, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29301559/hospital-pharmacy-workforce-in-brazil
#11
Thiago R Santos, Jonathan Penm, André O Baldoni, Lorena Rocha Ayres, Rebekah Moles, Cristina Sanches
BACKGROUND: This study aims to describe the distribution of the hospital pharmacy workforce in Brazil. METHODS: Data were acquired, during 2016, through the Brazilian National Database of Healthcare Facilities (CNES). The following variables were extracted: hospital name, registry number, telephone, e-mail, state, type of institution, subtype, management nature, ownership, presence of research/teaching activities, complexity level, number of hospital beds, presence of pharmacists, number of pharmacists, pharmacist specialization...
January 4, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29284492/experiences-and-perceptions-of-online-continuing-professional-development-among-clinicians-in-sub-saharan-africa
#12
Caryl Feldacker, Sheena Jacob, Michael H Chung, Anya Nartker, H Nina Kim
BACKGROUND: Limitations in healthcare worker (HCW) capacity compound the burden of dual TB and HIV epidemics in sub-Saharan Africa. To fill gaps in knowledge and skills, effective continuing profession development (CPD) initiatives are needed to support practicing HCWs reach high standards of care. e-learning opportunities can bring expert knowledge to HCWs in the field and provide a flexible learning option adaptable to local settings. Few studies provide insight into HCW experiences with online CPD in the developing country context...
December 29, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29282076/the-consequences-of-ireland-s-culture-of-medical-migration
#13
Niamh Humphries, Sophie Crowe, Cian McDermott, Sara McAleese, Ruairi Brugha
BACKGROUND: In recent years, Ireland has experienced a large-scale, outward migration of doctors. This presents a challenge for national policy makers and workforce planners seeking to build a self-sufficient medical workforce that trains and retains enough doctors to meet demand. Although, traditionally, medical migration has been considered beneficial to the Irish health system, austerity has brought a greater level of uncertainty to the health system and, with it, a need to reappraise the professional culture of migration and its impact on the Irish health system...
December 28, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29282069/health-system-s-response-for-physician-workforce-shortages-and-the-upcoming-crisis-in-ethiopia-a-grounded-theory-research
#14
Tsion Assefa, Damen Haile Mariam, Wubegzier Mekonnen, Miliard Derbew
BACKGROUND: A rapid transition from severe physician workforce shortage to massive production to ensure the physician workforce demand puts the Ethiopian health care system in a variety of challenges. Therefore, this study discovered how the health system response for physician workforce shortage using the so-called flooding strategy was viewed by different stakeholders. METHODS: The study adopted the grounded theory research approach to explore the causes, contexts, and consequences (at the present, in the short and long term) of massive medical student admission to the medical schools on patient care, medical education workforce, and medical students...
December 28, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29282067/the-current-situation-of-human-resources-for-health-in-the-province-of-cabinda-in-angola-is-it-a-limitation-to-provide-universal-access-to-healthcare
#15
Damas Macaia, Luís Velez Lapão
BACKGROUND: Angola is among sub-Saharan African countries dealing with a crisis of Human Resources for Health (HRH). The province of Cabinda, besides the efforts, still suffers from both HRH shortage and a badly distributed health workforce. In Cabinda, one can find urban concentration and rural shortages of healthcare professionals, many rural areas' healthcare facilities often secured only by basic or medium level HRH; and difficulties in developing HRH retention strategies in rural areas where most services are covered by foreign HRH...
December 28, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29262832/human-resource-information-system-implementation-readiness-in-the-ethiopian-health-sector-a-cross-sectional-study
#16
Eyilachew Dilu, Measho Gebreslassie, Mihiretu Kebede
BACKGROUND: Health workforce information systems in low-income countries tend to be defective with poor relationship to information sources. Human Resource Information System (HRIS) is currently in a pilot implementation phase in the Federal Ministry of Health and Regional Health Bureaus of Ethiopia. Before scaling up the implementation, it is important to understand the implementation readiness of hospitals and health departments. The aims of this study were to assess the readiness for HRIS implementation, identify associated factors, and explore the implementation challenges in public hospitals and health departments of the Amhara National Regional State, Ethiopia...
December 20, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29258573/age-related-differences-in-working-hours-among-male-and-female-gps-an-sms-based-time-use-study
#17
Daniël van Hassel, Lud van der Velden, Dinny de Bakker, Ronald Batenburg
BACKGROUND: In several countries, the number of hours worked by general practitioners (GPs) has decreased, raising concern about current and impending workforce shortages. This shorter working week has been ascribed both to the feminisation of the workforce and to a younger generation of GPs who prefer more flexible working arrangements. There is, however, limited insight into how the impact of these determinants interact. We investigated the relative importance of differences in GPs' working hours in relation to gender, age, and employment position...
December 19, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29246149/human-resource-for-health-reform-in-peri-urban-areas-a-cross-sectional-study-of-the-impact-of-policy-interventions-on-healthcare-workers-in-epworth-zimbabwe
#18
Bernard Hope Taderera, Stephen James Heinrich Hendricks, Yogan Pillay
BACKGROUND: The need to understand how healthcare worker reform policy interventions impact health personnel in peri-urban areas is important as it also contributes towards setting of priorities in pursuing the universal health coverage goal of health sector reform. This study explored the impact of post 2008 human resource for health reform policy interventions on healthcare workers in Epworth, a peri-urban community in Harare, Zimbabwe, and the implications towards health sector reform policy in peri-urban areas...
December 16, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29233172/the-effects-of-austerity-measures-on-quality-of-healthcare-services-a-national-survey-of-physicians-in-the-public-and-private-sectors-in-portugal
#19
Tiago Correia, Graça Carapinheiro, Helena Carvalho, José Manuel Silva, Gilles Dussault
BACKGROUND: The European Union member countries reacted differently to the 2008 economic and financial crisis. However, few countries have monitored the outcomes of their policy responses, and there is therefore little evidence as to whether or not savings undermined the performance of health systems. We discuss the situation in Portugal, where a financial adjustment program was implemented between 2011 and 2014, and explore the views of health workers on the effects of austerity measures on quality of care delivery...
December 12, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/29202768/assessing-the-precision-of-a-time-sampling-based-study-among-gps-balancing-sample-size-and-measurement-frequency
#20
Daniël van Hassel, Lud van der Velden, Dinny de Bakker, Lucas van der Hoek, Ronald Batenburg
BACKGROUND: Our research is based on a technique for time sampling, an innovative method for measuring the working hours of Dutch general practitioners (GPs), which was deployed in an earlier study. In this study, 1051 GPs were questioned about their activities in real time by sending them one SMS text message every 3 h during 1 week. The required sample size for this study is important for health workforce planners to know if they want to apply this method to target groups who are hard to reach or if fewer resources are available...
December 4, 2017: Human Resources for Health
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