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Human Resources for Health

Sangiwe Moyo, Tuan Nguyen Doan, Jessica Ann Yun, Ndumiso Tshuma
BACKGROUND: Human resource planning in healthcare can employ machine learning to effectively predict length of stay of recruited health workers who are stationed in rural areas. While prior studies have identified a number of demographic factors related to general health practitioners' decision to stay in public health practice, recruitment agencies have no validated methods to predict how long these health workers will commit to their placement. We aim to use machine learning methods to predict health professional's length of practice in the rural public healthcare sector based on their demographic information...
December 13, 2018: Human Resources for Health
Sofia Cruz-Gomes, Mário Amorim-Lopes, Bernardo Almada-Lobo
BACKGROUND: Ensuring healthcare delivery is dependent both on the prediction of the future demand for healthcare services and on the estimation and planning for the Health Human Resources needed to properly deliver these services. Although the Health Human Resources planning is a fascinating and widely researched topic, and despite the number of methodologies that have been used, no consensus on the best way of planning the future workforce requirements has been reported in the literature...
December 4, 2018: Human Resources for Health
Maria Paola Bertone, Joao S Martins, Sara M Pereira, Tim Martineau, Alvaro Alonso-Garbayo
BACKGROUND: Although human resources for health (HRH) represent a critical element for health systems, many countries still face acute HRH challenges. These challenges are compounded in conflict-affected settings where health needs are exacerbated and the health workforce is often decimated. A body of research has explored the issues of recruitment of health workers, but the literature is still scarce, in particular with reference to conflict-affected states. This study adds to that literature by exploring, from a central-level perspective, how the HRH recruitment policies changed in Timor-Leste (1999-2018), the drivers of change and their contribution to rebuilding an appropriate health workforce after conflict...
November 29, 2018: Human Resources for Health
Henry A Ogoe, James A Asamani, Harry Hochheiser, Gerald P Douglas
BACKGROUND: eHealth-the proficient application of information and communication technology to support healthcare delivery-has been touted as one of the best solutions to address quality and accessibility challenges in healthcare. Although eHealth could be of more value to health systems in low- and middle-income countries (LMICs) where resources are limited, identification of a competent workforce which can develop and maintain eHealth systems is a key barrier to adoption. Very little is known about the actual or optimal states of the eHealth workforce needs of LMICs...
November 27, 2018: Human Resources for Health
Samiksha Singh, Neha Dwivedi, Amol Dongre, Pradeep Deshmukh, Deepak Dey, Vijay Kumar, Sanjeev Upadhyaya
BACKGROUND: Auxillary nurse midwives (ANMs) are the most important frontline multi-purpose workers in rural India. This study was conducted to assess the spectrum of service delivery, time utilisation, work planning, and factors affecting functioning of ANMs in South India. METHODS: We conducted a time and motion study in three districts across two states in South India. The districts selected in such a manner that they had a considerable tribal population. We conducted multi-stage sampling to select ANMs...
November 26, 2018: Human Resources for Health
Nicholas Schubert, Rebecca Evans, Kristine Battye, Tarun Sen Gupta, Sarah Larkins, Lachlan McIver
BACKGROUND: Contemporary approaches to rural generalist medicine training and models of care are developing internationally as part of an integrated response to common challenges faced by rural and remote health services and policymakers (addressing health inequities, workforce shortages, service sustainability concerns). The aim of this study was to review the literature relevant to rural generalist medicine. METHODS: A scoping review was undertaken to answer the broad question 'What is documented on rural generalist medicine?' Literature from January 1988 to April 2017 was searched and, after final eligibility filtering (according to established inclusion and exclusion criteria), 102 articles in English language were included for final analysis...
November 21, 2018: Human Resources for Health
Nicole Mohajer, Debra Singh
BACKGROUND: Community-based health workers and volunteers are not just low-level health workforce; their effectiveness is also due to their unique relationship with the community and is often attributed to social capital, an area not well studied or acknowledged in the literature. METHODS: A qualitative meta-synthesis was conducted using the SPIDER framework and based on critical interpretive synthesis. The protocol was registered with PROSPERO, ID = CRD42018084130...
November 21, 2018: Human Resources for Health
Mahboubeh Bayat, Gholamhossein Salehi Zalani, Iraj Harirchi, Azad Shokri, Elmira Mirbahaeddin, Roghayeh Khalilnezhad, Mahmoud Khodadost, Mehdi Yaseri, Ebrahim Jaafaripooyan, Ali Akbari-Sari
BACKGROUND: Dual practice (DP) by medical specialists is a widespread issue across health systems. This study aims to determine the level of DP engagement among Iran's specialists. METHODS: A pre-structured form was developed to collect the data about medical specialists worked in all 925 Iran hospitals in 2016. The forms were sent to the hospitals via medical universities in each province. The data were merged at the national level and matched using medical council ID codes, national ID codes, and eventually a combination of the first name, surname, and father's name...
November 20, 2018: Human Resources for Health
Elizabeth McElwee, Jenny A Cresswell, Christian Yao, Macaire Bakeu, Francesca L Cavallaro, Diane Duclos, Caroline A Lynch, Lucy Paintain
BACKGROUND: A family planning (FP) supply chain intervention was introduced in Senegal in 2012 to reduce contraceptive stock-outs. Labour is the highest cost in low- and middle-income country supply chains. In this paper, we (1) understand time use of personnel working in the FP supply chain at health facilities in Senegal, (2) estimate the validity of self-administered timesheets (STs) relative to continuous observations (COs), and (3) describe the cost of data collection for each method...
November 19, 2018: Human Resources for Health
Donna Allen, Erica Wandtke Hines, Vanessa Pazdernik, Lynda Tierney Konecny, Erin Breitenbach
BACKGROUND: Historically, in an effort to evaluate and manage the rising cost of healthcare employers assess the direct cost burden via medical health claims and measures that yield clear data. Health related indirect costs are harder to measure and are often left out of the comprehensive overview of health expenses to an employer. Presenteeism, which is commonly referred to as an employee at work who has impaired productivity due to health considerations, has been identified as an indirect but relevant factor influencing productivity and human capitol...
November 9, 2018: Human Resources for Health
Remo Aeschbacher, Véronique Addor
BACKGROUND: In response to the need for competitive recruitment of nurses resulting from the worldwide nursing shortage, employers need to attract and retain nurses by promoting their competitive strengths in their working conditions (WCS) and by addressing their competitive weaknesses. This study investigated workplace differences between public hospitals (PuHs), private for-profit hospitals (PrHs), socio-medical institutions (SOMEDs), home care services (HCs), private medical offices (PrOs) and non-profit organisations (NPOs), helping to provide a foundation for competition-oriented institutional employer branding and to increase transparency in the labour market for nurses...
November 9, 2018: Human Resources for Health
Habtamu Abdissa Jigssa, Binyam Fekadu Desta, Hibret Alemu Tilahun, Jen McCutcheon, Peter Berman
BACKGROUND: The use of community health workers (CHWs) has been considered as one of the strategies to address the growing shortage of health workers, predominantly in low-income countries. They are playing a pivotal role in lessening health disparities through improving health outcomes for underserved populations. Yet, little is known about what factors motivate and drive them to continue working as CHWs. In this study, we aimed to examine factors contributing to the motivation of volunteer CHWs (vCHWs) in Ethiopia currently known as one-to-five network leaders (1to5NLs) and explore variations between attributes of social and work-related determinants...
November 8, 2018: Human Resources for Health
Matthew R McGrail, Belinda G O'Sullivan, Deborah J Russell
BACKGROUND: Limited evidence exists about the extent to which doctors are returning to rural region(s) where they had previously trained. This study aims to investigate the rate at which medical students who have trained for 12 months or more in a rural region return to practice in that same region in their early medical career. A secondary aim is to investigate whether there is an independent or additional association with the effect of longer duration of rural exposure in a region (18-24 months) and for those completing both schooling and training in the same rural region...
October 22, 2018: Human Resources for Health
Jessica Gergen, Yogesh Rajkotia, Julia Lohmann, Nirmala Ravishankar
BACKGROUND: Performance-based financing (PBF) reforms aim to directly influence health worker behavior through changes to institutional arrangements, accountability structures, and financial incentives based on performance. While there is still some debate about whether PBF influences extrinsic or intrinsic motivators, recent research finds that PBF affects both. Against this backdrop, our study presents findings from a process evaluation of a PBF program in Mozambique, exploring the perceived changes to both internal and external drivers of health worker motivation associated with PBF...
October 19, 2018: Human Resources for Health
Obinna Ositadimma Oleribe, Deborah Udofia, Olabisi Oladipo, Temitope Arike Ishola, Simon D Taylor-Robinson
BACKGROUND: The Nigerian health system has been plagued with numerous healthcare worker strikes (industrial action) at all levels. The purpose of this study is to document physicians' views on healthcare worker-initiated strike action in Nigeria and represent a follow-on to a previous study where poor leadership and management were cited as the most common cause of strike action by healthcare workers. METHODS: A cross-sectional, descriptive study was executed between April and June 2017...
October 17, 2018: Human Resources for Health
Rose Evalyne Aseyo, Jane Mumma, Kerry Scott, Damaris Nelima, Emily Davis, Kelly K Baker, Oliver Cumming, Robert Dreibelbis
BACKGROUND: Community health workers play an important role in health service delivery and are increasingly involved in behaviour change interventions, including for hygiene-related behaviour change. However, their role and capacity to deliver behaviour change interventions, particularly in high-density urban settlements, remain under-researched. This study examines the behaviour change-related activities of community health volunteers (CHVs)-community health workers affiliated with the Kenyan Ministry of Health-in a peri-urban settlement in Kenya, in order to assess their capabilities, opportunities to work effectively, and sources of motivation...
October 4, 2018: Human Resources for Health
Sanjay Zodpey, Pisake Lumbiganon, Tim Evans, Ke Yang, Bui Thi Thu Ha, Himanshu Negandhi, Wanicha Chuenkongkaew, Ahmed Al-Kabir
BACKGROUND: There is an increasing consensus globally that the education of health professionals is failing to keep pace with scientific, social, and economic changes transforming the healthcare environment. This catalyzed a movement in reforming education of health professionals across Bangladesh, China, India, Thailand, and Vietnam who jointly volunteered to implement and conduct cooperative, comparative, and suitable health professional education assessments with respect to the nation's socio-economic and cultural status, as well as domestic health service system...
October 3, 2018: Human Resources for Health
D Baines, I Bates, L Bader, C Hale, P Schneider
CONTEXT AND BACKGROUND: People and health systems worldwide face serious challenges due to shifting disease demographics, rising population demands and weaknesses in healthcare provision, including capacity shortages and lack of impact of healthcare services. These multiple challenges, linked with the global push to achieve universal health coverage, have made apparent the importance of investing in workforce development to improve population health and economic well-being. In relation to medicines, health systems face challenges in terms of access to needed medicines, optimising medicines use and reducing risk...
October 3, 2018: Human Resources for Health
Vijay Narayan, Grace John-Stewart, George Gage, Gabrielle O'Malley
BACKGROUND: Sierra Leone's health outcomes rank among the worst in the world. A major challenge is the shortage of primary healthcare workers (HCWs) in rural areas due to especially high rates of attrition. This study was undertaken to determine the drivers of job dissatisfaction and poor retention among Sierra Leone's rural HCWs. METHODS: Interviews were conducted with 58 rural and 32 urban primary HCWs in Sierra Leone's public health sector, complemented by key informant discussions and review of national policy documents...
September 24, 2018: Human Resources for Health
James O'Donovan, Kenneth Kabali, Celia Taylor, Margarita Chukhina, Jacqueline C Kading, Jonathan Fuld, Edward O'Neil
BACKGROUND: Since 2012, The World Health Organization and UNICEF have advocated for community health workers (CHWs) to be trained in Integrated Community Case Management (iCCM) of common childhood illnesses, such as pneumonia. Despite the effectiveness of iCCM, CHWs face many barriers to accessing training. This pilot study compares traditional training with using locally made videos loaded onto low-cost Android tablets to train CHWs on the pneumonia component of iCCM. METHODS: We conducted a pilot randomised controlled trial with CHWs in the Mukono District of Uganda...
September 19, 2018: Human Resources for Health
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