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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
Renato E Venturelli Garay, Richard G Watt
BACKGROUND: In Chile, dentistry has become a very popular career choice for students, which has resulted in a substantial increase in both, the number of dental graduates and dental schools. Nonetheless, there is a need for change in the way dental schools select and educate their students to keep pace with the rapidly changing nature of societal needs and to tackle the marked health inequalities that exist in the country. The aim of this study was to review and critique dental undergraduate education in Chile, with a particular focus on the curriculum composition and profiles of students admitted to dental schools from 2010 to 2014...
September 17, 2018: Human Resources for Health
Willoughby Moloney, Des Gorman, Matthew Parsons, Gordon Cheung
BACKGROUND: Many registered nurses (RNs) increased their participation in the New Zealand health workforce during the Global Financial Crisis (GFC), resulting in low vacancy rates. However, based on the documented impact of improving economies, a mean RN age of about 50, and just-agreed substantive increases in RN pay rates, it is likely that many will soon leave or reduce the hours they work. This study aims to investigate whether improved financial security will encourage RNs to leave or reduce their work commitment and to identify the factors that influence such intentions...
September 10, 2018: Human Resources for Health
Nadia A Sam-Agudu, Angela Odiachi, Miriam J Bathnna, Chinazom N Ekwueme, Gift Nwanne, Emilia N Iwu, Llewellyn J Cornelius
BACKGROUND: In HIV programs, mentor mothers (MMs) are women living with HIV who provide peer support for other women to navigate HIV care, especially in the prevention of mother-to-child transmission of HIV (PMTCT). Nigeria has significant PMTCT program gaps, and in this resource-constrained setting, lay health workers such as MMs serve as task shifting resources for formal healthcare workers and facility-community liaisons for their clients. However, challenging work conditions including tenuous working relationships with healthcare workers can reduce MMs' impact on PMTCT outcomes...
September 10, 2018: Human Resources for Health
Carolyn Wallace, Jane Farmer, Anthony McCosker
BACKGROUND: Health services in high-income countries increasingly recognise the challenge of effectively serving and engaging with marginalised people. Effective engagement with marginalised people is essential to reduce health disparities these populations face. One solution is by tapping into the phenomenon of boundary-spanning people in the community-those who facilitate the flow of ideas, information, activities and relationships across organisation and socio-cultural boundaries. METHODS: A scoping review methodology was applied to peer-reviewed articles to answer the question: "How do health services identify, recruit and use boundary spanners and what are the outcomes?" The review was conducted in seven databases with search terms based on community-based boundary spanning, marginalised people and health services...
September 10, 2018: Human Resources for Health
Lorainne Tudor Car, Bhone Myint Kyaw, Rifat Atun
BACKGROUND: Health leadership and management are essential for ensuring resilient health systems. Relevant training opportunities are often scarce, and the use of digital education could help address this gap. Our aim was to assess the effectiveness of eLearning for healthcare leadership and management capacity building. METHODS: We performed a systematic review on the effectiveness of eLearning for health leadership and management training. We also reviewed literature on relevant competencies and training programmes...
September 3, 2018: Human Resources for Health
Tonya R Thurman, Tory M Taylor, Johanna Nice, Brian Luckett, Myra Taylor, J D Kvalsvig
BACKGROUND: Child and youth care workers (CYCWs) are a crucial and growing component of South Africa's national response to HIV and AIDS and other issues affecting children and families. CYCWs use the community-centred Isibindi model of care to reach the most vulnerable with key services including psychosocial, health, economic and education support. Like others in similar professions, they may be at risk for occupational challenges affecting retention. METHODS: This study uses data from the first nationally representative survey of CYCWs in South Africa to identify factors associated with workers' retention intentions...
August 29, 2018: Human Resources for Health
Ali Vafaee-Najar, Mohammadreza Amiresmaeili, Mahmoud Nekoei-Moghadam, Seyed Saeed Tabatabaee
BACKGROUND: One of the effective strategies in the fair distribution of human resources is the use of estimation norm of human workforce. A norm is a coefficient or an indicator for estimating the required human resources in an organization. Due to the changes in the available working hours of nurses in recent years and to use of a standard method, the Iranian Ministry of Health decided to update nursing estimation norm in hospitals in 2014-2015. This study aimed to design a nurse-required estimation norm for educational and non-educational hospitals based on the workload indicator in Iran...
August 23, 2018: Human Resources for Health
Jianlin Hou, Zhifeng Wang, Youhui Luo, Joseph C Kolars, Qingyue Meng
BACKGROUND: Public institutions have been the major provider of education for health professionals in China for most of the twentieth century. In the 1990s, the Chinese government began to encourage the establishment of private education institutions, which have been steadily increasing in numbers over the past decade. However, there is a lack of authoritative data on these institutions and little has been published in international journals on the current status of private education of health professionals in China...
August 22, 2018: Human Resources for Health
David Musoke, Charles Ssemugabo, Rawlance Ndejjo, Elizabeth Ekirapa-Kiracho, Asha S George
BACKGROUND: Community health workers (CHWs) are an important human resource in Uganda as they are the first contact of the population with the health system. Understanding gendered roles of CHWs is important in establishing how they influence their performance and relationships in communities. This paper explores the differential roles of male and female CHWs in rural Wakiso district, Uganda, using photovoice, an innovative community-based participatory research approach. METHODS: We trained ten CHWs (five males and five females) on key concepts about gender and photovoice...
August 22, 2018: Human Resources for Health
Kerry Scott, S W Beckham, Margaret Gross, George Pariyo, Krishna D Rao, Giorgio Cometto, Henry B Perry
OBJECTIVE: To synthesize current understanding of how community-based health worker (CHW) programs can best be designed and operated in health systems. METHODS: We searched 11 databases for review articles published between 1 January 2005 and 15 June 2017. Review articles on CHWs, defined as non-professional paid or volunteer health workers based in communities, with less than 2 years of training, were included. We assessed the methodological quality of the reviews according to AMSTAR criteria, and we report our findings based on PRISMA standards...
August 16, 2018: Human Resources for Health
A S George, J Campbell, A Ghaffar
Health workers are central to people-centred health systems, resilient economies and sustainable development. Given the rising importance of the health workforce, changing human resource for health (HRH) policy and practice and recent health policy and systems research (HPSR) advances, it is critical to reassess and reinvigorate the science behind HRH as part of health systems strengthening and social development more broadly. Building on the recently published Health Policy and Systems Research Reader on Human Resources for Health (the Reader), this commentary reflects on the added value of HPSR underpinning HRH...
August 14, 2018: Human Resources for Health
Wiesława Dominika Wranik, Susan Marie Haydt
BACKGROUND: Primary care in Canada is the first point of entry for patients needing specialized services, the fundamental source of care for those living with chronic illness, and the main supplier of preventive services. Increased pressures on the system lead to changes such as an increased reliance on interdisciplinary teams, which are advocated to have numerous advantages. The functioning of teams largely depends on inter-professional relationships that can be supported or strained by the financial arrangements within teams...
August 13, 2018: Human Resources for Health
Joris van de Klundert, Judith van Dongen-van den Broek, Ebrahim Mohammed Yesuf, Jasmijn Vreugdenhil, Saeid Mohammed Yimer
BACKGROUND: We study healthcare employees' turnover intentions in the Afar National Regional State of Ethiopia. This rural region is experiencing the globally felt crisis in human resources, which is inhibiting its ability to meet health-related sustainable development goals. METHODS: Realist case study which combines literature study and qualitative analysis of interview and focus group discussion data, following a realist case study protocol. RESULTS: A large majority of employees has turnover intentions...
August 13, 2018: Human Resources for Health
Zsuzsa Győrffy, Diana Dweik, Edmond Girasek
BACKGROUND: Burnout worldwide and migration of caregivers are among the most important challenges of the twenty-first century health care. METHODS: Quantitative, online survey of Hungarian physicians (n = 4 784) was performed in 2013. A link to an anonymous, self-administered questionnaire was sent to all potential participants, namely to the registered members of the Hungarian Medical Chamber with a valid e-mail address. Linear regression analysis was used to determine the risk factors of burnout...
August 10, 2018: Human Resources for Health
Philipos Petros Gile, Martina Buljac-Samardzic, Joris Van De Klundert
Hospitals in Sub-Saharan Africa (SSA) face major workforce challenges while having to deal with extraordinary high burdens of disease. The effectiveness of human resource management (HRM) is therefore of particular interest for these SSA hospitals. While, in general, the relationship between HRM and hospital performance is extensively investigated, most of the underlying empirical evidence is from western countries and may have limited validity in SSA. Evidence on this relationship for SSA hospitals is scarce and scattered...
August 2, 2018: Human Resources for Health
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