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Human Resources for Health

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https://www.readbyqxmd.com/read/29747669/role-of-the-general-practitioner-in-improving-rural-healthcare-access-a-case-from-nepal
#1
Bikash Gauchan, Stephen Mehanni, Pawan Agrawal, Mandeep Pathak, Santosh Dhungana
BACKGROUND: There is a global health workforce shortage, which is considered critical in Nepal, a low-income country with a predominantly rural population. General practitioners (GPs) may play a key role improving access to essential health services in rural Nepal, though they are currently underrepresented at the district hospital level. The objective of this paper is to describe how GPs are adding value in rural Nepal by exploring clinical, leadership, and educational roles currently performed in a rural district-level hospital...
May 10, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29739394/towards-a-framework-for-analyzing-determinants-of-performance-of-community-health-workers-in-malaria-prevention-and-control-a-systematic-review
#2
REVIEW
Helen Mwiinga Chipukuma, Joseph Mumba Zulu, Choolwe Jacobs, Gershom Chongwe, Mumbi Chola, Hikabasa Halwiindi, Jessy Zgambo, Charles Michelo
BACKGROUND: Community health workers (CHWs) are an important human resource in improving coverage of and success to interventions aimed at reducing malaria incidence. Evidence suggests that the performance of CHWs in malaria programs varies in different contexts. However, comprehensive frameworks, based on systematic reviews, to guide the analysis of determinants of performance of CHWs in malaria prevention and control programs are lacking. METHODS: We systematically searched Google Scholar, Science Direct, and PubMed including reference lists that had English language publications...
May 8, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29716613/task-shifting-in-health-service-delivery-from-a-decision-and-policy-makers-perspective-a-case-of-uganda
#3
Sebastian Olikira Baine, Arabat Kasangaki, Euzobia Margaret Mugisha Baine
BACKGROUND: Documented evidence shows that task shifting has been practiced in Uganda to bridge the gaps in the health workers' numbers since 1918. The objectives of this study were to provide a synthesis of the available evidence on task shifting in Uganda; to establish levels of understanding, perceptions on task shifting and acceptability from the decision and policy makers' perspective; and to provide recommendations on the implications of task shifting for the health of the population in Ugandan and human resource management policy...
May 2, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29716607/internal-migration-of-physicians-who-graduated-in-brazil-between-1980-and-2014
#4
Mario Cesar Scheffer, Alex Jones Flores Cassenote, Aline Gil Alves Guilloux, Mario Roberto Dal Poz
BACKGROUND: The internal migration of physicians from one place to another in the same country can unbalance the supply and distribution of these professionals in national health systems. In addition to economic, social and demographic issues, there are individual and professional factors associated with a physician's decision to migrate. In Brazil, there is an ongoing debate as to whether opening medicine programmes in the interior of the country can induce physicians to stay in these locations...
May 2, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29699562/the-trend-of-feminization-of-doctors-workforce-in-oman-is-it-a-phenomenon-that-could-rouse-the-health-system
#5
Nazar A Mohamed, Nadia Noor Abdulhadi, Abdullah A Al-Maniri, Nahida R Al-Lawati, Ahmed M Al-Qasmi
BACKGROUND: Participation of women in the medical profession over several countries worldwide was increased over the past decades. This paper is a part of ongoing studies aiming at addressing the issue of health workforce feminization among doctors in the Sultanate of Oman as well as exploring the health system readiness in dealing with this phenomenon. METHODS: Literature in addition to reports and records of the Ministry of Health, Oman (MoH), Sultan Qaboos University (SQU) and Oman Medical Specialty Board were reviewed regarding the gender of the doctors and the medical students...
April 27, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29615052/the-trend-and-features-of-physician-workforce-supply-in-china-after-national-medical-licensing-system-reform
#6
Chengxiang Tang, Daisheng Tang
BACKGROUND: The annual number of newly licensed physicians is an important indicator of medical workforce supply, which can accurately reflect an inflow into the health care market over a period. In order to both regulate medical professions and improve the quality of health care services, China established its medical licensing system from the point of the implementation of 'Law on Practising Doctors' in 1999. The objective of this study is to depict the trend and structure of newly licensed physicians thereafter...
April 3, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29609599/time-motion-study-using-mixed-methods-to-assess-service-delivery-by-frontline-health-workers-from-south-india-methods
#7
Samiksha Singh, Sanjeev Upadhyaya, Pradeep Deshmukh, Amol Dongre, Neha Dwivedi, Deepak Dey, Vijay Kumar
BACKGROUND: In India, amidst the increasing number of health programmes, there are concerns about the performance of frontline health workers (FLHW). We assessed the time utilisation and factors affecting the work of frontline health workers from South India. METHODS: This is a mixed methods study using time and motion (TAM) direct observations and qualitative enquiry among frontline/community health workers. These included 43 female and 6 male multipurpose health workers (namely, auxiliary nurse midwives (ANMs) and male-MPHWs), 12 nutrition and health workers (Anganwadi workers, AWWs) and 53 incentive-based community health workers (accredited social health activists, ASHAs)...
April 2, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29606133/a-survey-of-pharmacists-perception-of-foundation-level-competencies-in-african-countries
#8
Arit Udoh, Andreia Bruno, Ian Bates
BACKGROUND: Evidence from published literature in pharmacy practice research demonstrate that the use of competency frameworks alongside standards of practice facilitate improvement in professional performance and aid expertise development. The aim of this study was to evaluate pharmacists' perception of relevance to practice of the competencies and behaviours contained in the FIP Global Competency Framework (GbCF v1). The overall objective of the study was to assess the validity of the GbCF v1 framework in selected countries in Africa...
April 2, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29566723/relationships-between-work-outcomes-work-attitudes-and-work-environments-of-health-support-workers-in-ontario-long-term-care-and-home-and-community-care-settings
#9
Whitney Berta, Audrey Laporte, Tyrone Perreira, Liane Ginsburg, Adrian Rohit Dass, Raisa Deber, Andrea Baumann, Lisa Cranley, Ivy Bourgeault, Janet Lum, Brenda Gamble, Kathryn Pilkington, Vinita Haroun, Paula Neves
BACKGROUND: Our overarching study objective is to further our understanding of the work psychology of Health Support Workers (HSWs) in long-term care and home and community care settings in Ontario, Canada. Specifically, we seek novel insights about the relationships among aspects of these workers' work environments, their work attitudes, and work outcomes in the interests of informing the development of human resource programs to enhance elder care. METHODS: We conducted a path analysis of data collected via a survey administered to a convenience sample of Ontario HSWs engaged in the delivery of elder care over July-August 2015...
March 22, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29471846/understanding-nurses-dual-practice-a-scoping-review-of-what-we-know-and-what-we-still-need-to-ask-on-nurses-holding-multiple-jobs
#10
REVIEW
Giuliano Russo, Inês Fronteira, Tiago Silva Jesus, James Buchan
BACKGROUND: Mounting evidence suggests that holding multiple concurrent jobs in public and private (dual practice) is common among health workers in low- as well as high-income countries. Nurses are world's largest health professional workforce and a critical resource for achieving Universal Health Coverage. Nonetheless, little is known about nurses' engagement with dual practice. METHODS: We conducted a scoping review of the literature on nurses' dual practice with the objective of generating hypotheses on its nature and consequences, and define a research agenda on the phenomenon...
February 22, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29463253/evaluation-of-health-resource-utilization-efficiency-in-community-health-centers-of-jiangsu-province-china
#11
Xinglong Xu, Lulin Zhou, Henry Asante Antwi, Xi Chen
BACKGROUND: While the demand for health services keep escalating at the grass roots or rural areas of China, a substantial portion of healthcare resources remain stagnant in the more developed cities and this has entrenched health inequity in many parts of China. At its conception, China's Deepen Medical Reform started in 2012 was intended to flush out possible disparities and promote a more equitable and efficient distribution of healthcare resources. Nearly half a decade of this reform, there are uncertainties as to whether the attainment of the objectives of the reform is in sight...
February 20, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29458382/cost-effectiveness-of-the-treatment-of-uncomplicated-severe-acute-malnutrition-by-community-health-workers-compared-to-treatment-provided-at-an-outpatient-facility-in-rural-mali
#12
Eleanor Rogers, Karen Martínez, Jose Luis Alvarez Morán, Franck G B Alé, Pilar Charle, Saul Guerrero, Chloe Puett
BACKGROUND: The Malian Nutrition Division of the Ministry of Health and Action Against Hunger tested the feasibility of integrating treatment of severe acute malnutrition (SAM) into the existing Integrated Community Case Management package delivered by community health workers (CHWs). This study assessed costs and cost-effectiveness of CHW-delivered care compared to outpatient facility-based care. METHODS: Activity-based costing methods were used, and a societal perspective employed to include all relevant costs incurred by institutions, beneficiaries and communities...
February 20, 2018: Human Resources for Health
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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