Health Workforce Archive

  • Skills based training of health personnel and task shifting have been two strategies under NRHM to address the shortfall of human resources in health in India. Training Management Information system, a web based “single window” software application was developed for creating a nationwide database for health personnel that can be updated real time at the training centres. The TMIS software pilot launched in five states helps in collating individual level training information about each health personnel as well as health facility level information about availability of trained health personnel. The TMIS facilitates monitoring and decision making for the policy makers and program managers.

    Training Management Information System as a Tool for Addressing Public Health Workforce needs and rational deployment in India.

    Skills based training of health personnel and task shifting have been two strategies under NRHM to address the shortfall of human resources in health in India. Training Management Information system, a web based “single window” software application was developed for creating a nationwide database for health personnel that can be updated real time at the training centres. The TMIS software pilot launched in five states helps in collating individual level training information about each health personnel as well as health facility level information about availability of trained health personnel. The TMIS facilitates monitoring and decision making for the policy makers and program managers.

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  • The mental health reform in BH was launched in 1996 focusing on community-based care and so far made significant progress through the development of a large network of community mental health centers. In the centers operate multidisciplinary teams, within which nurses are the largest and least skilled professional categories, with the highest fluctuation rate within health system. The reform project in BH

    Strengthening the competencies and skills of nurses in mental health: Experiences from Bosnia and Herzegovina

    The mental health reform in BH was launched in 1996 focusing on community-based care and so far made significant progress through the development of a large network of community mental health centers. In the centers operate multidisciplinary teams, within which nurses are the largest and least skilled professional categories, with the highest fluctuation rate within health system. The reform project in BH "Mental Health Project in Bosnia and Herzegovina” is focused on informal education of the nursing staff with the objective of professional development, empowering and networking as a first step toward systematic reprofiling nurses in mental health.

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  • Increasingly, there is emphasis on the need for scaling up capacity of primary health care. The Primafamed-network (www.primafamed.ugent.be), has formulated at its workshop in November 2012 a statement on human resources for primary health care. They formulated a plan that will lead to 30.000 new family physicians in sub-saharan Africa by 2020. There is an increasing need for skilled primary health care providers, and also family physicians at the primary health care level in Africa. Until now, in different African countries only a small number of family physicians have been trained. There is a huge problem of recruitment of family physicians in the medical faculties.

    Scaling up family medicine and primary health care in Africa.

    Increasingly, there is emphasis on the need for scaling up capacity of primary health care. The Primafamed-network (www.primafamed.ugent.be), has formulated at its workshop in November 2012 a statement on human resources for primary health care. They formulated a plan that will lead to 30.000 new family physicians in sub-saharan Africa by 2020. There is an increasing need for skilled primary health care providers, and also family physicians at the primary health care level in Africa. Until now, in different African countries only a small number of family physicians have been trained. There is a huge problem of recruitment of family physicians in the medical faculties.

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  • Integrated community case management is key child survival strategy in resource poor settings. There is paucity of data on performance of community health workers in this strategy and how this performance can be measured. We report on a study that evaluated the performance of community health workers using case vignettes. Overall community health workers perform well with respect to treatment. However omissions in terms of probing for danger signs and other illness symptoms and provision of general health education required by the treatment guidelines deter community health worker performance.

    Performance of Community Health Workers in Community Case Management: Uganda

    Integrated community case management is key child survival strategy in resource poor settings. There is paucity of data on performance of community health workers in this strategy and how this performance can be measured. We report on a study that evaluated the performance of community health workers using case vignettes. Overall community health workers perform well with respect to treatment. However omissions in terms of probing for danger signs and other illness symptoms and provision of general health education required by the treatment guidelines deter community health worker performance.

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  • Lack of basic services in some areas of the country is one of the major reasons for health workers to migrate to areas with better services and causing other areas to remain with few health staffs, therefore poor health care. A simple analysis to determine the availability of these services and at what distance a health can access them can be a great solution to policy makers.

    Distance to basic services and Retention of Health Workers in Tanzania: A multivariate logistic and GIS Model Approach.

    Lack of basic services in some areas of the country is one of the major reasons for health workers to migrate to areas with better services and causing other areas to remain with few health staffs, therefore poor health care. A simple analysis to determine the availability of these services and at what distance a health can access them can be a great solution to policy makers.

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  • Bangladesh is one of the 57 countries with a serious shortage of trained doctors, paramedics, nurses and midwives. Village doctors, a group of informally trained practitioners of modern drugs, are the dominant health care providers in the rural area.  Village doctors, trained by icddr,b, who had achieved an acceptable level of performance in dispensing drugs and in other desired areas related to the practice, were branded as ShasthyaSena (health soldier). The ShasthyaSenas took part in an intervention that combined their competence with that of qualified physicians through an mHealth call center with the objective of bringing better health services to the rural community they served in.

    Engaging village doctors in mHealth program? An experience from rural Bangladesh.

    Bangladesh is one of the 57 countries with a serious shortage of trained doctors, paramedics, nurses and midwives. Village doctors, a group of informally trained practitioners of modern drugs, are the dominant health care providers in the rural area. Village doctors, trained by icddr,b, who had achieved an acceptable level of performance in dispensing drugs and in other desired areas related to the practice, were branded as ShasthyaSena (health soldier). The ShasthyaSenas took part in an intervention that combined their competence with that of qualified physicians through an mHealth call center with the objective of bringing better health services to the rural community they served in.

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  • The Tajik government is committed to promoting a family medicine model for Tajikistan. However, recent trends show that family medicine remains an unpopular choice among medical students. The study explores in a cross-sectional survey the perception of students as well as teaching staff on family medicine. Results show that several steps can be taken by the university to improve the perception of family medicine among students and staff (e.g. orientation events, early exposure to family medicine training).  However, extrinsic incentives are perceived as the most promising drivers for changing students’ perception of family medicine.

    The perception of Family Medicine by Medical Student and Clinical Teaching Staff: Tajikistan

    The Tajik government is committed to promoting a family medicine model for Tajikistan. However, recent trends show that family medicine remains an unpopular choice among medical students. The study explores in a cross-sectional survey the perception of students as well as teaching staff on family medicine. Results show that several steps can be taken by the university to improve the perception of family medicine among students and staff (e.g. orientation events, early exposure to family medicine training). However, extrinsic incentives are perceived as the most promising drivers for changing students’ perception of family medicine.

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  • As part of a study into the governance of health workforce in Vietnam, this study examined the impact of staff qualifications, training opportunities and other factors on reported ability to perform Essential Obstetric Care services (EOCs) in two provinces. While qualifications and training were the most important factors, national and district policies such as which health professionals can prescribe essential medications were also important factors in limiting provision of EOCs.

    Maternal Health Workforce Management in Vietnamese Health Communes

    As part of a study into the governance of health workforce in Vietnam, this study examined the impact of staff qualifications, training opportunities and other factors on reported ability to perform Essential Obstetric Care services (EOCs) in two provinces. While qualifications and training were the most important factors, national and district policies such as which health professionals can prescribe essential medications were also important factors in limiting provision of EOCs.

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  • This presentation examines a management and leadership capacity strengthening intervention for district health managers in the Greater Accra Region of Ghana, based on continuous quality improvement philosophy. In particular, the study's interest was in whether the intervention supports the development of systems-thinking in district managers in order to enhance their decision-making in implementing policies and organizing service delivery at district level. We undertook a realist evaluation to understand the mechanisms of the how the intervention worked given the context in which the intervention was introduced.

    Evaluating Systems-Thinking for District Managers: Ghana

    This presentation examines a management and leadership capacity strengthening intervention for district health managers in the Greater Accra Region of Ghana, based on continuous quality improvement philosophy. In particular, the study's interest was in whether the intervention supports the development of systems-thinking in district managers in order to enhance their decision-making in implementing policies and organizing service delivery at district level. We undertook a realist evaluation to understand the mechanisms of the how the intervention worked given the context in which the intervention was introduced.

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  • The SolidarMed pilot project decentralized practical nurse training in rural Zambia started in 2012 with St. Luke’s School of Nursing in Mpanshya. The project aims at providing nurses for rural districts of Zambia by triplicating the annual student intake, and by delivering quality theoretical and decentralised practical training  meeting quality standards. It is a pilot to be presented as a valuable model for nurse training in Zambia to the Ministry of Health and other interested stakeholders. The project is based on the recommendations of WHO Global Policy Recommendations (2010) on Improving access to health workers in remote and rural areas through improved retention.

    Decentralized nurse training in rural Zambia – triplicating the output of trained nurses.

    The SolidarMed pilot project decentralized practical nurse training in rural Zambia started in 2012 with St. Luke’s School of Nursing in Mpanshya. The project aims at providing nurses for rural districts of Zambia by triplicating the annual student intake, and by delivering quality theoretical and decentralised practical training meeting quality standards. It is a pilot to be presented as a valuable model for nurse training in Zambia to the Ministry of Health and other interested stakeholders. The project is based on the recommendations of WHO Global Policy Recommendations (2010) on Improving access to health workers in remote and rural areas through improved retention.

    Continue Reading...

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