Journal Articles
Need For Competency Based Healthcare Management Education In India: Concerns, Challenges And Way Ahead
The paper explores the possibility of conceptualization and introduction of standardized competency based healthcare management education in India. The impression about competency based education in field of healthcare is limited to medical and nursing education. Concentrated efforts are required to develop the same concept in the field of healthcare management as well. [from abstract]
- 533 reads
Brief overview of the Literature Relevant to Human Resources for Health (HRH) in Ethiopia
An editorial and bibliography of important citations dealing with health and human resources for health issues in Ethiopia.
- 544 reads
Models for Primary Eye Care Services in India
Blindness and visual impairment continues to be a major public health problem in India. Availability and easy access to primary eye care services is essential for elimination of avoidable blindness. In the current situation, an integrated health care system with primary eye care promoted by government of India is apparently the best answer. This model is both cost effective and practical for the prevention and control of blindness among the underprivileged population. [from abstract]
- 470 reads
Supporting Close-to-Community Providers Through a Community Health System Approach: Case Examples from Ethiopia and Tanzania
Close-to-community (CTC) providers, including community health workers or volunteers or health extension workers, can be effective in promoting access to and utilization of health services. Tasks are often shifted to these providers with limited resources and support from CTC programmes or communities. Two cases are presented. [from abstract]
- 558 reads
Primary Health Care Expectations and Reality in Bangladesh: A Sociological Analysis of the Selected Two Rural Areas
This research deals with the expectations and reality of primary health care in Bangladesh and focuses on different
Government and NGOs health care situation in rural areas. [from abstract]
- 747 reads
Midterm Review of National Health Plans: An Example from the United Republic of Tanzania
In the health sector, planning and resource allocation at country level are mainly guided by national plans. For each such plan, a midterm review of progress is important for policy-makers since the review can inform the second half of the plan’s implementation and provide a situation analysis on which the subsequent plan can be based. [from abstract]
- 687 reads
Women Doctors and their Careers in a Large University Hospital in Spain at the Beginning of the 21st Century
The aim of this article was to compare the advance of women with that of men and determine the differences between hierarchical status and professional recognition achieved by women in medicine. Methods A retrospective study was carried out in the Hospital Clinic Barcelona, Spain, of the period from 1996 to 2008. [from abstract]
- 531 reads
Human Resources for Health in Six Healthcare Arenas Under Stress: A Qualitative Study
Research on “human resources for health” (HRH) typically focuses on the public health subsector, despite the World Health Organization’s inclusive definition to the contrary. This qualitative research examines the profile of HRH in six conflict-affected contexts where the public health subsector does not dominate healthcare service provision and HRH is a less coherent and cohesive entity: Afghanistan, the Central African Republic (CAR), the Democratic Republic of Congo (DR Congo), Haiti, the Occupied Palestinian Territories and Somalia. [from abstract]
- 519 reads
Can Smartphones and Tablets Improve the Management of Childhood Illness in Tanzania? A Qualitative Study from a Primary Health Care Worker's Perspective
The impact of the Integrated Management of Childhood Illness (IMCI) strategy has been less than anticipated because of poor uptake. Electronic algorithms have the potential to improve quality of health care in children. However, feasibility studies about the use of electronic protocols on mobile devices over time are limited. This study investigated constraining as well as facilitating factors that influence the uptake of a new electronic Algorithm for
Management of Childhood Illness (ALMANACH) among primary health workers in Dar es Salaam, Tanzania. [from abstract]
- 653 reads
Preparing for the Data Revolution: Identifying Minimum Health Information Competencies Among the Health Workforce
Health information is required for a variety of purposes at all levels of a health system, and a workforce skilled in collecting, analysing, presenting, and disseminating such information is essential to fulfil these demands. While it is established that low- and middle-income countries (LMICs) are facing shortages in human resources for health (HRH), there has been little systematic attention focused on non-clinical competencies. In response, we developed a framework that defines the minimum health information competencies required by health workers at various levels of a health system.
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National Health Research System in Malawi: Dead, Moribund, Tepid or Flourishing?
Several instruments at both the global and regional levels to which countries in the WHO African Region are party call for action by governments to strengthen national health research systems (NHRS). This paper debates the extent to which Malawi has fulfilled this commitment. [from abstract]
- 459 reads
Factors Affecting Performance of Nurses at Prince Sultan Military Medical City (PSMMC) Riyadh, Saudi Arabia
The aim of this study is to assess the factors affecting performance of nurses in Prince Sultan Military Medical City (PSMMC) Riyadh, Saudi Arabia. [from abstract]
- 1037 reads
Building Locally Relevant Models for Universal Health Coverage and its Implications for Health Information Systems: Some Reflections from India
This paper speaks to this agenda, and describes an ongoing pilot study from the state of Punjab in India with a focus on the implications of UHC models on HIS. Five key implications on HIS are identified: Expanding basket of services; Population basing of services; Ensuring continuity of care; Resource allocation choices; Monitoring financial protection and costs of care. [from abstract]
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Developing a National E-Health Strategy for DR Congo: A Preliminary Analysis of Business Needs, Existing Information Systems and Solutions
A first part of the study consisted of a detailed analysis of regulatory documents and strategic plans related to the Congolese health system and health informatics development. In a second part, field visits and semi-structured interviews were organized with a representative sample of relevant health structures throughout the country. [from abstract]
- 581 reads
Determinants of Access to Healthcare by Older Persons in Uganda: A Cross-Sectional Study
Older persons report poor health status and greater need for healthcare. However, there is limited research on older persons’ healthcare disparities in Uganda. Therefore, this paper aimed at investigating factors associated with older persons’ healthcare access in Uganda, using a nationally representative sample. [from abstract]
- 527 reads
When Information Technology meets Healthcare in West Africa: A Literature Review
This paper presents the study and analysis of some articles that were selected according to their potential contributions to the introduction of information technology (IT) in the Healthcare industry in West Africa. [from introduction]
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How Does Context Influence Performance of Community Health Workers in Low-and Middle-Income Countries? Evidence from the Literature
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. A systematic review with a narrative analysis was conducted to identify contextual factors influencing
performance of CHWs. [from abstract]
- 646 reads
Ethics Issues and Training Needs of Mental Health Practitioners in a Rural Setting
The intended goal was to obtain direct feedback about ethical issues and ethical training
needs from practitioners themselves who work in rural settings. Results identified three primary
ethical issues: dual relationships, confidentiality, and competence; and three primary ethical training needs: boundaries, state rules and regulations, and supervision. [from abstract]
- 668 reads
Who is Assisting Women to Deliver Babies within Health Facilities? An Analysis of Deliveries in Four Provinces in Zambia
Skilled birth attendance (SBA) has been shown to reduce maternal mortality and improve birth outcomes. Because skilled professionals are supposed to be present in health facilities, increasing facility deliveries is expected to increase SBA. However, in a country with a critical shortage of skilled health personnel, is this always the case? We present data from three studies conducted in Zambia to understand SBA and delivery practices in health facilities. [from abstract]
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Family Planning 2011: Better Use of Existing Methods, New Strategies and More Informed Choices for Female Contraception
This paper explores recent developments in female contraception, using them to illustrate how adaptation of existing methods, improved service delivery and understanding contraceptive behaviour might increase contraceptive uptake and correct and consistent use, and how the development of new methods holds some promise for capitalizing on the potential non-contraceptive benefits. [from abstract]
- 602 reads
Knowledge and Acceptance of ‘Vasectomy as a Method of Contraception’ amongst Literate Married Men in Ekpoma, Nigeria
Women have been shown to accept surgical intervention methods of contraception than men. Despite the fact
that vasectomy is safer, simpler and effective, it is underutilized and relatively unknown in Nigeria. This study therefore, investigates the knowledge and acceptance of ‘vasectomy as a male contraceptive method in Ekpoma, Edo State, Nigeria.
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Work-related Mental Consequences: Implications of Burnout on Mental Health Status Among Health Care Providers
Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. [from abstract]
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The Consequences of Burnout Syndrome among Healthcare Professionals in Spain and Spanish Speaking Latin American Countries
The goal of this paper is to identify the frequency and intensity of the perception of adverse professional consequences and their association with burnout syndrome and occupational variables. [from abstract]
- 572 reads
A Short History of HIV Prevention Programs for Female Sex Workers in Ghana: Lessons Learned Over 3 Decades
Female sex workers (FSWs) in Ghana have a 10-fold greater risk for acquiring HIV than the general adult population, and they contribute a substantial proportion of the new HIV infections in the country. Although researchers have conducted behavioral and biological surveys, there has been no review of the contextual, programmatic, and epidemiological changes over time. The authors conducted a historical review of HIV prevention programs in Ghana. [from abstract]
- 531 reads
Applying Innovative Approaches for Reaching Men Who Have Sex With Men and Female Sex Workers in the Democratic Republic of Congo
In the Democratic Republic of Congo (DRC), men who have sex with men (MSM) and female sex workers (FSW) have the highest HIV prevalence but have the least access to services due to their marginalization within Congolese society.
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Outreach Strategies for the Promotion of HIV Testing and Care: Closing the Gap Between Health Services and Female Sex Workers in Benin
Regular voluntary counseling and testing is a key component of the fight against HIV/AIDS. In Benin, the project SIDA-1/2/3 established to decrease HIV/sexually transmitted infection (STIs) among female sex workers (FSWs), implemented a multifaceted intervention, including outreach activities. The objective of this article was to present potential advantages and limitations of 3 categories of outreach interventions designed to increase the use of testing services among FSWs in Benin. [from abstract]
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Health Providers’ Perspectives on Delivering Public Health Services Under the Contract Service Policy in Rural China: Evidence from Xinjian County
This study is a rare attempt to explore the perspectives of health providers on the contract service policy, and investigate the demand side’s attitude toward the public health services delivered under the contract policy. This evidence from Xinjian County, Jiangxi Province, the first and most representative pilot site of the contract service, could serve as a reference for policymakers to understand the initial effects of the policy, whereby they can regulate and amend some items before extending it to the whole country. [from abstract]
- 514 reads
Access to Optometric Education: Challenges in Sub-Saharan Africa
Access to education was identified as a key international priority by UNESCO as far back as 1998 when it called for “equality of access”. A qualitative research design framed in phenomenology was used to conduct structured
interviews with academic leaders in optometry across SSA. Finance for tuition and student maintenance,
lack of knowledge of optometry and optometrists, high admission criteria, limited spaces at institutions, poor
mathematics and science results, gender inequalities and geographical location were cited as barriers to
optometric education. [adapted from abstract]
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Using the Lives Saved Tool as Part of Evaluations of Community Case Management Programs
Integrated community case management (iCCM) has been recommended by the World Health Organization to reduce mortality among children in populations with limited access to facility–based health care providers. Although many countries have introduced iCCM, interpretation of the impact is difficult due to many other activities occurring in the community. This paper suggests a method for using the Lives Saved Tool to model the independent impact of iCCM on child mortality. [from abstract]
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Exploring the Influence of the Global Fund and the GAVI Alliance on Health Systems in Conflict-Affected Countries
Global Health Initiatives (GHIs) respond to high-impact communicable diseases in resource-poor
countries, including health systems support, and are major actors in global health. GHIs could play an important role
in countries affected by armed conflict given these countries commonly have weak health systems and a high
burden of communicable disease. The aim of this study is to explore the influence of two leading GHIs, the Global
Fund and the GAVI Alliance, on the health systems of conflict-affected countries. [from abstract]
- 457 reads