HRH Global Resource Center - Zambia

Who is Assisting Women to Deliver Babies within Health Facilities? An Analysis of Deliveries in Four Provinces in Zambia

Tue, 10 Mar 2015 14:26:27 +0000

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]

Financing Medical Education through the Private Sector

Thu, 11 Dec 2014 19:47:01 +0000

From 2010 through 2013, the SHOPS project implemented a series of pilot activities to explore the feasibility of introducing private sector health education financing mechanisms. SHOPS explored private sector solutions to help meet ambitious targets from the U.S. President’s Emergency Plan for AIDS Relief for training new health care workers. This report shares the project’s work with private pre-service education financing in Malawi, Rwanda, Tanzania, and Zambia.

Unravelling the Quality of HIV Counselling and Testing Services in the Private and Public Sectors in Zambia

Tue, 15 Jul 2014 12:39:33 +0000

Despite the substantial investment for providing HIV counselling and testing (VCT) services in Zambia, there has been little effort to systematically evaluate the quality of VCT services provided by various types of health providers. This study, conducted in 2009, examines VCT in the public and private sectors including private for-profit and NGO/faith-based sectors in Copperbelt and Luapula. [from abstract]

Hope and Despair: Community Health Assistants’ Experiences of Working in a Rural District in Zambia

Fri, 11 Jul 2014 19:25:20 +0000

In order to address the challenges facing the community-based health workforce in Zambia, the Ministry of Health implemented the national community health assistant strategy in 2010. The strategy aims to address the challenges by creating a new group of workers called community health assistants (CHAs) and integrating them into the health system. The first group started working in August 2012. The objective of this paper is to document their motivation to become a CHA, their experiences of working in a rural district, and how these experiences affected their motivation to work.

Differences in Unintended Pregnancy, Contraceptive Use and Abortion by HIV Status Among Women In Nigeria and Zambia

Wed, 18 Jun 2014 15:24:48 +0000

Sub-Saharan Africa is burdened by high rates of unintended pregnancy and HIV. Yet little is known about the relationship between these two health risks in the region. Understanding the associations between HIV status and pregnancy decision making may benefit strategies to reduce unintended pregnancy. [from abstract]

Evaluation of Recruitment and Retention Strategies for Health Workers in Rural Zambia

Mon, 19 May 2014 20:20:24 +0000

The purpose of this study was to determine the impacts of the various health worker retention strategies on health workers in two rural districts of Zambia. [from abstract]

Report on the Society for Family Health Gender Assessment

Wed, 23 Apr 2014 20:45:16 +0000

To promote organizational learning and action related to political will and accountability, leadership and management, technical capacity, organizational culture, human resources policies and programs that promote gender equality, non-discrimination, and equal opportunity and treatment with respect to recruitment, hiring, training, remuneration, conditions of work,and programming at Society for Family Health. [from abstract]

Removing Financial Barriers to Access Reproductive, Maternal and Newborn Health Services: The Challenges and Policy Implications for Human Resources for Health

Mon, 23 Sep 2013 16:43:14 +0000

This research aimed to assess how policies reducing demand-side barriers to access to health care have affected service delivery with a particular focus on human resources for health using case studies in five countries (Ghana, Nepal, Sierra Leone, Zambia and Zimbabwe). In each the authors reviewed financing and HRH policies, considered the impact financing policy change had made on health service utilization rates, analysed the distribution of health staff and their actual and potential workloads, and compared remuneration terms in the public sectors. [from abstract]

Strong Effects of Home-Based Voluntary HIV Counseling and Testing on Acceptance and Equity: A Cluster Randomized Trial in Zambia

Thu, 19 Sep 2013 16:28:48 +0000

This study investigated the acceptance of home-based counselling and testing by lay counselors, its equity in uptake and the effect of negative life events with a cluster-randomized trial. [adapted from abstract]

Evaluation of a Quality Improvement Intervention to Prevent Mother-to-Child Transmission of HIV (PMTCT) at Zambia Defence Force Facilities

Wed, 11 Sep 2013 17:55:09 +0000

This study evaluates the impact of an intervention that improve the quality of services to prevent mother-to-child transmission of HIV at its health facilities, which included provider training, supportive supervision, detailed performance standards, repeated assessments of service quality, and task shifting of group education to lay workers. [adapted from abstract]