Documents & Reports

Comprehensive Review of the Pharmacy Workforce

This is a comprehensive review of the Pharmacy Workforce in Northern Ireland undertaken between February and April 2001. It outlines themethodology and discusses the results obtained with regard to the areas of recruitment and retention, demand and models of deployment. [adapted from author]

Study of Demand and Supply of Pharmacists, 2000-2010

This study aims to project the supply and demand for pharmacists between 2000 and 2010. On the supply side, these include the latest information on student intake and projected graduations. On the demand side, they include a consideration of the impact of the Third Community Pharmacy Agreement, the increasing focus on safety and quality of medicines use across the continuum of care and a host of clinical governance and Commonwealth and State/Territory government policies which impact on the demand for pharmacists. [from summary]

Scaling Up Health Workforce Production: a Concept Paper Towards Implementation of World Health Assembly Resolution WHA59.23

This note discusses challenges and options in scaling up the production of skilled health workers and strengthening the health professions educational capacity of the countries in crisis, particularly in Africa. [from introduction]

Republic of Trinidad and Tobago: Caribbean Region HIV and AIDS Service Provision Assessment Survey 2006

Focusing on the formal public health sector in Tobago, the HSPA findings provide information on both basic and advanced-level HIV and AIDS services and the availability of record-keeping systems for monitoring HIV and AIDS care and support. Within the Caribbean region, there is a concern for the recent training of health professionals who provide HIV and AIDS services, for health worker attitudes towards people living with HIV and AIDS (PLHIV) and for patient movement within the region.

Barbados: Caribbean Region HIV and AIDS Service Provision Assessment Survey 2005

The 2005 Barbados HIV/AIDS Service Provision Assessment (Barbados HSPA) survey report provides baseline information on the capacity of the formal public health sector in Barbados to provide both basic and advanced level HIV and AIDS services and the availability of recordkeeping systems for monitoring HIV and AIDS care and support. Within the Caribbean region, there is a concern for the recent training of health professionals who provide HIV and AIDS services, for health worker attitudes towards people living with HIV (PLHIV) and for patient movement within the region. The Barbados HSPA captured information on these region-specific indicators in addition to the standard HSPA indicators.

Community Problem Solving and Immunization Strategy Development: Linking Health Workers with Communities Facilitator's Guide

An immunization consultation is useful when health workers are providing immunizations in their service area, but do not work in partnership with the community to attain full coverage. A consultation is not training but rather an opportunity to step back, look at problems that lead to low coverage and design strategies that involve the community in increasing that coverage. The consultation outlined in this Facilitator’s Guide is designed to help trainers enable health workers consider ways to increase and sustain a high immunization coverage in their respective service areas.

Dominica: Caribbean Region HIV and AIDS Service Provision Assessment Survey 2005

The HIV/AIDS Service Provision Assessment (HSPA) was developed to assess the
quality and capacity of HIV and AIDS-related services in high prevalent situations. information on both basic and advanced level HIV and AIDS services and the availability of recordkeeping systems for monitoring HIV and AIDS care and support. Within the Caribbean region, there is a concern for the recent training of health professionals who provide HIV and AIDS services, for health worker attitudes towards people living with HIV and AIDS and for patient movement within the region. The Dominica HSPA captured information on these region-specific indicators in addition to the standard HSPA indicators.

St. Vincent and the Grenadines: Caribbean Region HIV and AIDS Service Provision Assessment Survey 2005

The HIV/AIDS Service Provision Assessment (HSPA) was developed to assess the quality and capacity of HIV and AIDS-related services in high prevalent situations. Focusing on the formal public health sector in St. Vincent and the Grenadines, the HSPA findings provides information on both basic and advanced-level HIV and AIDS services and the availability of record-keeping systems for monitoring HIV and AIDS care and support. Within the Caribbean region, there is a concern for the recent training of health professionals who provide HIV and AIDS services, for health worker attitudes towards people living with HIV and AIDS and for patient movement within the region.

Integrating HIV Services in Local Family Planning: the Expanded Community-Based Distribution Model and Zimbabwean Experience

This brief is a best practice model for improving the quality and accessibility of family planning and HIV services in rural communities in Zimbabwe. [from author]

Description of the Private Nurse Midwives Networks (Clusters) in Kenya: a Best Practice Model

During the 1990s in Kenya, nurse midwives, a new group of private-sector service providers, were licensed to operate private clinics close to communities. The private nurse midwives operate private clinics, nursing and maternity homes primarily in densely populated peri-urban areas, rural trading centers and towns. The networks described in this report emerged out of the need for a sustainable supervision system and a continuing education program for the private nurse midwives. [from introduction]

Modernizing the Management of Health Human Resources in Canada: Identifying Areas for Accelerated Change

Modernizing the way health care professionals are educated and engaged in their vital work requires a collaborative and coordinated approach among many players. The Health Council convened the summit on health human resources to focus on practical, short-term solutions. This report attempts to capture the lively discussion and encouraging examples of innovation brought forward at that forum, organized into four theme areas: education and training, scopes of practice, workplace practices and planning. [adapted from author]

Kenya Health Workers Survey 2005

This survey is the first attempt to examine the preparedness of the health
system to implement guidelines for HIV testing in clinical settings, and to provide comprehensive AIDS management. This includes availing HIV testing in clinical settings to both adult and pediatric patients, and providing treatment for HIV disease. The survey also examines the working environment in health care facilities, with an emphasis on HIV infection control and access to post-exposure prophylaxis for health workers themselves. [from foreword]

Addressing the Human Resource Crisis in Malawi's Health Sector: Employment Preferences of Public Sector Registered Nurses

This paper examines the employment preferences of public sector registered nurses working in Malawi and identifies the range and relative importance of the factors that affect their motivation. The research was designed in the light of the Malawi government’s programme to address the shortage of health workers, which is based on salary top-ups as a means of increasing employee motivation and reducing high rates of attrition. This policy has been adopted despite relatively little quantitative exploration into the employment preferences of health workers in developing countries.

Policy on Quality in Health Care for South Africa

Knowing that quality is never an accident, always the result of high intention, sincere effort, intelligent direction and skillful execution, and that it represents the wise choice of many alternatives, this abbreviated version of the Policy attempts to provide the strategic direction health facilities and officials need to follow to assure quality in health care and continuous improvement in the care that is being provided. Health care personnel are encouraged to use this copy of the Policy to focus their intentions and guide their efforts. [from foreword].

Exploring the Role of Family Caregivers and Home-Based Care Programs in Meeting the Needs of People Living with HIV/AIDS

Given the limited availability of formal, inpatient programs, households rely upon informal caregivers (e.g. household or family members, friends, community members, or voluntary organizations) and homebased care (HBC) programs for assistance. This summary documents the roles played by household and HBC program caregivers in meeting the needs of the chronically ill.

US Based International Nurse Recruitment: Structure and Practices of a Burgeoning Industry

This report summarizes the results of the first year of the two-year project entitled International Recruitment of Nurses to the United States: Toward a Consensus on Ethical Standards of Practice. It examines the structure and basic practices of the U.S. based international nurse recruitment industry. The purpose of the project is to facilitate consensus among stakeholders on how to reduce the harm and increase the benefits of international nurse recruitment for source countries and for migrant nurses themselves. [from author]

Addressing the Health Workforce Crisis: a Toolkit for Health Professional Advocates

The purpose of this toolkit is to assist health professionals, health professional associations, and civil society organizations to develop advocacy strategies to address human resource and health financing issues in their countries. [from introduction]

Quality of Health Care Doesn’t Have to Cost a Lot

This fact sheet highlights approaches to improving quality of care that can be rapidly implemented, over months rather than years, without great cost. The author writes that better quality can improve health much quicker than other drivers of health, such as economic growth, educational advancement, or new technology. [adapted from introduction]

Counselling, Concordance and Communication: Innovative Education for Pharmacists

The aim of this booklet is to give pharmacy students and practitioners information about patient counseling, guidance for organizing a patient counseling event, how to develop courses about counseling, the role of community pharmacists in promoting patient counseling, and guidelines for continuous professional development in patient counseling and communication skills. [adapted from author]

Unequal, Unfair, Ineffective and Inefficient: Gender Inequity in Health: Why It Exists and How We Can Change It

Taking action to improve gender equity in health and to address women’s rights to health is one of the most direct and potent ways to reduce health inequities and ensure effective use of health resources. This report discusses the gender aspects of health such as how the work that women do as providers of health care within families can be better supported so as to reduce their burdens and promote their own health. Section vii.1.2 (p. 82) discusses women as health care provides, section vii.2.1 (p. 87) focuses on how to improve access to health care from the provider side such as gender awareness in medical education.

Role of the Physical and Social Environment in Promoting Health, Safety, and Effectiveness in the Healthcare Workplace

The objective of this study was to examine how the physical environment, along with other factors such as culture and social support, impact the health and safety of the care team, effectiveness of the healthcare team in providing care and preventing medical errors, and patient and practitioner satisfaction with the experience of giving and receiving care. [adapted from abstract]

Within Our Grasp: Healthy Workplace Action Strategy for Success and Sustainability in Canada's Healthcare System

The health and well-being of the health workforce and the quality of the healthcare work environment has a profound impact on the effectiveness and efficiency of healthcare services. This resource identifies priority actions that are known to improve the workplace and that can be implemented quickly and efficiently. The actions focus on both system wide and organizational performance improvement on specific areas relating to quality work life. [from executive summary]

Planning, Developing and Supporting the Health Workforce: Human Resources for Health (HRH) Action Workshop

The Capacity Project helped to organize and facilitate a regional Human Resources for Health (HRH) Action Workshop in Accra, Ghana, September 23-28, 2007. Participants came together with the overall purpose of exchanging knowledge and best practices in planning, developing and supporting the health workforce in order to improve health workforce management capacity and strategic development at the country level.

Are You Being Served? New Tools for Measuring Service Delivery

Improving service delivery for the poor is an important way to help the poor lift themselves out of poverty. This resource presents and evaluates tools and techniques to measure service delivery and increase quality in health and education.

Reaching the Poor with Health Services: Cambodia

This brief reports on a project through Cambodia’s Ministry of Health which contracted health services to NGOs. Contracting NGOs to manage the primary health care system was found to be an effective means to increase service coverage and achieve a more pro-poor distribution of services in rural areas of Cambodia. [adapted from introduction]

Model Nursing Act

This material looks in detail at the preparation of a Nursing Act and is designed to offer guidance on the process of turning policy change in nursing into meaningful and effective legislation. This document has been prepared primarily to assist countries/jurisdictions who are either preparing legislation relating to nursing for the first time, or revising their existing legislation. It is intended to be used by nursing professionals who may not be familiar with the process of making or changing legislation.

Delivering Quality, Serving Communities: Nurses Leading Primary Health Care

The International Nurses Day Kit celebrates and illuminates the nursing role in primary health care. It is for nurses, planners, policy makers, educators, managers, regulators, researchers, national nurses associations and any other stakeholder committed to delivering quality care and serving communities through primary health care. The report analyse the evolution of primary health care, articulates nursing roles, highlights many examples of nurses delivering primary health care and provides a glimpse into the future. [adapted from introduction]

Rehabilitation Under Fire: Health Care in Iraq 2003-2007

This report describes how the war in Iraq and its aftermath continue to have a disastrous impact on the physical and mental health of the Iraqi people, and the urgent measures needed to improve health and health services. It assesses the current state of the health system, including the impact of insecurity, and the workforce, supplies, medicines and equipment it lacks. It also looks at health information and health policy in Iraq. The report ends with conclusions and recommendations, exploring what needs to happen now in Iraq and what lessons can be learned. [adapted from author]

Assessment of the Additional Duties Hours Allowance (ADHA) Scheme: Final Report

The original purpose of the ADHA scheme was to compensate doctors for hours worked beyond the standard 40 hours per week or 160 hours per month. This study investigated how the scheme impacted a number of human resources (HR) factors associated with health worker recruitment, deployment, retention and performance - specifically, how the significantly higher income levels resulting from the ADHA scheme influenced job satisfaction, motivation, workplace climate and the relationship between clinical and administrative staff, as well as productivity. The study provides a detailed chronology of the ADHA scheme and explores lessons learned from the way in which the GOG implemented and administered the scheme.

It's Like Giving Birth to the Sick Person for the Second Time: Family Caregivers' Perspectives on Providing Care

The general aim of this paper is to add to the limited research on family caregivers, and specifically to enable a better understanding of the actual experience of providing care for ill adults within the home in the context of HIV/AIDS, using qualitative research findings from a KwaZulu-Natal study. [from author]