Improving the Implementation of Health Workforce Policies through Governance: a Review of Case Studies

This article aims to describe how governance issues have influenced HRH policy development and to identify governance strategies that have been used, successfully or not, to improve HRH policy implementation in low- and middle-income countries. [from introduction]

Strengthening National and Subnational Departments for Human Resources Development

The purpose of this guide is to support the strengthening of existing, or establishing new, human resources for health development departments at the central and subnational levels.

Priorities for Research into Human Resources for Health for Low and Middle Income Countries

This study aimed to identify the human resources for health (HRH) policy concerns and research priorities of key stakeholders in low- and middle-income countries; to assess the extent to which existing HRH research addresses these concerns and priorities; and to develop a prioritized list of core research questions requiring immediate attention to facilitate policy development and implementation. [from abstract]

Reviewing Progress, Renewing Commitment: Progress Report on the Kampala Declaration and Agenda for Global Action

This report provides a snapshot of the HRH policy and governance situation in the priority countries affected by severe HRH challenges. A one-page country brief has been prepared for each of the priority countries to give an update on their HRH status and progress. The briefs contain background demographic, health, health system and HRH statistics, as well as scores for responses to a tracking survey. [from author]

Joint WHO ILO UNAIDS Policy Guidelines for Improving Health Workers' Access to HIV and TB Prevention, Treatment, Care and Support Services

Despite being workers on the front line responding to the public’s HIV and TB care needs, health workers themselves often do not have access to HIV and TB services. These guidelines aim to protect, retain and empower health workers in dealing with the dual threat of HIV and TB and reinforce good practicies for health workers who are living with HIV and/or TB. [adapted from introduction]

Evidence from Systematic Reviews of Effects to Inform Policy-Making about Optimizing the Supply, Improving the Distribution, Increasing the Efficiency and Enhancing the Performance of Health Workers

This policy brief describes an overview of systematic reviews of the effects of training, regulatory, financial and organizational mechanisms on the supply, distribution, efficiency and performance of health workers.

Support Tools for Evidence-Informed Health Policymaking (STP)

Each chapter of this report presents a proposed tool that can be used by those involved in finding and using research evidence to support evidence-informed health policymaking. [from author]

Increasing Access to Health Workers in Underserved Areas: A Conceptual Framework for Measuring Results

This paper proposes a conceptual framework to guide managers, policy-makers and evaluators in the assessment of interventions to increase access to health workers in underserved areas. The framework aims to support all stages of policy development. [from introduction]

Health Service Planning and Policy-Making: a Toolkit for Nurses and Midwives

The purpose of this toolkit, consisting of 7 booklets, is to provide nurses and midwives with tools to effectively participate in and influence health care planning and policy-making. This tool-kit has been designed for use by any nurse or midwife who has an interest in advocating for change in their work environment. [from publisher]

Reducing the Burden of HIV and AIDS Care on Women and Girls

Public health systems in most developing countries do not have the capacity to provide necessary care and support to people living with HIV & AIDS. Out of necessity, many turn to family, neighbours and friends for care, the majority of whom are female. This policy brief outlines why women and girls carry the burden of HIV & AIDS care, describes the impact on them and makes policy and program recommendations to help reduce this burden. [adapted from abstract]

Implementing IMCI in Kenya: Challenges and Recommendations

This policy brief explores the major challenges facing Kenya in the implementation of their Integrated Management of Childhood Illness strategy and looks at why it is failing to fulfill its potential to improve health care and reduce child mortality. [adapted from introduction]

Global Action for Health System Strengthening: Policy Recommendations to the G8

This report is a follow-up to the G8 Hokkaido Toyako Summit held in Japan in July, 2008. It was prepared by government officials in health and foreign policy from the G8 countries, with leadership from Japan, and covered a number of critical issues in global health. The report reflected growing policy attention to health system strengthening by Japan and the global health community more broadly. [from introduction]

The chapter containing on "Opportunities for Overcoming the Health Workforce Crisis" begins on page 27.

Diagnostics: Key Issues for Workforce Planning

The objective of this paper is to identify the future workforce challenges that will have a profound impact on the capacity to recruit and retain staff. In addition, issues that pertain to key staff groups for this care group will be identified. [from introduction]

How Can Optimal Skill Mix be Effectively Implemented and Why?

This policy brief describes steps towards the determination and implementation of an optimal skill mix within a health system, including definition of the skill mix and how to achieve clarity regarding the key policy problems for which it is envisioned as a solution. [from executive summary]

Using Human Resource for Health Data: Health Policy and Program Planning Examples from Four African Countries

Imbalances in quantity and quality of human resources for health (HRH) are increasingly recognized as perhaps the most critical impediment to achieving health outcome objectives in most African countries. However, reliable data on the HRH situation is not readily available. Some countries have hesitated to act in the absence of such data; other countries have not acted even when data are available while others have moved ahead in spite of the lack of reliable information. This paper addresses the issue of data use for HRH policy-making. [from summary]

Migration of Health Workers: the UK Perspective to 2006

Most healthcare in the UK is delivered through the National Health Service (NHS). Shortages of skilled staff led to policy changes including international recruitment of health professionals. Subsequent changes in the UK migration policy have impacted international recruitment, leading to a significant reduction in the inflow of international clinicians to the NHS. [adapted from summary]

International Mobility of Health Professionals and Health Workforce Management in Canada: Myths and Realities

This OECD report examines the role played by immigrant health workers in the Canadian health workforce, as well as the interactions between migration policies and education and health workforce management policies. [adapted from introduction]

Strategies to Overcome Physician Shortages in Northern Ontario: a Study of Policy Implementation Over 35 Years

Shortages and maldistibution of physicians in northern Ontario, Canada, have been a longstanding issue. This study seeks to document, in a chronological manner, the introduction of programs intended to help solve the problem by the provincial government over a 35-year period and to examine several aspects of policy implementation, using these programmes as a case study. [from abstract]

Role of Networking in Managing Migration of Human Resources for Health in the Philippines

This paper aims to present the existing HRH problems exemplified by migration in the light of other related issues such as the nurse medic phenomenon, foreign doctors taking up residency training, quality of nursing education, paradoxical enrollment trends in nursing and medicine and the effects of migration on health service delivery.

Review of Codes and Protocols for the Migration of Health Workers

This is a review of current multi-lateral agreements, codes of practice, bilateral agreements, regional agreements, and strategies and position statements that govern the migration of health workers from ESA (East and Southern African) countries. The main purpose of this paper is to provide an overview of the current situation in ESA. [from executive summary]

Effects of Policy Options for Human Resources for Health: an Analysis of Systematic Reviews

This article identifies human resources for health policy options in low and middle income countries, and assesses the effectiveness of these policy options. The authors conclude that there is a need for more systematic reviews on the effects of policy options to improve human resources for health in countries with low and middle incomes, for assessments of any interventions that policy makers introduce to plan and manage human resources for health, and for other research to aid policy makers in these countries. [adapted from author]

Health Governance: Enabling Accountability for Improved Management and Performance

This presentation was given at the First Forum on Human Resources for Health in Kampala. It talks about good health governance, presents a model and discusses the pupose and challenges of achieving accountability in governance.

Whole Picture: Strengthening Health Workforce Policies and Planning in Rwanda

This brief describes the Capacity Project’s work with health workforce planning using HRIS in Rwanda.

Community Health Workers: a Review of Concepts, Practice and Policy Concerns

In this paper we attempt to provide an overview of the concepts and practice of community health workers (CHWs) from across a range of (developing and developed) countries, and draw some insights into policy challenges that remain in designing effective CHW schemes, particularly in the Indian context. In the subsequent sections, we provide a review of the various ways in which community health workers have been deployed in different settings. [from introduction]

Practice to Policy: Global Perspectives in Nursing: Report of the 5th International Conference

This report summarizes the speeches and discussions from the Practice to Policy: Global Perspectives in Nursing conference in 2006. Both healthcare professionals and th system are faced with a number of ongoing challenges, which may require a shift in organizational policy and can affect the way nurses practice. Nurses are and integral part of the healthcare system and play a key role in influencing these changes. Nurses’ voices need to be heard, and they must be able to articulate what they do.

Health Worker Migration in the European Region: Country Case Studies and Policy Implications

This report presents an overview of the policy implications of the international migration of health workers in Europe, based on case studies conducted in five countries – Estonia, Germany, Lithuania, Poland and the United Kingdom – and draws on information from other WHO European Region countries, such as Israel and Latvia. [from introduction]

Health Human Resources Policy Initiatives for Physicians, Nurses and Pharmacists

This document is an environmental policy scan of activity in three areas related to physicians, nurses and pharmacists: education and training initiatives; recruitment and retention and work place initiatives; and capacity to do national health human resource planning. [adapted from introduction]

Community Home-Based Care in Resource-Limited Settings: a Framework for Action

This document provides a systematic framework for establishing and maintaining community home-based care (CHBC) in resource-limited settings for people with HIV/AIDS and those with other chronic or disabling conditions.

Definition of Underserved: Policies, Issues, and Relevance

This paper begins by clarifying the terms shortage and underserviced. Provincial and federal programs for underserviced areas in Ontario are then described and considered in terms of their relevance to nursing. A discussion of the issues associated with policies addressing shortage and underserviced areas follows. The paper concludes with recommendations for change. The importance of making funding decisions based on a clear understanding of relevant concepts and models is emphasized. [introduction]

Workplace Violence in Health Care: Recognized but Not Regulated

Workplace violence is one of the most complex and dangerous occupational hazards facing nurses working in today’s health care environment. This article includes critiques of the conceptual, empirical, and policy progress of the past decade, a discussion of the need for methodologically rigorous intervention effectiveness research, and a description of a joint-labor management research effort aimed at documenting a process to reduce violence in a state mental health system. [from abstract]