Specialist Services in the Indian Rural Public Health System for Maternal and Child Healthcare – A Study of Four States

The present study attempts to examine the role of specialist services in rural public health system of India in the areas of maternal and child healthcare. The study uses primary data collected through a survey of doctors and paramedical staff working at public health facilities regarding availability and quality of the specialist services in gynaecology, paediatrics and anaesthesia.

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]

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]

The Factors that Attract Healthcare Professionals to and Retain Them in Rural Areas in South Africa

Attracting healthcare professionals (HCPs) to rural areas and retaining them there remains a challenge. Current retention strategies focus on the factors that cause people to leave rural areas, but these strategies continue to fail to retain HCPs in these areas, and the situation in which there is a lack of quality and inadequacy of the type of health services is perpetuated. The literature describes factors that attract healthcare workers to work in rural areas, and this study contributes to a deeper understanding of this. [from abstract]

Rural-Proofing for Health: Guidelines

A guide to accounting for rural contexts in health policy, strategic planning and resourcing. Addressing the
specific rural health context in policy design, budget allocations and implementation plans is not yet a standard process in South Africa. This guide addresses that, to ensure that “the rural health context” is addressed adequately
when new policies and budgets are drawn up and implemented in the beautiful rural parts of our country. [adapted from resource]

Health Seeking Behaviour and Challenges in Utilising Health Facilities in Wakiso District, Uganda

The health seeking behaviour of a community determines how they use health services. Utilisation of health facilities can be influenced by the cost of services, distance to health facilities, cultural beliefs, level of education and health facility inadequacies such as stock-out of drugs.
This study will assess the health seeking practices and challenges in utilising health facilities in a rural community in Wakiso district, Uganda. [from abstract]

Evaluation du Programme d'appui à la Médicalisation des Aires de Santé Rurales au Mali

L’évaluation avait pour but d’apprécier la pertinence, l’efficacité et la viabilité de ce programme de médicalisation, notamment des stratégies développées pour attirer et maintenir les médecins dans les zones rurales. [from resource]

How The Government Intervention Affects the Distribution of Physicians in Turkey Between 1965 and 2000

The aim of this study is to analyse the distribution of physicians, GPs and specialists between the years 1965-2000 and the efficiency of the strict 15 year government intervention (1981-1995). [from abstract]

Deepening the Quality of Clinical Reasoning and Decision-Making in Rural Hospital Nursing Practice

Rural acute care nursing requires an extensive breadth and depth of knowledge as well as the ability to quickly reason through problems in order to make sound clinical decisions. This reasoning often occurs within an environment that has minimal medical or ancillary support. Registered nurses (RN) new to rural nursing, and employers, have raised concerns about patient safety while new nurses make the transition into rural practice. [from introduction]

An Investigation of Staff Turnover at a Private Healthcare Provider in the Kavango Region, Namibia

The study sought to investigate the factors contributing to the high turnover of clinical staff at two Catholic Health Services (CHS) hospitals of Andara and Nyangana in the Kavango region of Namibia. The conceptual framework, factors related to the decision to stay in or leave rural and remote areas, was adapted from Henderson and Tulloch (2008) and guided this study. [from abstract]

Analytical Problems and Approaches Towards Improving the Utilization of Primary Health Care Services by the Rural Communities in Nigeria

This paper assesses some analytical problems and approaches towards improving the utilization of primary health care services by the rural communities in Nigeria. This article examines some cross cutting issues in [Primary Health Care] PHC and outlines approaches to improve the use of health services by rural people. [adapted from abstract]

Magnitude and Trends of Inequalities in Antenatal Care and Delivery Under Skilled Care Among Different Socio-Demographic Groups in Ghana from 1988 – 2008

Improving maternal and reproductive health still remains a major challenge in most low-income countries especially in sub-Saharan Africa. The growing inequality in access to maternal health interventions is an issue of great concern. In Ghana, inadequate attention has been given to the inequality gap that exists amongst women when accessing antenatal care during pregnancy and skilled attendance at birth.

Rural Health Worker Retention Tools

Many countries struggle to attract and retain sufficient numbers and types of health workers to provide quality services in rural and remote areas. To encourage country ownership and advocate for use of data for policy-making, the USAID-funded CapacityPlus project developed several tools, including the Rapid Retention Survey Toolkit; a companion software product, iHRIS Retain, developed in collaboration with the World Health Organization (WHO); and a discrete choice experiment user guide, developed in collaboration with the World Bank and the WHO. [from introduction]

Health Services Workforce in Rural China: Baseline Description

This research tried to reveal the current situation and to track the future trends of the rural health workforce. By
stratified multistage cluster sampling processes, the baseline data of nationwide longitudinal survey were gathered
from China.

Context Analysis: Close-to-Community Providers in Mozambique

This report combines findings from a desk review,a mapping of [Close-to-Community] CTC providers and data collected during qualitative explorations carried out in two selected districts of Maputo Province as part of the context analysis. [from introduction]

Applying the Workload Indicators of Staffing Need (WISN) Method in Namibia: Challenges and Implications for Human Resources for Health Policy

As part of ongoing efforts to restructure the health sector and improve health care quality, the Ministry of Health and Social Services (MoHSS) in Namibia sought to update staffing norms for health facilities. To establish an evidence base for the new norms, the MoHSS supported the first-ever national application of the Workload Indicators of Staffing Need (WISN) method, a human resource management tool developed by the World Health Organization. [from abstract]

Adventures in rural and remote health services innovation: the role of researcher as collaborator

The trend toward collaborations between researchers and stakeholders in rural/remote health services innovation has the potential to address these issues; researchers can play their part by creating and accepting opportunities for such collaboration. [from authors]

A Synthesis and Systematic Review of Policies on Training and Deployment of Human Resources for Health in Rural Africa

The primary question guiding the review was: What is known about policies to support training and deployment of nurses, midwives and doctors for maternal-child health care in rural Africa? [from summary]

Pakistan’s Urbanization Challenges: Health

This paper provides a snapshot of health and population trends in Pakistan, with a view toward demonstrating the changing paradigm of the urban-rural dynamic. A new health systems governance assessment approach toward urbanization and health issues is subsequently discussed, and the paper outlines a new framework of principles and their pertinence. [from abstract]

National Rural Health Mission in India: An Analytical Study

In this paper emphasis has been laid down to understand the rural healthcare system and the impact of NRHM in developing a positive and well-nourished country has been discussed. Various charts and tables were duly analyzed before arriving at a result. [from abstract]

Addressing the human resource for health crisis in Tanzania: the lost in transition syndrome

The objective of this study was to improve knowledge on the HRH status in Tanzania by analyzing what happens to the number of medical doctors (MD) and doctor of dental surgery (DDS) degree graduates during the transition period from graduation, internship to appointment. [from abstract]

Which Incentive Package Will Retain Regionalized Health Personnel in Burkina Faso: A Discrete Choice Experiment

The objective of the study was to identify a package for attracting and retaining health workers in underserved areas. [from abstract]

Nursing and Midwife Staffing Needs in Maternity Wards in Burkina Faso Referral Hospitals

The aim of this study was to measure the capacity of referral hospitals’ maternity services to cope with the demand for health services after the implementation of this policy. [from abstract]

An Exploratory Analysis of the Regionalization Policy for the Recruitment of Health Workers in Burkina Faso

The idea for this policy emerged after finding a highly uneven distribution of health personnel across urban and rural areas, the availability of a large number of health officers in the labour market, and the opportunity given to the Ministry of Health by the government to recruit personnel through a specific budget allocation. [from abstract]

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

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]

The Last Word: Collaborating for Healthcare Improvement

Reflecting on service delivery in northern, rural or remote Canada, Dr. Roger Strasser (Dean of the Northern Ontario School of Medicine) and Erin Leith (Director, Collaboration for Innovation and Improvement, Canadian Foundation of Healthcare Improvement) discuss the significant momentum generated by the Canadian Recruit and Retain Conference and the influence and impact this will have on healthcare in these often under-served regions. [from introduction]

South Africa’s Protracted Struggle for Equal Distribution and Equitable Access – Still Not There

The purpose of this contribution is to analyse and explain the South African HRH case, its
historical evolution, and post-apartheid reform initiatives aimed at addressing deficiencies
and shortfalls. [from abstract]

Human Resources for Health and Universal Health Coverage: Fostering Equity and Effective Coverage

The paper reports on country experiences using an analytical framework that examines effective coverage in relation to the availability, accessibility, acceptability and quality (AAAQ) of HRH. [from abstract]

'I Felt Colonised': Emerging Clinical Teachers on a New Rural Teaching Platform

The objective of this study was to explore what the implementation of the [Ukwanda Rural Clinical School] meant for the practice of these physicians and to what extent the shift from full-time practising clinician to clinical teacher required them to adapt and change. [from abstract]

Right Time, Right Place: Improving Access to Health Service Through Effective Retention and Distribution of Health Workers

This series draws from studies in a range of countries and provides new insights into what can be done to improve access to health through more effective human resources policies, planning and management. The primary focus is on health workforce distribution and retention. [from abstract]