Browse by Geographic Focus

An Interventional Model to Develop Health Professionals in West Africa

The health sector is characterized by a human resource base lacking in numbers, specialized skills, and management skills. West African Health Organization (WAHO) recognizes the need within the West Africa sub-region for bilingual professionals who are skilled in public health, management, leadership, and information technology to build human capacity in public health and developed the Young Professionals Internship Program (YPIP). Our study explores the evolution of the programme. [from abstract]

Informal Rural Healthcare Providers in North and South India

Rural households in India rely extensively on informal biomedical providers, who lack valid medical qualifications. Their numbers far exceed those of formal providers. Our study reports on the education, knowledge, practices and relationships of informal providers (IPs) in two very different districts: Tehri Garhwal in Uttarakhand (north) and Guntur in Andhra Pradesh (south). [from abstract]

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

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]

Who Gives Birth in Private Facilities in Asia? A Look at Six Countries

As Asia has shown strong increases in institutional coverage of delivery care in the last decade, we will examine trends in six Asian countries. We hypothesize that if the private sector competes for clients based on perceived quality, their clientele will be wealthier, more educated and live in an area where there are enough health facilities to allow for competition. [from abstract]

Expansion in the Private Sector Provision of Institutional Delivery Services and Horizontal Equity: Evidence from Nepal and Bangladesh

One strategic approach to increase the use of appropriate maternal healthcare services is to encourage the expansion of the role of the private sector. However, critics of such an approach argue that increasing the role of the private sector will lead to increased inequity in the use of maternal healthcare services. This article explores this issue in two South Asian countries that have traditionally had high rates of maternal mortality—Nepal and Bangladesh. [from abstract]

Developing Collective Leadership for Health Care

The [National Health Service] is confronted by radically changing demographic pressures and hugely increasing demands. Alongside these is the need to build public confidence after several high-profile scandals, to increase productivity and to promote innovation in health and social care. This all comes as public sector financial cuts are implemented on a large scale. How can health care organisations respond effectively to these challenges? [from introduction]

Enhancing Access to Current Literature by Health Workers in Rural Uganda and Community Health Problem Solving

An outreach activity, which originally targeted health professionals and student nurses in rural Uganda, was extended to the community with a focus on addressing the most prevalent diseases/health problems reported by the Health Management Information System (HMIS) of the Uganda Ministry of Health.

Family Planning and Linkages with US Health and Development Goals

To examine linkages between family planning and health and development outcomes, the CSIS Global Health Policy Center led a delegation to Ethiopia in February 2014.

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

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.

Reproductive Health, and Child Health and Nutrition in India: Meeting the Challenge

In 2005, India embarked on the National Rural Health Mission, an extraordinary effort to strengthen the health systems. However, coverage of priority interventions remains insufficient, and the content and quality of existing interventions are suboptimum.

Impact of health systems strengthening on coverage of maternal health services in Rwanda, 2000–2010: a systematic review

Between 2006 and 2010, the following increases in coverage took place as compared to 2000–2005, particularly in rural areas, where most poor women live: births with skilled attendance (77% increase vs. 26%), institutional delivery (146% increase vs. 8%), and contraceptive prevalence (351% increase vs. 150%). The primary factors in these improvements were increases in the health workforce and their skills, performance-based financing, community-based health insurance, and better leadership and governance.

Does Curricular Change Improve Faculty Perceptions of Student Experiences with the Educational Environment? A Preliminary Study in an Institution Undergoing Curricular Change

College of Medicine, Gulf Medical University, United Arab Emirates, underwent a major curriculum change from a discipline-based to an organ system-based integrated curriculum. However, it was not known how the faculty perceived the changes in the educational environment as experienced by the students. In this context, we aimed to compare the faculty perceptions of the student experiences in the discipline-based curriculum with those in the organ system-based integrated curriculum. [from abstract]

Assessing Study Skills Among a Sample of University Students: An Iranian Survey

Numerous studies have revealed that study skills have a constructive role on the academic performance of students, in addition to educational quality, students’ intelligence, and their affective characteristics. This study aims to examine study skills and the factors influencing them among the health sciences students of Urmia University of Medical Sciences in Iran. [from abstract]

Challenges of Introducing Participant Observation to Community Health Research

In this paper, we describe how we use participant observation in a community health research study with Chinese-born immigrant women. We document discrepancies between these women’s beliefs and types of behavior regarding health and health promotion. We further discuss the ethnical, time, and setting challenges in community health research using participant observation. Possible solutions are also discussed. [from abstract]

Job Burnout, Mood State, and Cardiovascular Variable Changes of Doctors and Nurses in a Children's Hospital in China

This study examines mood and cardiovascular variables related to job stress and burnout in hospital personnel. [from abstract]

Empirical Investigation of Service Quality in Ghanaian Hospitals

This study was undertaken to assess perceived service quality in hospitals located in the Greater Accra Region of Ghana. The research was a cross-sectional survey which employed the use of a modified SERVQUAL questionnaire that was administered to 400 outpatients in the Greater Accra region of Ghana. Data obtained from the study was analyzed quantitatively using descrip
tive statistics, exploratory factor analysis and multiple regressions. [from abstract]

An Evaluation of the Observance Rate of Component Information Management in the Health System of Chahar Mahal Bakhtiyari Province Based on World Health Organization Standards

Given the essential role of data collection and management in the health system, this study intended to evaluation of the
observance rate of component information management in the health system of Chahar Mahal Bakhtiyari province based on World Health Organization standards. [from abstract]

Health Seeking Behavior, Practices of TB and Access to Health Care Among TB Patients in Machakos County, Kenya. A Cross-Sectional Study

The main objective of this study was to examine the health seeking behavior of TB patients, practices of TB and access to health care. A cross- sectional survey of TB patients was done in Athi River, Machakos level 5 and Mutituni TB treatment health facilities in Machakos County. [from abstract]

A Decade of Determination and Dedication: Improving Maternal, Newborn, and Child Health in Ethiopia

Ethiopia has made tremendous progress in providing health services to its large (87 million), and largely rural (83%), population. This is reflected in significant improvements in many maternal and child health indicators over the past ten years, including roughly a halving of infant and under-five mortality and an almost five-fold increase in the modern method contraceptive prevalence rate. At the heart of this expansion and its success is the health worker. [from introduction]

The Study of the Rational Allocatio n of China’s Human Resources for Health

Through the supply and demand of China’s human resources for health status, age structure, educational level of existing health professionals and other aspects of statistical analysis to understand the current situation of China’s
health human resources, so as to put forward the healthy development of health human resource allocation optimization suggestions, and provide the basis for the formulation of relevant policies. [from abstract]

Role of Private Sector for HRH (Human Resource for Health) Production in Nepal

Human Resource for Health production was started in Nepal in a limited way some eighty years ago and picked up a
somewhat faster pace from the 1950s as per the requirements at that time. The establishment of the Institute of Medicine
led to some diversification but it was only after 1990 that there has been a much larger involvement of the private sector
in the production of Human Resources for Health. Although a number of categories have been listed in this article, the
position of doctors, dentists and nurses has been dealt with in more detail. [from abstract]

Preparedness for e-Health in developing countries: the case of Ghana

This paper reports on a literature review as part of a research program, which aims to inform the development of an effective roadmap for the successful implementation of the national e-Health initiative in Ghana. [from abstract]

Effect of Nursing Educational Guidelines on Women’s Awareness, Health Practices and Beliefs Regarding Prevention and Early Detection of Breast and Cervical Cancer

To evaluate the effect of nursing educational guidelines on women’s awareness, health practices and beliefs regarding the prevention and early detection of breast and cervical cancer. [from abstract]

Empirical impact evaluation of the WHO Global Code of Practice on the International Recruitment of Health Personnel in Australia, Canada, UK and USA.

The active recruitment of health workers from developing countries to developed countries has become a major threat to global health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for health worker recruitment, its impact has yet to be evaluated.

Early Implementation of WHO Recommendations for the Retention of Health Workers in Remote and Rural Areas

This paper presents experiences with local and regional adaptation and adoption of WHO recommendations. It highlights challenges and lessons learnt in implementation in two countries – the Lao People’s Democratic Republic and South Africa – and provides a broader perspective in two regions – Asia and Europe. At country level, the use of the recommendations facilitated a more structured and focused policy dialogue, which resulted in the development and adoption of more relevant and evidence-based policies. [from abstract]

Fact Sheet: Las conductas de riesgo para hombres indígenas que residen en las zonas de alto y bajo reporte de casos de VIH

This fact sheet was developed by teams of Guatemalan public health professionals who participated long-term capacity building process to promote secondary analysis of the National Maternal and Child Health Survey 2008-2009 (Encuesta Nacional de Salud Materno Infantil – ENSMI 2008-2009) [from abstract]

Burundi PLACE Report. Priorities for Local AIDS Control Efforts

Methods for monitoring and evaluating HIV prevention are urgently needed. Because resources for interventions are limited, there is an urgent need to focus interventions where they are most cost-effective. The approach taken in the PLACE method is to identify priority prevention areas and within these areas identify public places (such as hotels, bars, and events) where people meet new sexual partners. These places are potential intervention venues where the individuals most likely to transmit HIV can be accessed. Venues and events are identified by informants in the community.

Assessment of Health Management Information System (HMIS) Performance in SNNPR, Ethiopia

This document reports on the assessment findings that serve as a basis for formulating interventions to improve the HMIS performance and as a baseline for future monitoring of HMIS performance improvement in the zones. Additionally, lessons learned from this assessment will further inform needed modifications and/or adaptations of the HMIS performance assessment tools to be used for assessments in the remaining zones of SNNPR. [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]

Hardy Personality and Burnout Syndrome Among Nursing Students in Three Brazilian Universities—An Analytic Study

Nursing students may exhibit the characteristics of resistance to stress, such as hardiness, which can reduce the risk of burnout. However, we found only one published study about these phenomena among nursing students. Thus, we investigated the association between hardiness and burnout in such students. [from abstract]