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Occupational Health and Safety Policy Guidelines for the Health Sector

The Ministry of Health/Ghana Health Service in collaboration with the World Health Organization (W.H.O.) country office commissioned the development of this policy and guidelines on occupational health and safety (OHS) of health workers in view of the tremendous risks posed to these workers in the process of rendering invaluable services to mankind. We wish to express our appreciation to the W.H.O. for supporting this effort. [from introduction]

Assessing the Relevance, Efficiency, and Sustainability of HIV/AIDS In-Service Training in Nigeria

Using the IST Improvement Framework, developed by the USAID Applying Sciences to Strengthen and Improve Systems Project (ASSIST), as a guide, the authors developed a survey tool to assess the efficiency, effectiveness and sustainability of IST provided between January 2007 and July 2012 by PEPFAR-funded implementing partners in Nigeria. [from abstract]

Consultation on the Libyan Health Systems: Towards Patient-Centred Services

The extra demand imposed upon the Libyan health services during and after the Libyan revolution in 2011
led the ailing health systems to collapse. To start the planning process to re-engineer the health sector, a conference was held in Tripoli, Libya to facilitate a consultative process between 500 Libyan health experts in order to identify the problems within the Libyan health system and propose potential solutions. This article summarises the 500 health expert recommendations that seized the opportunity to map a modern health systems to take the Libyan health sector into the 21st century.

Human Resource Management Practices in a Medical Complex in the Eastern Cape, South Africa: Assessing Their Impact on the Retention of Doctors

To explore the key human resource (HR) practices affecting doctors in a medical complex in the Eastern Cape, South Africa. [from abstract]

Using Incentives to Attract Nurses to Remote Areas of Tanzania: A Contingent Valuation Study

This article analyses (1) how financial incentives (salary top-ups) and non-financial incentives (housing and education) affect nurses’ willingness to work in remote areas of Tanzania and (2) how the magnitude of the incentives needed to attract health workers varies with the nurses’ geographic origin and their intrinsic motivation. [from abstract]

Community Based Education in Health Professions: Global Perspectives

“Community Based Education in Health Professions: Global Perspectives” presents a collection of case studies from Bangladesh, Brazil, Egypt, India, Pakistan and South Africa describing different ways of planning, implementing and sustaining community-based education for health students. The case studies provide an account of what worked and what did not, the trials and errors, and the challenges and lessons learned. [adapted from introduction]

Improving Health through the Social Quality Approach in 800 Communes in Madagascar

The social quality approach is a community-based approach for encouraging service recipients to get involved in the availability, use, and quality of health services. This report, based on Santenet2 project data, correlation analysis, and qualitative data collection, illustrates the implementation process, successes and essential components to the successful implementation of the social quality approach. [from executive summary]

Kenyan Women Medical Doctors and Their Motivations to Pursue International Research Training

Through interviews, researchers found Kenyan women medical clinical researchers shared similar motivations as US women but differed as well. Kenyan medical doctors pursued health research within a context of limited resources, but the ability to balance work and family while contributing to public health through research and leadership was highly valued. [adapted from abstract]

'My Dreams Are Shuttered Down And It Hurts Lots’ – A Qualitative Study of Palliative Care Needs and Their Management by HIV Outpatient Services in Kenya and Uganda

Despite the huge burden of HIV in sub-Saharan Africa, there is little evidence of the multidimensional needs of patients with HIV infection to inform the person-centred care across physical, psychological, social and spiritual domains stipulated in policy guidance. We aimed to describe the problems experienced by people with HIV in Kenya and Uganda and the management of these problems by HIV outpatient services. [from abstract]

Report on the Society for Family Health Gender Assessment

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]

Analysis of Human Resources for Health Strategies and Policies in 5 countries in Sub-Saharan Africa, in Response to GFATM and PEPFAR-funded HIV-activities

A multi-country study was conducted from 2007 to 2011 in 5 countries (Angola, Burundi, Lesotho, Mozambique and South Africa), to assess the impact of GHIs on the health system, using a mixed methods design. This paper focuses on the impact of GFATM and PEPFAR on HRH policies. [from abstract]

Evaluation of Spaced Education as a Learning Methodology for In-Service Training of Health Workers in Ethiopia

This pilot study, which followed a convenience sample of 37 Ethiopian nationals enrolled in a spaced education course over a six-month period, attempted to determine the acceptability and effectiveness of the methodology in a low-resource context. [from abstract]

Rural Allied Health Scholarships: Do They Make a Difference?

Specifically this study aimed to examine the profile of the QHRSS-AH recipients from 2000 to 2010 including graduate recruitment outcomes and retention within the scholarship program. It also explored the influence of the QHRSS-AH on early career practice location decisions and the features of the scheme that influenced motivation to be involved as either a scholarship holder or manager, perceived barriers to employment of scholarship holders in rural or remote services, experiences of scholarship holders as new graduates in rural and remote services and views on support requirements.

Recruitment and Retention of Rural Nursing Students: a Retrospective Study

The purpose of this study was to compare rural and urban nursing students in relation to application, admission, and retention/graduation trends at a metropolitan state university in the Pacific Northwest area of the USA. [from abstract]

Preservice Laboratory Education Strengthening Enhances Sustainable Laboratory Workforce in Ethiopia

An assessment of existing preservice education of five medical laboratory schools, followed by remedial intervention and monitoring was conducted.[from abstract]

Review of Generalist and Specialist Community Health Workers for Delivering Adolescent Health Services in Sub-Saharan Africa

This paper reviews the literature on generalist and specialist community health workers (CHWs) to assess their potential for strengthening the delivery of adolescent health services. [from abstract]

Meeting Community Health Worker Needs for Maternal Health Care Service Delivery Using Appropriate Mobile Technologies in Ethiopia

This project aimed to meet the technical needs of Health Extension Workers and midwives in Ethiopia for maternal health using appropriate mobile technologies tools. [from introduction]

Short Structured General Mental Health In Service Training Programme in Kenya Improves Patient Health and Social Outcomes but Not Detection of Mental Health Problems: A Pragmatic Cluster Randomized Controlled Trial

This paper reports an exploratory trial designed to test the effect of a low-cost training in-service training intervention for primary health care providers on: the rate of accurate routine clinic detection of mental disorder and recovery (improved health and social outcomes and quality of life) of clients. [adapted from author]

Development of a Brief Instrument for Assessing Healthcare Employee Satisfaction in a Low-Income Setting

The authors sought to develop a healthcare employee satisfaction survey for use in hospitals and health centers throughout Ethiopia to improve retention of health care workers. [adapted from abstract]

Evaluation of Spaced Education as a Learning Methodology for In-Service Training of Health Workers in Ethiopia

This pilot study followed 37 Ethiopian nationals enrolled in a spaced education course over a six-month period, attempted to determine the acceptability and effectiveness of the electronic delivery methodology in a low-resource context. [adapted from abstract]

Engaging People Living With HIV as Lay Counsellors in HIV Care and Treatment Services: Experiences in Kilimanjaro, Tanzania

This document summarises the key components of the lay counsellors programme that have contributed to its success, such as careful recruitment practices and recognition of lay counsellors as valued members of health-care teams. Also highlighted are specific steps that support the use of people living with HIV as lay counsellors and parameters regarding how to monitor the impact of this work. [from summary]

Sharing Tasks Among Health Care Workers in Uganda to Integrate Rapid Syphilis Testing in PMTCT Services

This article outlines a study to assess the feasibility, acceptability, and cost-effectiveness of introducing rapid syphilis tests for same-day testing and treatment of syphilis at established prevention of mother-to-child transmission (PMTCT) sites in Uganda. [from author]

Impact of Japan's 2004 Postgraduate Training Program on Intra-Prefectural Distribution of Pediatricians in Japan

This study examined the trends in the geographic distribution of pediatricians as well as all physicians from 1996 to 2010 to identify the impact of the launch of a new training program for new medical graduates. [from abstract]

Effect of an E-mental Health Approach to Workers' Health Surveillance versus Control Group on Work Functioning of Hospital Employees: A Cluster-RCT

This study aimed to evaluate an e-mental health approach to workers’ health surveillance targeting work functioning and mental health of healthcare professionals in a randomized controlled trial. [from abstract]

Road Map for Strengthening the Caribbean Health Workforce, 2012-2017

This road map proposes a five-year framework to guide policies for planning and managing the Caribbean workforce and education for enhancing the skills of that workforce. The thrust of the road map focuses on broadening primary health care access in the region and enhancing public health competencies, as well as strengthening the HRH planning and management capacity of the countries and the region. [from author]

Road Map for Scaling Up the Human Resources for Health for Improved Health Service Delivery in the African Region 2012-2015

The purpose of this document is to introduce the road map and highlight the key issues and challenges hindering the achievement of universal coverage of health care and relating to the human resources component of the health system. The document then sets forth a series of actions to be taken to overcome these challenges. [from author]

Factors Affecting Compliance with Clinical Practice Guidelines for Pap Smear Screening among Healthcare Providers in Africa: Systematic Review and Meta-Summary of 2045 Individuals

The aim of this study was to conduct a systematic review and meta-summary to identify factors affecting compliance among healthcare providers in Africa with clinical practice guidelines for pap screening to reduce cancer incidence and mortality. [adapted from abstract]

Structured Pro-Active Care for Chronic Depression by Practice Nurses in Primary Care: A Qualitative Evaluation

This qualitative study explored the impact and appropriateness of structured pro-active care reviews by practice nurses for patients with chronic or recurrent depression and dysthymia within a nationwide randomized controlled trial which compared usual general practitioner care with structured pro-active care involving 3 monthly review appointments with practice nurses over 2 years for patients with chronic or recurrent depression. [adapted from abstract]

Cross Sectional Study of Knowledge and Attitudes Towards Tuberculosis among Front-Line Tuberculosis Personnel in High Burden Areas of Lima, Peru

This study analyzed mean knowledge scores among health workers in 66 health centers in Peru to identify overall gaps in key areas of tuberculosis (TB) treatment and control knowledge, and attitudes towards the disease and the national TB control program. [adapted from abstract]

Preservice Laboratory Education Strengthening Enhances Sustainable Laboratory Workforce in Ethiopia

The goal of this research was to carry out a formative evaluation of the feasibility of strengthening pre-service laboratory education in partnership with local universities to ensure a skilled and well trained laboratory workforce for overall healthcare system strengthening. [from author]