Browse by Geographic Focus

Evaluation of the Quality of IMCI Assessments among IMCI Trained Health Workers in South Africa

This report is an evaluation of integrated management of childhood illness, a strategy to reduce mortality and morbidity in children under 5 years by improving health workers’ case management of common and serious illnesses at primary health care level, in two provinces of South Africa. [adapted from abstract]

How Do United Kingdom (UK) Medical Schools Identify and Support Undergraduate Medical Students Who Fail Communication Assessments? A National Survey

This survey aimed to consolidate practices for identifying and processes for managing students who fail communication assessments designed to test a doctor’s ability to communicate effectively (with patients, relatives, advocates and healthcare colleagues) across all UK medical schools. [adapted from abstract]

Qualitative Exploratory Study: Using Medical Students' Experiences to Review the Role of a Rural Clinical Attachment in KwaZulu-Natal

This paper describes the rural clinical attachment experiences of medical students, illustrates that forces affecting such experiences cannot be predicted readily, and highlights that a rural clinical attachment can be of value, irrespective of whether or not the student chooses to practice in a rural area. [from author]

Development of a Screening Tool to Identify Female Survivors of Gender-Based Violence in a Humanitarian Setting: Qualitative Evidence from Research among Refugees in Ethiopia

This article presents qualitative research used to inform the development of a screening tool as a potential strategy to identify and respond to gender based violence (GBV) for females in humanitarian settings. The findings suggest that routine GBV screening by skilled service providers offers a strategy to confidentially identify and refer survivors to needed services within refugee settings, potentially enabling survivors to overcome existing barriers. [adapted from author]

Evaluating an Implementation Strategy in Cardiovascular Prevention to Improve Prescribing of Statins in Germany: An Intention to Treat Analysis

This study evaluated the impact of a brief educational intervention in cardiovascular prevention in primary care physicians’ prescribing behavior regarding statins beyond their participation in a randomized controlled trial. [from abstract]

Learning Styles and Preferences for Live and Distance Education: An Example of a Specialization Course in Epidemiology

This article studied the relation between medical student participant learning styles and participation in live and distance education and the value that participants place on these two methodologies. [adapted from abstract]

Knowledge and Confidence of South African Health Care Providers Regarding Post-Rape Care: A Cross-Sectional Study

The objectives of this paper are to identify the factors associated with higher knowledge and confidence in providers at the commencement of a training on post-rape care and to reflect on the implications of this for training and other efforts being made to improve services. [from abstract]

Adherence to Management Guidelines for Growth Faltering and Anaemia in Remote Dwelling Australian Aboriginal Infants and Barriers to Health Service Delivery

This study describes the adherence to infant guidelines for anaemia and growth faltering by remote health staff and barriers to effective service delivery in remote settings. [from abstract]

Noninferiority of a Task-Shifting HIV Care and Treatment Model Using Peer Counselors and Nurses Among Ugandan Women Initiated on ART: Evidence From a Randomized Trial

The objective of this study was to assess the non-inferiority of a task-shifting HIV treatment model relying on peer counselors and nurses compared with a physician-centered model among HIV-1-positive women initiated on antiretroviral therapy (ART) at a prevention of mother-to-child transmission clinic in Mulago Hospital, Uganda. [from abstract]

Facilitated Patient Feedback Can Improve Nursing Care: A Pilot Study for a Phase III Cluster Randomised Controlled Trial

This randomized trials was conducted to test the effectiveness of patient feedback on quality improvement of nursing care in English hospitals. [adapted from abstract]

Using a Campaign Approach Among Health Workers to Increase Access to Antiretroviral Therapy for Pregnant HIV-Infected Women in South Africa

This study evaluated a targeted brief antiretroviral (ART) campaign among health workers that used quality improvement health systems approaches to significantly improve access to ART for HIV-infected pregnant women across a large health district in South Africa. [adapted from author]

Developing a Tool to Measure Satisfaction among Health Professionals in Sub-Saharan Africa

Measurement of health workers’ satisfaction adapted to sub-Saharan African working conditions and cultures is a challenge. The objective of this study was to develop a valid and reliable instrument to measure satisfaction among health professionals in the sub-Saharan African context. [from abstract]

Shaping Legal Abortion Provision in Ghana: Using Policy Theory to Understand Provider-Related Obstacles to Policy Implementation

This study investigated the reasons for poor implementation of the legal abortion policy in Ghana using Lipsky’s theory of street-level bureaucracy to better understand how providers shape and implement policy and how provider-level barriers might be overcome. [from abstract]

Using Verbal Autopsy to Ascertain Perinatal Cause of Death: Are Trained Non-Physicians Adequate?

This initiative’s objective was to develop a standardized verbal autopsy training program and evaluate whether its implementation resulted in comparable knowledge required to classify perinatal cause of death by physicians and non-physicians. [from abstract]

Improving Community Health Workers' Knowledge and Behavior about Proper Content in Malaria Education

This article reports on an intervention to enhance the knowledge and behavior of community health workers on providing adequate
education to patients on malaria. [adapted from author]

Case Study: Does Training of Private Networks of Family Planning Clinicians in Urban Pakistan Affect Service Utilization?

This study aimed to determine whether training of providers participating in franchise clinic networks is associated with increased family planning service use among low-income urban families in Pakistan.

Uncovering High Rates of Unsafe Injection Equipment Reuse in Rural Cameroon: Validation of a Survey Instrument that Probes for Specific Misconceptions

The main objective of this study is to assess the extent of unsafe injection equipment reuse by health workers and potential for blood-borne virus transmission in Cameroon. [from abstract]

Community Health Workers Can Identify and Manage Possible Infections in Neonates and Young Infants: MINI, a Model from Nepal

This article describes the Morang Innovative Neonatal Intervention
(MINI), which tested a replicable model for the community management of neonatal infections within the existing government health system through the use of female community health volunteers. [adapted from author]

Spread of PMTCT and ART Better Care Practices through Collaborative Learning in Tanzania

This evaluation aims to describe and analyze peer-to-peer learning among health workers and the spread of better care practices within regions and across regions improve care provided to those needing HIV and AIDS services. [adapted from summary]

Barriers to Implementation of the HIV Guidelines in the IMCI Algorithm among IMCI Trained Health Workers in Zambia

Since 2004, health workers that have undergone integrated management of childhood illness (IMCI) case management training have also received training in HIV assessment, but follow-up showed that 97% of the health workers assessed did not review or mention the HIV guidelines even though they had received the training. This study aimed to explore reasons for non-adherence to HIV guidelines in the IMCI algorithm and make recommendations on how this can be improved. [adapted from abstract]

Why Do Some Women Still Prefer Traditional Birth Attendants and Home Delivery? A Qualitative Study on Delivery Care Services in West Java Province, Indonesia

This study aims to explore the perspectives of community members and health workers about the use of delivery care services in six villages of West Java Province where many women still deliver at home and without the assistance of trained birth attendants. [from abstract]

Challenges Faced by Health Workers in Providing Counselling Services to HIV-Positive Children in Uganda: A Descriptive Study

A descriptive study was conducted to explore the challenges health workers face in providing HIV counselling and testing services to children in Uganda. [adapted from abstract]

Occupational Exposure to HIV: A Conflict Situation for Health Workers

This study aimed to determine the frequency of occupational exposure to HIV, the circumstances and predisposing factors, the high-risk groups, the extent to which exposures are reported and the post-exposure prophylaxis utilized by health-care workers and students in a Ugandan hospital. [from abstract]

Community Mobilization and Health Management Committee Strengthening to Increase Birth Attendance by Trained Health Workers in Rural Makwanpur, Nepal: Study Protocol for a Cluster Randomised Controlled Trial

This protocol will test the effect of community mobilization through women’s groups, and health management committee strengthening, on institutional deliveries and home deliveries attended by trained health workers. [adapted from abstract]

Keeping Health Staff Healthy: Evaluation of a Workplace Initiative to Reduce Morbidity and Mortality from HIV/AIDS in Malawi

This study evaluated two workplace initiatives providing medical services, including HIV care; and a support group for HIV-positive staff to determine the uptake and outcome of HIV testing and counselling among health staff and their dependents; uptake and outcomes of antiretroviral therapy among health staff; and membership and activities of the support group. [adapted from abstract]

Tackling Health Workforce Shortages During Antiretroviral Treatment Scale-Up: Experiences from Ethiopia and Malawi

This article draws on the experience of Malawi and Ethiopia, which have been able to successfully increase their health workforce over a relatively short period, allowing scaling up of antiretroviral treatment. [from abstract]

Changes in Clients' Care Ratings after HIV Prevention Training of Hospital Workers in Malawi

This study examined the changes in clients’ health-care ratings before and after hospital workers received an HIV prevention intervention in Malawi, which increased the workers’ personal and work-related HIV prevention knowledge, attitudes and preventive behaviors. [from abstract]

Suspending Judgement: A Report of the Training Workshop on Stigma Reduction for Health Care Workers

This report documents the findings from a three day workshop on HIV
related stigma reduction for health care workers in India. The workshop was organized to test out an approach and materials for training health care workers about HIV related stigma in order to organize a large scale training program for health care workers and to build on the efforts of the World Bank to raise awareness on HIV stigma and discrimination. [adapted from introduction]

Clinical Staging of HIV-Related Illness in Mozambique: Performance of Nonphysician Clinicians Based on Direct Observation of Clinical Care and Implications for Health Worker Training

In Mozambique, clinical staging may be the primary determinant of HIV/AIDS treatment decisions, and the task of staging commonly falls to non-physician clinicians. This study evaluated the quality of performance in clinical staging two years after the first Mozambican clinicians were trained in HIV/AIDS care. [adapted from abstract]

Applying WHO's Workforce Indicators of Staffing Need (WISN) Method to Calculate the Health Worker Requirements for India's Maternal and Child Health Service Guarantees in Orissa State

In one district of India, the authors used the WISN method to calculate the number of health workers required to achieve the maternal and child health service guarantees of the country and measured the difference between this ideal number and current staffing levels. [adapted from abstract]