Browse by Geographic Focus

Challenges to the Implementation of the Integrated Management of Childhood Illness (IMCI) at Community Health Centres in West Java Province, Indonesia

The integrated management of childhood illness (IMCI) is a comprehensive approach to child health, which has been adopted in Indonesia since 1997. This study aims to provide an overview of IMCI implementation at community health centres (puskesmas) in West Java province, Indonesia.[from abstract]

Note: Resource is on 161-170.

Health Professionals’ Readiness to Implement Electronic Medical Record System at Three Hospitals in Ethiopia: A Cross Sectional Study

Electronic medical record systems are being implemented in many countries to support healthcare services. However, its adoption rate remains low, especially in developing countries due to technological, financial, and organizational factors. There is lack of solid evidence and empirical research regarding the pre implementation readiness of healthcare providers. The aim of this study is to assess health professionals?

Rwanda's Evolving Community Health Worker System: A Qualitative Assessment of Client and Provider Perspectives

Community health workers (CHWs) can play important roles in primary health care delivery, particularly in settings of health workforce shortages. However, little is known about CHWs’ perceptions of barriers and motivations, as well as those of the beneficiaries of CHWs.[from abstract]

Tackling Violence Against Health-Care Workers

Globally, health-care workers experience high rates of violence and abuse in the workplace. More focus should be put on preventing such attacks, say experts. [from introduction]

Violence Against Primary Health Care Workers in Al-Hassa, Saudi Arabia

This self-report questionnaire study was carried out in Al-Hassa, Saudi Arabia to highlight the magnitude, predictors, and circumstances of workplace violence against primary health care (PHC) workers. A total of 1,091 workers completed a self-administered questionnaire. [from abstract]

Stop Violence Against Medical Workers in China

The incidence of patient-doctor disputes are alarmingly increasing in China, this article reviews the current status and causes of violence against medical workers in China, six strategies to tackle the daily worrying problems have been proposed and hopefully could improve the medical working environment in China. [from abstract]

Aggression and Violence Against Health Care Workers in Germany - A Cross Sectional Retrospective Survey

Although international scientific research on health issues has been dealing with the problem of aggression and violence towards those employed in health care, research activities in Germany are still at an early stage. In view of this, the aim of this study was to examine the frequency and consequences of aggressive behaviour towards nurses and health care workers in different health sectors in Germany and to assess the need for preventive measures. [from abstract]

Universal Health Coverage Assessment: People’s Republic of Bangladesh

This document provides a preliminary assessment of the Bangladeshi health system relative to the goal of universal
health coverage, with a particular focus on the financing system and related aspects of provision. [from introduction]

Información Para la Calidad del Sistema de Salud en Colombia: Una Propuesta de Revisión Basada en el Modelo Israelí

El objetivo del estudio es contribuir a mejorar la salud en Colombia mediante el desarrollo de un sistema nacional de indicadores de desempeño del sector salud. Para ello se utilizó un análisis descriptivo de datos secundarios de Colombia e Israel que, como Colombia, tiene un modelo de competencia regulada. [from abstract]

Competency-Based Medical Education in Two Sub-Saharan African Medical Schools

This paper presents two medical schools, Makerere University College of Health Sciences and College of Medicine, University of Ibadan, which successfully implemented CBME [Competency-Based Medical Education]. The processes of curriculum revision are described and common themes are highlighted. Both schools used similar processes in developing their CBME curricula, with early and significant stakeholder involvement. [from abstract]

Against the Odds: Mozambique's Gains in Primary Health Care

Despite numerous persistent challenges – including low quality of care, continuing inequalities and the substantial impact of the HIV/AIDS pandemic – Mozambique provides important lessons to other countries aiming to scale up health provision rapidly in a post-conflict setting. These particularly include the importance of focusing on distance and education as barriers to access, using innovative and low-cost human-resource policies to scale up health personnel quickly, and of moving towards more coordinated systems of aid disbursement. [from abstract]

Pathways to Progress: A Multi-Level Approach to Strengthening Health Systems

This report synthesises findings from five country case studies from the health dimension of this project, which focus
on maternal and child health (MCH) (Mozambique,Nepal, Rwanda) and neglected tropical diseases (NTDs)(Cambodia, Sierra Leone). MCH was selected given its centrality in two of the Millennium Development Goals (MDGs) and its ability to act as a proxy for strengthened health systems.

Mental Health in Developing Countries: Challenges and Opportunities in Introducing Western Mental Health System in Uganda

This paper presents a review of the attempt to implement a western-oriented mental health system into
a different culture, specifically a developing country such as Uganda. It draws upon an extensive literature review
and the author’s work in Uganda to identify the lessons learned as well as the challenges of introducing a western-
oriented mental health system in a totally new cultural milieu. [from abstract]

Cost-Effectiveness of Improving Health Care to People with HIV in Nicaragua

Nurses need to participate in CPE to update their knowledge and increase their competencies. This research was carried out to explore their current practice and the future general needs for CPE. [from abstract]

Centre de Documentation Electronique - VIH/sida - Côte d'Ivoire

Le CDE [Centre de Documentation Electronique] se veut un centre de partage et d’échange de connaissances et d’expériences en matière de lutte contre le VIH/sida. Vous trouverez dans cet espace toute information, documents, publications, ainsi que des outils de communication utiles développés par le CCP [ Centre des Programmes de Communication de l’Université de Johns Hopkins] et ses partenaires dans le cadre de la lutte contre le VIH/sida impliquant les jeunes en Côte d’Ivoire. [from introduction]

Reaching Men Who Have Sex with Men in Ghana through Social Media: A Pilot Intervention

The use of social media is a very important avenue for reaching MSM who are not reached by peer educators in Ghana. The method should be adopted as an integral outreach approach for HIV-prevention interventions in the future.[from abstract]

“Hidden on the Social Media”: HIV Education on MSM through Cyber-Educators in Central America

The Pan-American Social Marketing Organization (PASMO) developed a combination prevention intervention in Central America that delivers HIV prevention behavior change communication (BCC) messages, products, services, and referrals to promote improved condom and condom-compatible lubricant use, HIV testing, violence reporting and the use of complementary services. [from abstract]

Perceived Barriers to Accessing Specialized Medical Care in Rural Communities of Ontario: A Pilot Study

Rural residents seeking health care face barriers due to a shortage of healthcare professionals and the travel distance required to obtain medical services. A pilot study was conducted to examine rural residents’ ability to access specialized care. This quantitative pen and paper survey was implemented in two communities with similar health care infrastructure(Tweed, Ontario and Hensall, Ontario). [adapted from abstract]

Progress Toward Universal Health Coverage in ASEAN

The Association of Southeast Asian Nations (ASEAN) is characterized by much diversity in terms of geography, society, economic development, and health outcomes. The health systems as well as healthcare structure and provisions vary considerably. Consequently, the progress toward Universal Health Coverage (UHC) in these countries also varies. This paper aims to describe the progress toward UHC in the ASEAN countries and discuss how regional integration could influence UHC. [from abstract]

Needs-Based Human Resources for Health Planning in Jamaica: Using Simulation Modelling to Inform Policy Options for Pharmacists in the Public Sector

The purpose of the work described in this paper is to describe the development and application of a needs-based HRH simulation model for pharmacists in Jamaica’s largest health region. [from abstract]

Financing Medical Education through the Private Sector

From 2010 through 2013, the SHOPS project implemented a series of pilot activities to explore the feasibility of introducing private sector health education financing mechanisms. SHOPS explored private sector solutions to help meet ambitious targets from the U.S. President’s Emergency Plan for AIDS Relief for training new health care workers. This report shares the project’s work with private pre-service education financing in Malawi, Rwanda, Tanzania, and Zambia.

The Drivers of Universal Health Care in South Africa: The Role of Ideas, Institutions and Actors

This paper outlines the opportunities and challenges posed by the proposed NHI [National Health Insurance] reforms in South Africa. It begins by explaining the country’s current system of health care provision including its human resource structure, functions and cost implications. It then summarizes the deficits and limitations of the current two-tiered health system and discusses what NHI is trying to achieve within this context and how it hopes to address the problems. [from summary]

Family Planning (Planin)

A 16-hour training providing information to Community Health Workers regarding defining family planning and describing various methods of family planning, explaining advantages of family planning at the individual, family, and community levels, identify cultural and social barriers to practicing family planning and counseling individuals and couples about the benefits of family planning and how to choose an appropriate method of family planning. [adapted from resource]

Community Health Workers Programme in Luanda, Angola: an Evaluation of the Implementation Process

The Community Health Workers (CHWs) Programme was launched in Luanda, Angola, in 2007 as an initiative of the provincial government. The aim of this study was to assess its implementation process. This is a case study with documental analysis, CHWs reports data, individual interviews and focal groups. [from abstract]

Policy Brief: Strengthening Vital Statistics Systems

The Policy Brief has looked into different systems that produce data on causes of death and laid out some options and potential strategies that countries might follow to rapidly and cost-effectively improve the cause of death information that these systems produce. This in turn would greatly benefit national health planning and increase critical knowledge about disease burden in the region as well as provide accurate information about how it is changing. [from introduction]

Health Systems Integration of Sexual and Reproductive Health and HIV Services in Sub-Saharan Africa: A Scoping Study

Both sexual and reproductive health (SRH) services and HIV programs in sub-Saharan Africa are typically delivered vertically, operating parallel to national health systems. The objective of this study was to map the evidence on national and international strategies for integration of SRH and HIV services in sub-Saharan Africa and to develop a research agenda for future health systems integration. [from abstract]

Factors Affecting Time Management and Nurses’ Performance in Hebron Hospitals

The purpose of this study was to investigate the factors affecting time management(personal, and administration obstacles) and nurses performance in Hebron hospitals. [from abstract]

Changes in Transformational Leadership and Empirical Quality Outcomes in a Finnish Hospital over a Two-Year Period: A Longitudinal Study

This paper describes the changes in transformational leadership and quality outcomes that occurred between 2008 and 2011 in a Finnish university hospital that is aiming to meet the Magnet standards. [from abstract]

Managing Quality in Community Health Care Services

Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study into how quality is managed in community services. It explores how community care providers define and measure quality and recommends important next steps to support better measurement and management of quality. [from introduction]

Small Group Effectiveness in a Caribbean Medical School’s Problem-Based Learning Sessions

The Tutorial Group Effectiveness Instrument was developed to provide objective information on the effectiveness of small groups. Student perception of small group effectiveness during the problem base learning (PBL) process has not been previously studied in Xavier University School of Medicine (Aruba, Kingdom of the Netherlands); hence, the present study was carried out. [from abstract]