South Asia

Strengthening Human Resources Information Systems: Experiences from Bihar and Jharkhand, India

This technical brief outlines a human resources information system pilot project in India and presents the key results from this effort. [adapted from author]

Contracting in Specialists for Emergency Obstetric Care: Does it Work in Rural India?

Contracting in private sector is promoted in developing countries facing human resources shortages as a challenge to reduce maternal mortality. This study explored provision, practice, performance, barriers to execution and views about contracting in specialists for emergency obstetric care in rural India. [from abstract]

Job Satisfaction among Public Health Professionals Working in Public Sector: A Cross Sectional Study from Pakistan

The objective of the study was to determine the level of and factors influencing job satisfaction among public health professionals in the public sector. [from abstract]

Study of Status of Safe Injection Practice and Knowledge Regarding Injection Safety among Primary Health Care Workers in Baglung District, Western Nepal

This study was carried out to determine whether the selected government health facilities in Nepal satisfy the conditions for safe injections in terms of staff training, availability of sterile injectable equipment and their proper disposal after use; and to assess knowledge and attitudes of healthcare workers in these health care facilities with regard to injection safety. [from abstract]

Migration of Health Workers: A Challenge for Health Care System

This article outlines the issue of health worker migration and its impact on health systems of developing countries. It recommends a strategic approach by governments and other agencies for regulating the flow of health workers between countries using a range of policies and interventions to deal with the broader health system issues. [adapted from abstract]

Innovating to Save Lives: Improving Maternal and Newborn Health in Afghanistan

This report outlines the outcomes on maternal and child health of a program focused on building a competent, skilled health workforce in Afghanistan, strengthening delivery of quality health care services, increasing demand for health services, integrating gender awareness and practices into health care services and sustaining systemwide progress. [adapted from author]

Increase in Skilled Midwives in Afghanistan Leads to More Women Surviving Childbirth

This 3 minute video discusses the improvement in maternal mortality rates due to the training and incentive programs that have increased the number of midwives to provide maternal care.

Training Module on Development of Health Workforce Strategic Plans

This guide is to help the facilitators and trainers in
organizing training in their countries to create health workforce strategic plans. The training is based on the World Health Organization’s Regional Guidelines for the Development of the
Health Workforce Strategic Plan in countries of the South-East Asia Region. [adapted from author]

Regional Strategic Plan for Strengthening Health Service Management in the South-East Asia Region

This strategic plan is intended to provide directions for countries to develop comprehensive interventions to strengthen the management of health systems and health sector managers in a coherent and systematic manner. [adapted from author]

Seven Years of the Field Epidemiology Training Programme (FETP) at Chennai, Tamil Nadu, India: An Internal Evaluation

Beginning in 2001, the National Institute of Epidemiology admitted 80 trainees in its two-year field epidemiology training programme. This article evaluated the first seven years of the programme to identify strengths and weaknesses. [adapted from author]

Physician Migration at Its Roots: A Study on the Factors Contributing Towards a Career Choice Abroad Among Students at a Medical School in Pakistan

The main objectives of this study were to determine the prevalence of migration intentions in medical undergraduates, to elucidate the factors responsible and to analyze the attitudes and practices related to these intentions. [from abstract]

Health and Education Sector Collaboration in Adolescent Sexual and Reproductive Health in Sri Lanka: A Situational Analysis and Case Study of the Kalutara District

There is a paucity of knowledge concerning the roles of those who provide adolescent health services, care and information across the health and education sectors, how they are managed and educated, and the policies that guide their practice.

Needlestick Injuries in Dentistry

Needlestick injuries and other sharps-related injuries which expose health care professionals to bloodborne pathogens continue to be an important public health concern. This article presents comprehensive information on needlestick injuries (NSI), post exposure prophylaxis, precautions and suggestions for prevention of NSI in dentistry. [from abstract]

Effectiveness on Teachers' Training in Assessment Techniques: Participants' Perception

This questionnaire-based survey was carried out to find out the effectiveness of teachers training for medical education faculty on assessment (student evaluation) techniques. [adapted from author]

Increasing Access to Safe Abortion Services through Auxiliary Nurse Midwives Trained as Skilled Birth Attendants

This study attempted to determine the best way to implement new strategies of medical abortion and increase safety and access using auxiliary nurse midwives trained as skilled birth attendants [adapted from author].

Determinants of Skilled Birth Attendants for Delivery in Nepal

This review is to explore the factors affecting the uptake of skilled birth attendants for delivery and the issues associated with women’s role and choices of maternal health care service for delivery in Nepal. [from abstract]

Economic Evaluation of a Task-Shifting Intervention for Common Mental Disorders in India

The present study evaluates the cost–effectiveness and cost–utility of a trial task shifting approach to mental health services with the hope that the additional resources needed to train, pay and supervise the lay health workers used in the task-shifting approach to the primary care of common mental disorders would promote recovery and reduced disability in a more cost–effective manner than more conventional care. [adapted from author]

Doctoring the Village Doctors: Giving Attention Where It Is Due

This book outlines the impact of a package of public health interventions aimed at improving the quality of care of informal village doctors in a rural area of Bangladesh, where village doctors are the primary group of informal healthcare providers practising and dispensing modern medicines. [adapted from publisher]

Why Are Tuberculosis Patients Not Treated Earlier? A Study of Informal Health Practitioners in Bangladesh

The objective of this article was to study the role of informal health practitioners in delays in initiating tuberculosis (TB) treatment in new smear-positive TB patients. [from author]

Assessing Community Health Workers' Performance Motivation: A Mixed-Methods Approach on India's Accredited Social Health Activists (ASHA) Programme

This study examined the performance motivation of community health workers and its determinants on India’s Accredited Social Health Activist program. [from abstract]

Role of Civil Society in Human Resources for Health

The overall objective of the report is to analyse the role of civil society engagement in enhancing the health service delivery in Nepal. Health service delivery is associated with the efficiency of human resource for health. [from author]

Working Conditions of the Health Workforce in Nepal

This report examines working conditions of health workers in Nepal in relation to income and incentives, work supplies and equipment, issues on safety and security and the role of local authorities and the community. [from summary]

Human Resources for Health Management from Central to District Level in Nepal

The report analyses the Ministry of Health and Population Human Resources for Health Management system in Nepal. It examines the main gaps in the human resources management system in the health sector and makes recommendations for viable mechanisms to strengthen the system. [from summary]

Health Workforce Performance and Accoutability (Availability, Competency, Responsiveness and Productivity)

This report provides insight into health workforce performance in Nepal, looking at the four dimensions of health workforce performance: availability, competency, responsiveness and productivity. It informs policy-makers and managers on interventions to improve health workforce performance in Nepal. [from summary]

Training, Recruitment, Placement and Retention of Health Professionals with an Emphasis on Public Private Partnership (PPP)

This report analyses the current situation of HRH training, recruitment, placement and retention in the health system of Nepal with an emphasis on role of public private partnership to address the HRH related gaps with suitable policy interventions. [from summary]

Distribution and Skill Mix of Human Resources for Health in Nepal

The Ministry of Health and Population of Nepal has identified major challenges in human resources for health, specifically in the shortage, distribution and skill mix of health workers in the country. This report aims to provide insight into specific challenges and policy recommendations for the ministry and concerned stakeholders. [from summary]

India's Health Workforce: Current Status and the Way Forward

This article compiles the information available on the health workforce of India from different sources and suggests a plan to address the shortages in different cadres. [from introduction]

Are Community Midwives Addressing the Inequities in Access to Skilled Birth Attendance in Punjab, Pakistan? Gender, Class and Social Exclusion

To address its high maternal mortality rate, in particular the inequities in access to maternal health care services, the government of Pakistan created a new cadre of community-based midwives. This study is designed to address a critical gap in our knowledge about whether this cadre of workers, operating in the private health care context, will meet the expectation to provide care to the poorest and most marginalized women. [adapted from author]

Private Rural Health Providers in Haryana, India: Profiles and Practices

Despite a widespread public health system, the private healthcare sector is the major provider of health care in rural India. This study describes the profile and medical practices of private rural health providers in rural Haryana, India. [from abstract]

How Does Capacity Building of Health Managers Work? A Realist Evaluation Study Protocol

The authors present the protocol of an evaluation of a district-level capacity-building intervention to identify the determinants of performance of health workers in managerial positions and to understand how changes (if any) are brought about. The scope for applying realist evaluation to study human resource management interventions in health is also discussed. [from abstract]