Journal Articles

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]

Interprofessional Teamwork in the Trauma Setting: A Scoping Review

Despite the emphasis on inter-professional collaborative practice and patient safety, inter-professional team working in the trauma setting has received little attention. This paper presents the findings of a scoping review designed to identify the extent and nature of this literature in this setting. [from abstract]

Immediate Versus Sustained Effects: Interrupted Time Series Analysis of a Tailored Intervention

This paper describes the development, delivery, and evaluation of a tailored intervention designed to increase primary health care professionals’ adoption of a national recommendation that women with mild to moderate postnatal depression are referred for psychological therapy as a first stage treatment. [from abstract]

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]

Psychosocial Interventions for Perinatal Common Mental Disorders Delivered by Providers Who Are Not Mental Health Specialists in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

Working with care providers who are not mental health specialists, in the community or in antenatal health care facilities, can expand access to psychosocial interventions for perinatal common mental disorders in low-resource settings. This study assessed effects of such interventions compared to usual perinatal care, as well as effects of interventions based on intervention type, delivery method, and timing. [adapted from abstract]

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]

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]

Effect of Nurse Home Visits vs. Usual Care on Reducing Intimate Partner Violence in Young High-Risk Pregnant Women: A Randomized Controlled Trial

Expectant mothers and mothers of young children are especially vulnerable to intimate partner violence. The nurse-family partnership is a home visitation program in the United States effective for the prevention of adverse child health outcomes, and this study evaluates the effectiveness of this health worker approach on reducing intimate partner violence in The Netherlands. [adapted from author]

Individual Skills Based Volunteerism and Life Satisfaction among Healthcare Volunteers in Malaysia: Role of Employer Encouragement, Self-Esteem and Job Performance, A Cross-Sectional Study

The purpose of this paper is to analyze two important outcomes of individual skills-based volunteerism, job performance and life satisfaction, among healthcare volunteers in Malaysia. [adapted from abstract]

Effect of Ethiopia’s Health Extension Program on Maternal and Newborn Health Care Practices in 101 Rural Districts: A Dose-Response Study

The national Health Extension Program aims to provide universal access to primary health care services through more than 34,000 government-salaried female health extension workers. This article reports the effect of the project’s community-based newborn survival interventions on changes in maternal and newborn health care practices. [adapted from introduction]

Ugandan Medical and Health Sciences Interns' Infection Control Knowledge and Practices

This study aimed to highlight the shortcomings in knowledge, attitudes, and practices about infection control of recent graduates of clinical health sciences who started their one-year internship in Uganda so as to recommend areas in which infection control training could be improved. [adapted from author]

Tuberculosis in Healthcare Workers and Infection Control Measures at Primary Healthcare Facilities in South Africa

This study’s objectives were to investigate the implementation of tuberculosis (TB) infection control measures at primary healthcare facilities, the smear positive TB incidence rate amongst primary healthcare workers and the association between TB infection control measures and all types of TB in healthcare workers. [from abstract]

Hand Hygiene Practices among Community Health Officers in Rivers State, Nigeria

Health care associated infections are most commonly transmitted by the hands of Health care workers and other hospital personnel. Therefore, this study investigated compliance with hand hygiene guidelines and methods of hand hygiene practice among community health officers in Rivers State Nigeria. [adapted from abstract]

Cost-Effectiveness of Facility and Home Based HIV Voluntary Counseling and Testing Strategies in Rural Uganda

This article evaluates the cost effectiveness of facility-and home-based voluntary counseling and testing (VCT) utilizing community health workers with the primary outcome measure of extra cost per HIV sero-positive case identified to help for health service managers at primary care level in making decisions on suitable alternatives for VCT provision in rural communities in Uganda based on operational efficiency. [adapted from author]

Health Workforce Crisis

The author posits that the evaluation of discrete choice experiments for recruitment and retention of health workers and other experiments, including an articulated research agenda, can allow the development of policy and program options to deal with a golbal health workforce crisis that has curtailed the capacity of national health systems to improve the health of their populations. [adapted from author]

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

Since the need for additional human resources for health (HRH) was not initially considered by Global Health Initiatives, countries implemented short-term HRH strategies to allow antiretroviral scale-up. Such strategies differed from one country to another and slowly evolved to long-term HRH policies. This study examines the processes and content of the resulting HRH policy shifts in 5 countries in Sub-Saharan Africa. [adapted from abstract]

Effectiveness of an Aged Care Specific Leadership and Management Program on Workforce, Work Environment, and Care Quality Outcomes: Design of a Cluster Randomized Controlled Trial

This paper describes the study design of the cluster randomized controlled trial testing the effectiveness of an aged care clinical leadership program developed to improve managers’ leadership capacities to support the delivery of quality care in Australia. [adapted 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 to assess their potential for strengthening the delivery of adolescent health services. [from abstract]

Beyond Antimalarial Stock-Outs: Implications of Health Provider Compliance on Out-of-Pocket

This article evaluated how stock-outs of the first line antimalarial, medication and non-compliant health worker behavior influence household expenditures during care-seeking for fever in the Ulanga District in Tanzania.

Construction of a Decision Tool to Analyze Local Demand and Local Supply for GP Care Using a Synthetic Estimation Model

This study addresses the growing academic and policy interest in the appropriate provision of local healthcare services to the healthcare needs of local populations to increase health status and decrease healthcare costs. The research goal is to examine the construction of a decision tool which enables healthcare planners to analyse local supply and demand in order to arrive at a better match. [from abstract]

Factors Associated to Referral of Tuberculosis Suspects by Private Practitioners to Community Health Centers in Bali Province, Indonesia

The contrast between the low proportion of tuberculosis (TB) suspects referred from private practitioners in Bali province and the high volume of TB suspects seeking care at private practices suggests problems with TB suspect referral from private practitioners to the public health sector. This study aimed to identify key factors associated with the referral of TB suspects by private practitioners. [from abstract]

Program Evaluation of a Model to Integrate Internationally Educated Health Professionals into Clinical Practice

This study evaluates a program comprised of the educational tools and infrastructure to support internationally educated physiotherapists in their preparation for entry to practice in Canada and to improve their pass rate on the national competency examination. [adapted from abstract]

Roles and Effectiveness of Lay Community Health Workers in the Prevention of Mental, Neurological and Substance Use Disorders in Low and Middle Income Countries: A Systematic Review

This article summarizes a systematic literature review that aimed to assess the existing evidence base for the roles and effectiveness of lay community health workers in primary and secondary prevention of mental, neurological and substance us disorders in low and middle income countries. [adapted from abstract]