Workforce Resources for Health in Developing Countries
Shrikant I. Bangdiwala,Shrikant I. Bangdiwala,Sharon Fonn,Osegbeaghe Okoye,Stephen Tollman,Stephen Tollman +5 more
TLDR
Countries should first identify their health problems in order to properly address their health worker needs, retention, recruitment and training, if they are to come close to reaching the Millennium Development Goals (MDGs) for health.Abstract:
With increased globalization and interdependence among countries, sustained health worker migration and the complex threats of rapidly spreading infectious diseases, as well as changing lifestyles, a strong health workforce is essential. Building the human resources for health should not only include healthcare professionals like physicians and nurses, but must take into consideration community health workers, mid-level workers and strengthened primary healthcare systems to increase coverage and address the basic health needs of societies. This is especially true in low and middle-income countries where healthcare access is a critical challenge. There is a global crisis in the health workforce, expressed in acute shortages and maldistribution of health workers, geographically and professionally. This massive global shortage, though imprecise quantitatively, is estimated at more than 4 million workers. To respond to this crisis, policies and actions are needed to address the dynamics of the health labour market and the production and management of the health workforce, and to strengthen the performance of existing health systems. Schools of public health need to develop the range of capacity and leadership in addition to the traditional training of healthcare managers and researchers. Countries should first identify their health problems in order to properly address their health worker needs, retention, recruitment and training, if they are to come close to reaching the Millennium Development Goals (MDGs) for health.read more
Citations
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Health workforce and governance: the crisis in Nigeria
Davies Adeloye,Davies Adeloye,Rotimi A. David,Adenike Ayobola Olaogun,Asa Auta,Adedapo Adesokan,Muktar A Gadanya,Jacob Kehinde Opele,Oluwafemi F. Owagbemi,Alexander Iseolorunkanmi +9 more
TL;DR: This paper aimed to review recent health workforce crises in the Nigerian health sector to identify key underlying causes and provide recommendations toward preventing and/or managing potential future crises in Nigeria.
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Retention of health workers in rural Sierra Leone: findings from life histories.
TL;DR: Investigation of motivation factors in rural areas in Sierra Leone found poor management had more resonance in urban areas, with reports of poor delegation, favouritism and a lack of autonomy for staff.
Journal ArticleDOI
Scale, Causes, and Implications of the Primary Care Nursing Shortage
Logan Maclean,Susan Hassmiller,Franklin A. Shaffer,Kathleen Rohrbaugh,Tiffany Hope Collier,Julie A Fairman +5 more
TL;DR: Strategies that maximize the primary care workforce are suggested: the effective use of technology, task shifting, interprofessional teams, and more consistent primary care data to build workforce strategies.
Journal ArticleDOI
How decentralisation influences the retention of primary health care workers in rural Nigeria
Seye Abimbola,Titilope Olanipekun,Uchenna Igbokwe,Joel Negin,Stephen Jan,Alexandra Martiniuk,Nnenna Ihebuzor,Muyi Aina +7 more
TL;DR: In Nigeria and other low- and middle-income countries with decentralised health systems, intervention to increase the retention of health workers in rural communities should seek to reform and strengthen governance mechanisms, using both top-down and bottom-up strategies to improve the remuneration and support for health workersIn rural communities.
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Job satisfaction and retention of health-care providers in Afghanistan and Malawi
Linda Fogarty,Young Mi Kim,Hee Soon Juon,Hannah Tappis,Jin-Won Noh,Partamin Zainullah,Aleisha M. Rozario +6 more
TL;DR: The findings demonstrate the need for more detailed comparative human resources for health-care research, particularly regarding the relative importance of different determinants of job satisfaction and intention to stay in different contexts and the effectiveness of interventions designed to improvehealth-care worker performance and retention.
References
More filters
Journal ArticleDOI
Pharmacological interventions for somatoform disorders in adults.
Maria Kleinstäuber,Michael Witthöft,Andrés Steffanowski,Harm W.J. van Marwijk,Wolfgang Hiller,Michael J. Lambert +5 more
TL;DR: A systematic review and meta-analysis of placebo-controlled studies examined the efficacy and tolerability of different types of antidepressants, the combination of an antidepressant and an antipsychotic, antipsychotics alone, or natural products in adults with somatoform disorders in adults to improve optimal treatment decisions.
Journal ArticleDOI
Closing the gap in a generation: health equity through action on the social determinants of health
TL;DR: The Commission on Social Determinants of Health (CSDH) as mentioned in this paper was created to marshal the evidence on what can be done to promote health equity and to foster a global movement to achieve it.
Journal ArticleDOI
Interventions for latent autoimmune diabetes (LADA) in adults.
TL;DR: Two studies show SU leading to earlier insulin dependence and a meta-analysis of four studies with considerable heterogeneity showed poorer metabolic control if SU is prescribed for patients with LADA compared to insulin.
Journal ArticleDOI
The world health report 2000 - Health systems: improving performance
Uwe E. Reinhardt,Tsung-mei Cheng +1 more
TL;DR: The chief virtue of the WHO report lies in the challenges it poses for its critics within the health services research community, and it is fair to query whether, on balance, so precarious an undertaking does more good than harm.
Journal ArticleDOI
How many child deaths can we prevent this year
TL;DR: The findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them.
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