Health Workforce

HRH Global Resource Center Reaches 3,000

Rebecca RhodesIn January, I added the 3,000th resource to the HRH Global Resource Center (GRC), CapacityPlus’s digital library for human resources for health (HRH) information. At such a milestone, I began reflecting on how the GRC got here and where it is going.

Over the past five years of working on the GRC, I have seen the growing emphasis on knowledge management as a tool to support evidence-based decision-making and share lessons learned to make the most cost-effective and sustainable decisions for health worker interventions. The advent of the World Health Organization’s Health Manager’s Website, the Global Health Workforce Alliance’s knowledge center, and the K4Health project demonstrate the growing interest for this information as part of the way global health development does business. Read more »

Leading the Way Back Home: Nigerian Minister of State for Health, Dr. Muhammad Ali Pate

Dr. Kate TulenkoAll eyes were on newly appointed Minister of State for Health Dr. Muhammad Ali Pate as he presented his vision of health for Nigeria: 1,000,000 lives saved and quality of care measurably improved. He expertly laid out four pillars to achieve this goal: expanding basic services; disease prevention (particularly through scaling-up Hib and pneumococcal vaccination); increasing quality of care via improved clinical governance; and unlocking the health sector’s market potential via increased public and private investment.

One of the special reasons for the excitement in the room at the “Innovative Approaches to Expanding Health Care Services in Nigeria” meeting on September 21 at Africare in Washington, DC, was the fact that many of the attendees, myself included, knew and had worked with Dr. Pate personally.
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A Head Start on Measuring Health Workforce Progress

Lindsay BonannoWhile in a small clinic deep in a rural village, I study a register and see a lot of blank boxes that should contain data. I ask the data clerk why there is so much empty space. She shrugs and meekly explains that she didn’t know how to fill out the specific information. As I talk her through the indicators, I cannot help but think of the need for accessible resources to help people like the data clerk understand what to measure and how. 

Sometimes monitoring and evaluating a program can be concrete. In a service delivery project, for instance, the metrics are usually concrete (did the person receive the medication or not?). Indicators for measuring progress in human resources for health (HRH), however, can seem pretty complex. For example, how do you wrap your mind around increased leadership accountability? Metrics for HRH aren’t as well-known or haven’t received the same level of consensus as have those for other public health areas.

But just as we need to measure progress in service delivery, so too must we find a way to define and show our gains in health workforce strengthening, both for assessing the work and for demonstrating accountability to our donors and stakeholders. Read more »

Update on the MDGs: Where Are the Health Workers?

Sarah DwyerThe UN’s Millennium Development Goals Report 2011 provides a fascinating snapshot of how far we’ve come in improving health outcomes—and how much further we need to go. Unfortunately, the report ignores the health workforce crisis in many of the countries struggling to meet their 2015 health goals. The MDGs cannot be achieved when large numbers of people lack access to a health worker, yet the persistent, severe shortage of health workers is paid scant attention in the recently released UN report.

A fundamental barrier to improving health is the health worker crisis. The report’s section on Goal 5 (Improve Maternal Health), for example, points out that far too many women are without access to a skilled birth attendant during delivery. While many regions have made progress, “coverage remains low in sub-Saharan Africa and Southern Asia, where the majority of maternal deaths occur.” Read more »

The Key to Progress: Health Workforce Lessons from the Family Planning Movement

Maurice MiddlebergOne of the great privileges of my life has been to know bold leaders in family planning and reproductive health. As I listen to the current debates about “task shifting” and “task sharing,” I am reminded of the pioneering work of Mechai Viravaidya and Allan Rosenfield in Thailand dating back to the 1960s. Along with Chitt Hemachudha, they introduced innovative approaches to family planning that can inform our current efforts to improve the health of women and their families.

The situation in Thailand at that time was similar to that faced today by many countries with a health workforce crisis. The number of doctors was quite low and they were very inequitably distributed; this meant that in large swaths of the country the doctor-patient ratio was on the order of one doctor per hundred thousand people. The Thai government had become committed to reducing the rate of population growth and improving maternal and child health. This led to the obvious conclusion that a diverse set of providers would be needed to make family planning widely available. Read more »

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