The Knowledge library

Journal Articles

Workplace Violence and Gender Discrimination in Rwanda's Health Workforce: Increasing Safety and Gender Equality

This article in Human Resources for Health draws on research conducted during the Capacity Project, the predecessor to CapacityPlus.

Workplace violence has been documented in all sectors, but female-dominated sectors such as health and social services are at particular risk. This article reexamines a set of study findings that directly relate to the influence of gender on workplace violence, synthesizes these findings with other research from Rwanda, and examines the subsequent impact of the study on Rwanda’s policy environment.

Overcoming the Hurdle of Implementation: Putting Human Resources for Health Tools into Action

This article in Revista Peruana de Medicina Experimental y Salud Pública by CapacityPlus’s deputy director for HRH and health systems strengthening provides guidance for putting health workforce tools into action.

The global human resources for health (HRH) challenge remains persistent. In 2006, the World Health Report identified 57 crisis countries, and, despite increased attention and investment in strengthening the workforce, those countries are still in crisis. While many countries have HRH plans, this paper asserts that a major reason countries remain in crisis is the lack of sustained implementation to achieve concrete workforce strengthening results. It is critical for HRH leaders to take action to ensure that already available tools are disseminated, adapted, and used to foster effective implementation at the country level. The paper highlights four such tools as examples that can be used to build implementation capacity, and offers recommendations to support more results-oriented implementation.

Occupational Segregation, Gender Essentialism and Male Primacy as Major Barriers to Equity in HIV Care Giving: Findings from Lesotho

This article in the International Journal for Equity in Health draws on research conducted during the Capacity Project, the predecessor to CapacityPlus.

Gender segregation of occupations has been recognized as a major source of inequality worldwide with implications for the development of robust health workforces. In sub-Saharan Africa, gender inequalities are particularly acute in HIV/AIDS caregiving (90% of which is provided in the home), where women and girls make up the informal (and mostly unpaid) workforce. Men's and boy's entry into HIV/AIDS caregiving in greater numbers would both increase the equity and sustainability of national and community-level HIV/AIDS caregiving and mitigate health workforce shortages, but notions of gender essentialism and male primacy make this far from inevitable. The Capacity Project partnered with the Lesotho Ministry of Health and Social Welfare in a study of the gender dynamics of HIV/AIDS caregiving to account for men's absence in HIV/AIDS caregiving and investigate ways in which they might be recruited into the community and home-based care workforce. This article presents findings and recommendations resulting from the study.

Tracking and Monitoring the Health Workforce: A New Human Resources Information System (HRIS) in Uganda

This article draws on work from the Capacity Project, the predecessor to CapacityPlus. It describes Uganda’s transition from a paper filing system for health workers to an electronic human resources information system (HRIS) capable of providing information about country-specific health workforce questions, and how HRIS data can be used in workforce planning.

Linking Challenges, Sharing Solutions: The Global Crisis in Human Resources for Health

This journal article suggests that strategies for remedying the global health workforce crisis could also be useful in North Carolina. The article points to specific resources such as the HRH Global Resource Center, the Learning for Performance methodology for in-service training, and the HRH Action Framework and website.
 

Satisfaction, Motivation, and Intent to Stay among Ugandan Physicians: A Survey from 18 National Hospitals

The International Journal of Health Planning and Management published a study conducted by the Capacity Project, the predecessor to CapacityPlus. “Satisfaction, motivation, and intent to stay among Ugandan physicians: a survey from 18 national hospitals” found that nearly half of the doctors were so dissatisfied that they would consider leaving the health sector or the country. The report concludes that policy-makers should consider interventions to remedy the quality of management, availability of equipment and supplies, facility infrastructure, workload, and professional development, which are reported as major sources of dissatisfaction.

Retaining Hospital Workers: A Rapid Methodology to Determine Incentive Packages

The International Hospital Federation’s quarterly journal World Hospitals and Health Services published a CapacityPlus article, “Retaining hospital workers: A rapid methodology to determine incentive packages” (begins on page 8). The article describes CapacityPlus’s work on an innovative retention survey tool that can be used to help keep health workers in the facilities where they are needed, and increase access to health care.

Strengthening the Uganda Nurses' and Midwives' Association for a Motivated Workforce

International Nursing Review published a study conducted by the Capacity Project, the predecessor to CapacityPlus. “Strengthening the Uganda nurses’ and midwives’ association for a motivated workforce” presents results from a survey of nurses that was designed to develop policy recommendations for strengthening the association and improving nurse retention. The study concludes that in order to improve motivation and quality of care, investments should be channeled through professional associations that can provide tangible support for nurses such as professional development, mentoring, and networking.