The Knowledge library

Knowledge Library

Selected Health Workforce Tools from CapacityPlus

This overview compiles selected tools and resources for the global health workforce from CapacityPlus, and includes brief descriptions and links to online versions. A related overview presents tools and resources that are available in French.

Study of Attrition, Availability, and Retention of Midwife Service Scheme Officers in Nigeria

The Midwives Service Scheme, established in 2009 to reduce Nigeria’s high maternal mortality rate, supplies midwives to rural and remote areas where they are most needed. CapacityPlus collaborated with the National Primary Health Care Development Agency to study factors underpinning attrition, availability, and retention of personnel and propose measures for motivating and retaining rural-based midwives. Presented at the Third Global Symposium on Health Systems Research in Cape Town, South Africa, on October 1, 2014, this poster presents findings from the study.

Partnering with African Faith-Based Organizations for a Strong Health Workforce

Faith-based organizations (FBOs) make immense contributions to the health sector in many parts of the world. Yet they are often not integrated into planning and resource allocations for national health systems, leading to service and system redundancies and gaps. FBOs also face numerous human resources for health (HRH) challenges, similar to other public- and private-sector institutions providing health services. The Africa Christian Health Associations Platform (ACHAP) has strengthened its members’ capacities to address HRH challenges with support from CapacityPlus. This technical brief presents examples from ACHAP members’ efforts to strengthen HRH and integrate FBOs into national health systems and the HRH community. The brief highlights achievements in selected areas, provides lessons learned, and offers seven key recommendations for furthering FBOs’ efforts.

Cost of Preservice Education for Health Workers: Balancing Quantity and Quality

CapacityPlus, Ethiopia’s federal ministries of health and education, and the Nursing Education Partnership Initiative conducted a retrospective cost assessment of the undergraduate nursing and midwifery programs at University of Gondar College of Medicine and Health Sciences and Arbaminch College of Health Sciences. Presented at the Third Global Symposium on Health Systems Research in Cape Town, South Africa, on October 3, 2014, this poster summarizes the study, which used primary source data to estimate the cost of producing nursing and midwifery graduates, identified constraints in infrastructure and materials affecting the quality of education, and showed the financial impact on the cost per graduate of overcoming some of those constraints.

Developing a Human Resources for Health (HRH) Effort Index to Measure Country-Level Inputs in HRH

Current indicators used to measure efforts and progress in HRH are limited and often unreliable. These limitations constrain country, donor, and program efforts to identify and address gaps in HRH and to track progress over time. CapacityPlus developed the HRH Effort Index to enable countries, program implementers, and donors to more readily assess and measure national HRH inputs and potentially to predict workforce performance, service use, and quality. Presented at the Third Global Symposium on Health Systems Research in Cape Town, South Africa, on October 2, 2014, this poster presents preliminary results of pilot testing of the HRH Effort Index in Kenya and Nigeria in May and June 2014.

Health Professional School Leadership and Health Sector Reform, Performance, and Practice

In the transition to the post-Millennium Development Goals era, many low and middle-income countries will be making significant shifts in their national health policies. The leadership that is drawn upon to make policy changes tends to be in ministries of health, flagship hospitals, physicians and nurses associations, and social protection entities. Health professional schools are an additional and valuable—yet often overlooked—source of leadership in health reform and health policy-making. This technical brief highlights some examples of how the education and research leadership of health professional schools has engaged, influenced, or obtained resources from national policy-makers and others with significant influence on the health sector. The brief also reviews instances in which different health educational institutions and professional associations have worked to shape national responses to health system needs.

Health Workforce Productivity: An Approach for Measurement, Analysis, and Improvement

Increasing health workers’ productivity will make service delivery more efficient and ensure that high-quality family planning, reproductive health, HIV and AIDS, maternal and child health and other key services are accessible to the population. This free course on the Global Health eLearning Center, by CapacityPlus’s Rachel Deussom and Wanda Jaskiewicz of IntraHealth International, explores some basic concepts of health workforce productivity. It provides useful descriptions of a quantitative, formulaic approach for measuring productivity at the facility level; possible underlying causes of low productivity and methods to measure them; and potential interventions to improve productivity and strengthen health services. It takes approximately two hours to complete the course, after which each learner will receive a certificate.

Using Evidence for Human Resources for Health Decision-Making: An Example from Uganda on Health Workforce Recruitment and Retention

A strong and well-distributed health workforce is necessary for providing access to high-quality health care and achieving national and global health goals. Developing and implementing policies to effectively address health workforce challenges demands relevant data for evidence-based decision-making. This technical brief offers six recommendations to help national stakeholders transform evidence into policy decisions and subsequent action. Using an example from Uganda, the authors illustrate how the development and sharing of evidence can support decision-making for change in health workforce recruitment and retention policies, toward the aim of improving access to high-quality health care for the population.

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