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Open Access: The Only Viable Option for Change

Rebecca RhodesWhy do we publish health research? If the editors of PLoS Medicine are correct that “medical journals have many roles, but, above all, dissemination of medical information is key,” then journals need to be accessible to the most important data consumers—frontline health workers.

While research for its own sake is necessary to advance scientific understanding, this is not enough. At its core health development research should save the lives of people who—without access to basic health care—die from diseases easily cured or preventable childbirth complications.

Impact
If the individuals who could most contribute to and benefit from information on health in the developing world find the resources cost-prohibitive to access, then how much impact can we really expect from research? Read more »

Computerized Shortlisting Saves Time and Money

Ugandan health workerCapacityPlus works with the Uganda Ministry of Health to enhance workforce performance support, including field testing the project’s global rapid discrete choice experiment (DCE) tool to address attraction and retention of health worker cadres in rural and remote areas and a retention costing tool, iHRIS Retain. This is an excerpt from an original post on the IntraHealth International blog.

In Uganda there is only one doctor and 13 nurses to care for every 10,000 Ugandans, far short of the 23 health workers the World Health Organization recommends. Currently, only 56% of approved health worker posts are filled with qualified workers. Read more »

Mind over Matter

Shaun NoronhaCan we condition health workers to believe that they should work in underserved areas? Among the nonmonetary incentives used for retaining workers in rural areas, intrinsic motivation—or inherent willingness—can be a significant influence. The problem with intrinsic motivation is that by definition, it’s intrinsic, and cannot be cultivated or systematically introduced into a cohort of health workers. Or can it?

Cognitive dissonance
A classic study by psychologists Leon Festinger and James Carlsmith (1959) on cognitive dissonance—the phenomenon by which a person states an opinion different from what he or she believes to be true—may hold the answer. Read more »

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