Health Systems Strengthening

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 »

Retaining Community Health Workers in Ethiopia

Mesrak BelatchewIn a recent New York Times opinion, Tina Rosenberg asked “What makes community health care work?” Her commentary highlights the important elements for sustaining community health work in developing countries—careful financing, using teaching as part of the sustainability structure, supervision and training, working with the government, and scaling up according to the program and country context—and refers to the rich experiences of BRAC in Bangladesh.

Ethiopia’s health extension worker (HEW) initiative, established in 2004, is another example of a successful program in sub-Saharan Africa. Developed and implemented by the Federal Ministry of Health in collaboration with the Ministry of Education, the HEW program has evolved both in scope and scale to accommodate new health initiatives. Read more »

Health Workers for a New Century

Hopital El Hadj Ibrahma Niaso Kaolack“Health is about people—those with needs and those who are entrusted to respond to those needs,” said Dr. Julio Frenk, Harvard School of Public Health dean and cochair of Education of Health Professionals for the 21st century: A Global Independent Commission.

Dr. Frenk presented the Commission’s new report, "Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world," at the World Bank recently, noting that this report represents a change in basic thinking about health education. Read more »

Less Buck for the Bang? The Flattening of Global Health Funding

Shaun NoronhaThe availability of funding for global health may well decide to what extent the health workforce will be able to meet countries' health care needs. With current financial uncertainties, the questions on our minds are: Will a decrease in global aid force cuts in spending for human resources? Is the era of big funding for global health already over?
 
“No,” says Dr. Cristian Baeza, World Bank director for health, nutrition, and population. While this era may not be over yet, in a recent lecture, Dr. Baeza discussed changes that will exert pressure on the availability of global health financing. Read more »

Beyond Vacancies: Improving Performance and Productivity to Strengthen Health Systems

Mesrak BelatchewTypically, a health workforce strengthening approach looks at the number of available health workers in comparison to the required number and then advises decision-makers on the need for health workforce development. Existing health workers are considered a given whereby adjustments are made in the form of additions to the system. This approach assumes that optimal health care delivery will be achieved when all the vacancies are filled.

However, these measures may not guarantee that staff turnover, performance, and/or productivity are adequately addressed. Read more »

Linking Faith-Based Health Care with Ministries of Health

Wilma GormleyOver the past year and a half, CapacityPlus has supported faith-based organizations’ (FBOs) ability to manage their health workforces and provide high quality care to underserved populations. Recently, we held a side session as part of the Second Global Forum on Human Resources for Health to help strengthen linkages between the FBO community and ministries of health and provide strategies and tactics for how to bring about this increased integration.

With these objectives in mind, the group discussion centered on two key questions:

  • What should the FBO community do to promote the integration and linkages between them and national-level health workforce policies and practices?
  • What should workforce decision-makers and human resources professionals within ministries of health do to strengthen linkages with the FBO community?

HRH in Africa Day: Translating African National Strategies into Successful Programs

Hopital El Hadj Ibrahma Niaso Kaolack staffAfter many years of stagnation, the time has come for human resources for health (HRH) to be seen as a critical issue for Africa's development agenda.

Supporting African HRH efforts
At the HRH in Africa Day—a side session at the Second Global Forum on Human Resources for Health in Bangkok—representatives from the African public sector, technical experts from universities, donor and technical assistance agencies, and nongovernmental organizations debated how to support countries to translate their national HRH strategies into successful programs. Read more »

mHealth Africa Summit—the Personal Emerging

This post is excerpted from an original post on the IntraHealth International blog.

Dykki SettleLike the mHealth Summit in Washington, DC in November, the mHealth Africa Summit in Accra, Ghana was well-organized and filled with energy. It was also much smaller. This meant that the conversations were intimate and impassioned, and as expected, much more personal.

As my colleague Piers Bocock at Management Sciences for Health pointed out in his blog, this conference offered great examples of country ownership. Like Piers, I, too, learned far more at this inaugural and important conference than I felt able to teach. It also offered me a great opportunity to hear more about the ways mobile phones were already being used by health workers, which I think is key to mHealth’s success, traction, and scalability. Read more »

Faith-Based Organizations Tackle Women’s and Children’s Health

Africa Christian Health Associations Meeting participants, Kampala, UgandaIn February 2011 the Africa Christian Health Associations (ACHA) Platform will sponsor the Biennial Africa Christian Health Associations Meeting in Accra, hosted by the Christian Health Association of Ghana. Highlighting faith-based organizations’ work toward achieving Millennium Development Goals 4 and 5, this year’s theme is “Improving Women’s and Children’s Health in Africa: FBO Response Towards the MDG Targets.”

The meeting will bring together over 100 individuals from Christian Health Associations, international FBOs, and nongovernmental organizations to learn how various organizations are tackling these two Millennium Development Goals and brainstorm ways to adapt their interventions for other countries or contexts.

Training Managers to Transform the Health System

This blog post is excerpted from an original post on the IntraHealth International blog.

Charles MatsikoWe often talk about how countries grapple with the challenge of building and maintaining a health workforce that can deliver high-quality health services. I wanted to share some recent successes from Uganda, and work being supported by the Uganda Capacity Program.

In an effort to staff the health sector with managers who possess the knowledge, skills, and professional attitudes required to assume leadership roles in Uganda’s public and private health systems, the Uganda Capacity Program, together with CapacityPlus, recently launched a collaborative training program with the Uganda Ministry of Health (MOH) and the Makerere University School of Public Health. Read more »

Syndicate content