Health Workers

Social Workers Are at the Fault Lines of Society

Amy Bess“Social workers are placed at the fault lines of society,” claimed Professor Walter Lorenz, rector of the Free University of Bozen-Bolzano, at the closing ceremonies of the 2012 Joint World Conference on Social Work and Social Development last week.

At times of devastating health epidemics, financial crises, natural disasters, or war, we are very often quick to respond to immediate health, housing, and food security needs. Another often neglected area of response is taking into account and addressing the social consequences of these events: identifying those who will raise orphaned children, assessing impacts on mental health and well-being, supporting community cohesion, identifying and strengthening existing social networks that support vulnerable children, and, in general, ensuring a coordinated professional response to the social welfare needs of communities. Read more »

“I’m a Health Worker”: Saving Lives in Rural Uganda

Bernard Tayebwa and Dr. Solomon AsiimweBernard Tayebwa knows how important his job is to his community. His favorite part of being a senior clinical officer at Rugyeyo Health Center III in Kanungu District, Uganda, is nothing less than “saving the lives of patients.”

To the north in Kabarole District, Dr. Solomon Asiimwe articulates the flip side of the lifesaving nature of their work. The toughest part of his job as a medical officer at Kitojo Integrated Development Association, an NGO hospital, “is when I care for patients and sometimes they don’t improve, sometimes they are terminally ill and they pass away.” Read more »

Expanding iHRIS to Support the Social Services Workforce

This post was originally published on the iHRIS blog.

Dykki SettleWhen we think of health care workers, we tend to think of doctors, nurses, midwives, and the like. We originally developed the iHRIS Suite to track and manage these traditional, well-defined cadres.

But many other professionals provide needed services in hospitals, clinics, and communities, and their roles may not be so well-defined. The social services workforce is a critical segment of these workers, bringing essential services to communities and their underserved populations, such as orphans and vulnerable children, the often unseen victims of the HIV epidemic. Because there are few standards for job roles and qualifications in this sector, it’s hard to identify and hire qualified social workers and deploy them to where they can be most effective. Read more »

Responding to the Urgent Need for More Health Workers: Rebecca Bailey on Health Workforce Education and Training

Rebecca BaileyAt 23, CapacityPlus’s Rebecca Bailey mailed two applications: to law school and to the Peace Corps. The Peace Corps called her first, and that’s when her work to improve health worker education and training took root.

As a communications officer for CapacityPlus, I do a lot of writing about our work to address the global health workforce shortage, but I rarely write about the people doing the work. Therefore it was a pleasure for me to speak with Rebecca and learn about her career and her current position as health workforce development team lead. Read more »

At the Click of a Button: Jane Ruth Aceng Shares Good News

Jane Ruth AcengJane Ruth Aceng sits in a black leather chair in her office at the Uganda Ministry of Health. Even though she’s soft-spoken, you can hear the authority in her voice. And, as a nearby camera flash clicks and lights the room, you can sense she’s an important person. “I’m the director general of health services,” she states. “That means I’m the technical head for health in the country.”

Jane describes how planning for the health workforce used to be a nightmare. Uganda previously used a paper-based system to store information on the country’s health workers. Now, using a national health workforce information system called HRHIS, she shares good news, “We have a system where by just a click of a button, you know who is available in the system, you know how many health workers we have in the country, you know their qualifications, you know where they are, and you know what they are doing.” Read more »

Nine Reasons We Place Health Workers at the Center of Our Efforts

Maureen KanyiginyaMaureen Kanyiginya is a young midwife with a gentle and confident presence. Sitting on a bench in a grassy area outside the rural health center where she works, in western Uganda’s Kabarole District, she looks into the camera and states, “I’m a health worker.” She says she loves mothers, and it’s easy to see how sincere she is. “I really love delivering these babies,” she adds quietly. “I make mothers comfortable.”

Her calm demeanor contrasts with the serious challenges she faces in her job. The facility where she works has no power, so she conducts her deliveries with a small lantern. She lacks the proper instruments to do her job well, and often doesn’t have the drugs that mothers need, due to stockouts. Her personal safety is also a concern. “Sometimes I walk alone in the night from my house to the unit,” she shares. Read more »

What’s the Best Way to Retain a Health Worker? Just Ask Her!

This post was originally published on Disruptive Women in Health Care.

Kate TulenkoThe world currently has a shortage of some 4 million health workers. This shortage is amplified by a complete mismatch between where health workers are stationed and where they are most needed. The healthier and wealthier a community is, the more health workers it has. The poorer and sicker a community, the fewer health workers it has. The situation is worsening as every year hundreds of thousands of health workers move from poor, rural, and underserved communities to wealthier, metropolitan communities with a surfeit of health workers. This occurs both within countries (a nurse moving from a rural area to the capital city) and between countries (a doctor moving from a developing country to a wealthy country). Read more »

iHRIS: Where Are We Now?

Shannon TurlingtonGlobal health workforce issues have only recently received focused attention in the field of international development. In 2006, the World Health Organization identified 57 countries that had a health workforce crisis, defined as having less than 2.3 doctors, nurses, and midwives per thousand population. That same year, while working on the Capacity Project, we visited some of these health workforce crisis countries to see what tools and technologies countries were using to address their health workforce needs. Read more »

Learning from Each Other: Study Tour in Namibia Informs Tanzania’s Approach to Health Worker Data

In Tanzania, CapacityPlus collaborates with the Tanzania Human Resource Capacity Project to strengthen the understanding and use of the Tanzania Human Resources Information System (THRIS) through human resources management training of health facility leaders and other stakeholders. CapacityPlus works in several countries to strengthen human resources information systems and implement the iHRIS software. This post was originally published on the IntraHealth International blog.

SeMkama Mwijarubieing success is believing in success. That sums up the response of the delegation IntraHealth/Tanzania sent earlier this year on a study tour to learn from colleagues in Namibia about their experiences implementing a large-scale human resources information system (HRIS). What an opportune moment it was to borrow experience from Namibia, where IntraHealth is also implementing an HRIS—and one that has made decisive progress!

In both Tanzania and Namibia, long distances between towns pose challenges on financial resources and time. Like many other countries, Tanzania and Namibia historically used manual filing systems to track health worker data and therefore faced difficulties understanding and aligning their health workforces with actual needs. Because data were difficult to access, aggregate, and analyze, plans did not reflect realities. Read more »

Nursing and Midwifery Education in Ethiopia: Ensuring Professional Capacity and Relevance

Rachel DeussomIt has been estimated that sub-Saharan Africa needs 600,000 additional nurses just to meet the Millennium Development Goals. The United States Government’s Nursing Education Partnership Initiative (NEPI) is designed to strengthen the quality and capacity of nursing and midwifery education systems in sub-Saharan African countries, to increase the number of well-qualified nurses and midwives, and to support innovative retention strategies. Nurses and midwives are integral to health systems, providing care to underserved areas and filling in where and when doctors are in short supply. CapacityPlus is proud to be a NEPI partner, providing analysis and technical support to the Democratic Republic of the Congo and Ethiopia. Read more »

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