Health Workers

Serious Optimism: A Conversation with Constance Newman about Connecting Girls to School, and Women to the Paid Health Workforce

This post was originally published on the IntraHealth International blog.

Corinne Farrell recently sat down with Constance Newman, IntraHealth’s senior team leader for gender equality and health and a committed advocate for social justice, to discuss this year’s International Women’s Day theme of “connecting girls and inspiring futures.”

Corinne FarrellAsked how the International Women’s Day theme, Connecting girls, inspiring futures, relates to IntraHealth’s mission of empowering and supporting health workers, Constance Newman did not hesitate: “It’s about connecting girls to school and protecting women’s ties to the paid health workforce.”

Fifty-seven countries are experiencing crisis-level shortages of health workers. In many of these countries, health workers are predominantly female, particularly nurses, midwives, and community health workers. Many health workforce leaders question whether gender issues, such as discrimination, are really among the most pressing issues contributing to health workforce shortages. Based on her 25 years of experience, observation, reading, and research in global health and the health workforce, Newman feels the urgency to document the evidence that will put these questions to rest and stimulate action. “If you don’t have women entering the paid health workforce, and if they aren’t safe, secure, and satisfied in their jobs, you are not going to have the workforce that you need—one that’s diverse and robust enough to meet the health challenges in these countries.” Read more »

Bringing Health Workforce Information to the Public in Uganda

In Uganda, CapacityPlus works in collaboration with the Uganda Capacity Program and key country-level colleagues to strengthen the health workforce. This post was originally published on the IntraHealth International blog.

Ismail WadembereTo bring the benefits of access to health worker information to the Ugandan public, the Ministry of Health, working closely with IntraHealth, organized a launch event earlier this month for the national human resources for health information system (HRHIS) in Uganda. The event highlighted the different functionalities of the system and the role HRHIS plays in the health system in Uganda. The event also marked a commitment by the Ministry of Health to increase transparency and accountability within the health sector.

The HRHIS is already being used widely. The system is operational at the Ministry of Health headquarters; all four health professional councils (the Uganda Medical and Dental Practitioners Council, Uganda Nurses and Midwives Council, the Pharmacy Council, and the Allied Health Professionals’ Council); Mulago and Butabika national referral hospitals; the 13 regional referral hospitals; and 69 local government districts. Getting to this point represents not only a large amount of planning and development of the open source software-based system, based on IntraHealth’s iHRIS Qualify and iHRIS Manage software, but also intense training sessions with system managers and users. With all this information now available, the time had come to make the wider public aware of the system’s existence and the benefits it provides. Read more »

Keeping Smiles on Their Faces

Doris MwareyIt's been about three weeks since I was in Malawi, and I haven't stopped thinking about the smiling faces of the health workers at the Pirimiti Community Hospital. As I watched them go about their work, I wondered what it was that kept the smiles on their faces.

CapacityPlus is helping the Christian Health Association of Malawi (CHAM) strengthen human resources management in affiliated health facilities. I was visiting the hospital to better understand needs at the facility level.

One of the nurses I was observing approached me, and asked me if I needed any assistance. It was about 1:30 p.m. and the human resources officer and medical director that I was waiting to see had not yet arrived from their lunch break. The nurse offered to show me around the hospital as I waited. Read more »

Finally, a Major Step Forward in Protecting Health Workers and Facilities

This post was originally published on the IntraHealth International blog.

Despite firLeonard Rubensteinm standards rooted in the Geneva Conventions to protect health facilities, health workers, and the patients served during armed conflict, and to enable health professionals to act consistently with their ethical obligations, assaults on and interference with health functions are all too common in war. Aside from the human toll they take, these attacks often compromise the ability to deliver care to populations in great need, impede efforts to reconstruct health systems after war, and lead to the flight of health workers whose presence in a time of great social stress is essential.

The international community has taken few steps to provide guidance to promote compliance with the law, or to assess and report on violations in a uniform and comprehensive manner. Sound methodologies for data collection about these assaults have not been developed. The lack of systematic reporting and documentation of these violations contributes to continued disregard for an established and internationally recognized legal framework of protection. Mechanisms to encourage compliance with these international norms are needed as a first step in preserving critical health services in conflict settings. Read more »

Exploring the Frontier: A Firsthand Perspective on Health Workforce Challenges in South America

Remote regions of the world often face the most challenges accessing health services and health workers. In the frontier areas on the border of Bolivia and Peru, these difficulties are anticipated to intensify with the completion of the transoceanic highway. Intended to link South American ports on the Pacific and the Atlantic oceans, the highway will open this rural frontier to increased commerce, traffic and migration, as well as an increased demand for health services. Consequently, with the opening of the highway, incidence of HIV/AIDS, tuberculosis, and other communicable diseases will likely increase. 

CapacityPlus recently conducted a study to learn more about the health workforce providing HIV/AIDS services in this region. Anne Wilson led the team that collected data in Madre de Dios, the Peruvian zone on the borders of Brazil and Bolivia, and, along with the other three team members, facilitated a dissemination workshop that presented findings and recommendations. Anne’s resume is full of high-level HRH experience, including serving as director of the Capacity Project. Read more »

Managing a Health Workforce Crisis: Lessons from the Global Context

Maurice Middleberg

“Happy families are all alike,” goes the famous opener to Leo Tolstoy’s Anna Karenina. But are countries with a critical shortage of health workers all alike, in terms of their health outcomes?

While in Nairobi for Kenya’s first national conference on human resources for health, I talked about how we tend to lump the so-called “health workforce crisis” countries together and assume that their health worker shortages correspond to similarly poor health outcomes.

As it turns out, some countries have managed their health workforce shortage more effectively than others. Read more »

The Life of Health Students and Professionals in Developing Countries: A Snapshot

Mesrak BelatchewThere are 57 countries that fail to meet the World Health Organization’s recommended minimum threshold of 2.3 health workers per 1,000 people. Everyone agrees on the fact that the health workforce crisis is beyond the numbers. The increased migration of health workers and the lack of trained health providers in rural and remote areas are manifestations of the inherent lack of capacity of the health and education systems in developing countries to adequately recruit, train, and support their health workers.

Typically, students that join health science institutions have strong records of academic achievement. Their personal aspirations coupled with the high expectations of their families, teachers, and their communities increase their desire to achieve more. They dream of getting more education and training to enable them to help others. Read more »

A Successful Initiative for Health Workforce Development in Ethiopia

Sarah DwyerMental health is not always on the forefront of people’s minds when they think about global health and the critical shortage of trained health workers. But the need is there.

In Ethiopia, Dr. Markos Tesfaye recalls a “huge mental health professional deficit.” He is head of the department of psychiatry in the College of Public Health and Medical Sciences at Jimma University. In 2007, he says, “there were only 28 psychiatrists in the country for a population of about 80 million.” Complicating matters, he recalls, “psychiatry nurses who had advanced diploma-level education were shifting to do their degree in general nursing because of lack of opportunities to advance their career in the field of mental health.” Read more »

Hundreds of HR Management Professionals Network and Learn in Nairobi

Doris MwareyIt was a great opportunity for me to sit among hundreds of human resources professionals from Kenya and the East Africa region during the recent 16th National human resources management forum organized by the Kenya Institute of Human Resource Management (IHRM) in Nairobi. The forum was graced with highly experienced and resourceful facilitators from different sectors and it was very exciting to learn from their experiences, successes, and challenges.

A key highlight for me was hearing the direction that most successful institutions are now taking in managing their human resources—focusing more on the strategic function of human resources management (HRM) over the administrative components. They are placing an emphasis on talent management as a way to have the upper edge in a competitive environment, while acknowledging effective talent management processes begin with careful selection and deployment practices, or “getting it right from the start.” Read more »

Celebrating World AIDS Day: Getting to Zero

Amanda PuckettEvery December 1st, I pull out a small red ribbon and attach it to my sweater to commemorate World AIDS Day. To me, this is a very important day to raise awareness about the HIV/AIDS epidemic and reflect on both where we have made achievements in battling the epidemic and where we really need to persevere to do better. This year through 2015, World AIDS Day has a special theme: "Getting to zero: Zero new HIV infections. Zero discrimination. Zero AIDS-related deaths."

People with HIV are living longer

Though gains have been made in reducing the number of new HIV infections, there is still a significant portion of our global population living with AIDS. According to UNAIDS, an estimated 34 million people were living with HIV in 2010, an increase of 17% from 2001. These numbers tell several stories. Read more »

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