Health Workers

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 »

Without the User, There Is No System: Harnessing Technology through the eHealth Workforce

Dykki SettleThis post was originally published on the IntraHealth International blog.

When we talk about building strong health systems and the health workers to run these systems, we often think about doctors or nurses or community health workers. Just as crucial to health systems are robust health information systems that help manage and make accessible information about patients, clinics, budgets, payroll, and all the other details that make a health care system work.

When it comes to building a strong electronic health (eHealth) information system, the user is, arguably, the most important part.

Still weak, but growing
An eHealth workforce requires system administrators, programmers, and analysts who sustain and extend a country’s health information systems and eHealth technologies. Many countries in the developing world have growing but weak information and communication systems, which makes building the eHealth infrastructure system an ongoing challenge. Read more »

Health Workforce Action after Bangkok

Maurice MiddlebergRecently a thousand people gathered in Bangkok for the Second Global Forum on Human Resources for Health. Since then many of us have been reflecting on where to focus our energies. Here’s what’s been on my mind.

Communicating about the crisis and its solutions
The forum opened with a wonderful video on health workers—the best piece in any medium I have ever seen in terms of communicating the essence of the health workforce crisis.

Effective communication about the issues—and how to resolve them—is vital to garnering the support we need to make real progress. To the extent possible, we should commit sufficient resources to this effort. Read more »

Retaining Health Workers in Rural Kenya: What We Can Learn from Other Countries

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

Achim ChiajiIn the northern arid lands and other remote parts of Kenya, the Capacity Kenya project has been working with the Ministry of Health to design simple packages to attract health workers and encourage them to stay. Starting with a selected list of diverse pilot sites, the project set out to design intervention packages, implement them, and systematically evaluate their impact on health worker retention over time.

A couple of weeks ago I attended the Second Global Forum on Human Resources for Health in Bangkok, which gave me a unique opportunity to learn about the struggles, successes, and constraints of other countries. As I listened to the experiences of others and what they see as best practices, I kept thinking about what new interventions might work best in the Kenyan context. Read more »

Local Solutions, Global Solidarity, and Accountability

This post was originally published on the IntraHealth International blog.

Meshack NdoloWhile the Second Global Forum on Human Resources for Health was full of opportunities, it was also quite deficient in addressing the one global issue that continues to hold back progress to achieving most of the health goals—the Millennium Development Goal 8: Global Partnership for Development. I do, however, remain optimistic.

In my country, Kenya, there is considerable awareness of the health workforce problem and there is momentum to act on many fronts. The Capacity Kenya project has worked closely with the Ministry of Health and others to develop a national Human Resources for Health Strategic Plan, which established national priorities for addressing Kenya’s workforce constraints. Read more »

Making Money Work: Global Advisory Board to Strengthen Health Professional Schools

Amanda PuckettRecently, CapacityPlus announced the launch of the Global Advisory Board on Strengthening Medical, Nursing, and Public Health Schools in Developing Countries. The board—as part of our work to strengthen preservice education and training—will help to address management issues in health professional schools.

“The global health community needs to urgently support the strengthening of not only the curricula development of medical schools, schools of public health, and nursing schools, but even more so their management capacity and the ability of their deans and other senior leaders to play a prominent role in the health sector and HRH [human resources for health] reforms of their countries,” says Chairperson Dr. Ok Pannenborg. Read more »

What Brought Us Here Won’t Get Us There: Implementing Country-Level Health Workforce Development Plans

CapacityPlus 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 post was originally published on the IntraHealth International blog.

Three years ago, we met in Kampala, Uganda to discuss the critical needs of the global health workforce. Last week in Bangkok we gathered to take stock of what we’ve accomplished since.

Today, 86% of the 51 countries surveyed in the progress report on implementing the Kampala Declaration and Agenda for Global Action have a national human resources for health plan, but only 41% are actually implementing that plan. Read more »

Conventional and Thai Traditional Medicine: Visiting Uthong Hospital

At Uthong Hospital—a 150-bed community facility in Amphur-Uthong, Supanburi Province, Thailand—I had the opportunity to learn how the staff integrate both conventional medicine and Thai traditional therapies. Located about two hours away from Bangkok, the field trip was part of the busy week-long events at the Second Global Forum on Human Resources for Health. Read more »

Exploring the Siriraj Hospital at the Second Global Forum on HRH

Shaun NoronhaDespite the 6:30 a.m. reporting time, the field trip to Siriraj Hospital in Bangkok—part of the Second Global Forum on Human Resources for Health—turned out to be one of the best events of the week.

Siriraj Hospital, part of Mahidol University, is the oldest and largest hospital in Thailand. We were told that the attached medical school produces about a quarter of all Thai medical graduates.

Besides its numerical strength, the school also pays great attention to a number of issues relevant to the transformative scale-up of health worker education. Read more »

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