Human Resources for Health

Live from Uganda: Field Testing a Rapid Assessment Tool to Improve Health Worker Retention

CapacityPlus Program Officer Laura Wurts is traveling in Uganda for three weeks and shared some of her experiences in the field thus far.

Mbarara UniversityPlease tell us about the purpose of this trip to Uganda, and where will you be working.
CapacityPlus is field testing a rapid assessment tool for determining priority retention interventions for costing to inform Ministry of Health policy-making to improve attraction and retention of health workers in rural and remote areas. While in Uganda, we expect to survey 500-600 people. The sample will include both final-year students and practicing health workers in four cadres: medical officers, nursing officers, pharmacists, and lab techs.

We will collect data in Kampala, Jinja, 10 districts around Mbarara town, and 10 districts around Gulu town. Specific universities include Makere University, Mbarara University for Science and Technology, Gulu University, and Jinja School of Nursing and Midwifery. Read more »

Bottlenecks: Addressing the AIDS Epidemic through Increasing Human Resources for Health

This post was originally published on the IntraHealth International blog.

Nola Bower-SmithIn a world where over 33 million people are living with AIDS it is imperative to address the human resources for health (HRH) crisis. The critical questions and solutions generated by this discussion are a step towards a world without AIDS.

I had the opportunity to attend a panel at the International AIDS Conference in Vienna that focused on strategies for the HRH crisis. The panelists agreed that HRH is a critical problem, but one without an easy or quick solution. The lack of human resources, especially in areas most affected by HIV and AIDS, has made combating the disease a challenging and complex problem. Read more »

Reflections on Health Workers at AIDS 2010

Sarah DwyerThe main hallway at the AIDS 2010 conference is a barrage of banners, notices, and signs—yet a few things jump out and demand to be noticed. One large photo shows an erect penis with a bejeweled hand grasping its base. Posters ask, “Will you be spanked between sessions?”

These got my attention. AIDS activists are good at such tactics, and they need to be—it’s a matter of life and death.

Death and dying are what many health workers confront every day, noted Yogan Pillay of South Africa’s National Department of Health. Showing some sobering data, he pointed out that “if we don’t take care of health workers, they will not take care of patients.” And in a session on supporting health workers to deliver care, Masamine Jimba of the University of Tokyo described how the Japanese character for “busy” literally means “losing heart.” Read more »

Haiti Prioritizes Human Resources for Health

On Wednesday, I attended the Global Health Council Conference plenary session entitled "After the Earthquake: Towards Building a New Haitian Health System”, in which the Haitian Minister of Health, the Honorable Dr. Alex Larsen, discussed Haiti’s number one health priority—building the country’s human resources for health.

Dr. Larsen and partners of the Haitian Ministry of Health conveyed the futility of developing infrastructure and obtaining commodities without simultaneously bolstering the health care workforce. He mentioned three cadres of health workers that are currently in particularly high demand: community health workers, midwives, and nurse anesthesiologists. Read more »

Three Questions for David Benton

David BentonDavid Benton is CEO of the International Council of Nurses, a federation of more than 130 national nurses’ associations representing millions of nurses worldwide. Benton visited CapacityPlus lead partner IntraHealth International to speak at its 30th anniversary. (Responses are excerpted from a longer interview.)

What are some ways that international organizations and projects, such as CapacityPlus, can support the work of nurses’ associations at the national level? Read more »

Top Ten Myths about the Global Health Workforce Crisis Busted

Kate TulenkoMyth #1: It's mainly a numbers problem


Actually the main problem is maldistribution of health workers: rural/urban, primary care/specialty.

Myth #2: Health worker migration has no victims


Migration not only deprives the poorest countries of the health workers who migrate, but since the most qualified workers are the ones who migrate, it impairs countries’ ability to train replacements. A high percentage of the global health diaspora were professors in their home countries.

Myth #3: Developing-country health workers aren’t paid enough


Health workers are consistently in the top wage earners in their countries and have little or no student loan burden. Their standard of living, although not the same as Organization for Economic Co-operation and Development physicians, is extremely high compared to their fellow citizens. Read more »

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