Health Workers

Dominican Republic Human Resources for Health

The Office of Health Systems in USAID’s Global Health Bureau selected CapacityPlus’s collaboration with the Dominican Republic as one of its Top Ten Health Systems Strengthening Cases. CapacityPlus supported the Ministry of Health in a process of payroll reform and increased transparency in budgeting practices. The process revealed nearly 10,000 ghost workers—individuals who receive a salary but are not working—who represented approximately 30% of the Ministry’s budget. The Ministry began a phased approach to clean its payroll by reclaiming the salaries of the ghost workers, resulting in savings of over $6 million annually. These savings are being used to improve HIV and other health services through hiring of new health workers, increasing salaries by 10% to provide more equitable remuneration and increase motivation, eliminating user fees, and investing in other health sector reforms, such as setting up a better procurement process for HIV testing kits and antiretroviral drugs. In turn, this reinvestment is contributing to improved service delivery and health status.

Increasing the Production of Competent and Qualified Frontline Health Workers in Nigeria

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. Findings of a rapid bottlenecks assessment of midwifery, nursing, and health technology schools in Nigeria informed CapacityPlus’s work with federal- and state-level stakeholders to develop a plan to increase the production of certified graduates. This included providing educational resources, training tutors in up-to-date clinical guidelines and computer assisted pedagogy, and supporting students at risk of dropping out through scholarships. This comprehensive support has reduced student drop-out rates and increased pass rates on national certification examinations.

Estimating the Cost of Educating and Training Nurses and Midwives: Balancing Quantity and Quality

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. Knowledge about the cost of educating and training health workers is needed to support education program planning and management and to inform advocacy for increased investment. Ethiopia’s federal ministries of health and education collaborated with CapacityPlus and the Nursing Education Partnership Initiative to conduct a cost analysis of the nursing and midwifery programs at two colleges. The objectives were to estimate the cost of producing a graduate; identify fixed-asset constraints to scaling up the quantity and/or improving quality of graduates; and simulate the new cost per graduate for interventions to increase the quality of graduates.

Building the “Educational Home”: Staying Connected to Alumni with MEPI Graduate Tracking in Tanzania

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. CapacityPlus is collaborating with the Medical Education Partnership Initiative (MEPI) Coordinating Center, MEPI Physician Tracking Technical Working Group, and MEPI-supported medical schools in 11 African countries to develop resources and good practices for graduate tracking and to foster exchange through a regional graduate tracking network. The MEPI Connect graduate tracking software is helping African medical schools to remain connected with their graduates. Tracking allows institutions to assess the effectiveness of strategies to retain graduates at posts in underserved areas.

Building the “Educational Home”: Staying Connected to Alumni with MEPI Graduate Tracking in Ethiopia

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. CapacityPlus is collaborating with the Medical Education Partnership Initiative (MEPI) Coordinating Center, MEPI Physician Tracking Technical Working Group, and MEPI-supported medical schools in 11 African countries to develop resources and good practices for graduate tracking and to foster exchange through a regional graduate tracking network. The MEPI Connect graduate tracking software is helping African medical schools to remain connected with their graduates. Tracking allows institutions to assess the effectiveness of strategies to retain graduates at posts in underserved areas.

Building the “Educational Home”: Staying Connected to Alumni with MEPI Graduate Tracking in Ghana

This case study is part of the interactive ePlatform for the World Health Organization’s guidelines on transforming and scaling up health professionals’ education and training. CapacityPlus is collaborating with the Medical Education Partnership Initiative (MEPI) Coordinating Center, MEPI Physician Tracking Technical Working Group, and MEPI-supported medical schools in 11 African countries to develop resources and good practices for graduate tracking and to foster exchange through a regional graduate tracking network. The MEPI Connect graduate tracking software is helping African medical schools to remain connected with their graduates. Tracking allows institutions to assess the effectiveness of strategies to retain graduates at posts in underserved areas.

Optimizing Performance and Quality: Stages, Steps, and Tools

Optimizing Performance and Quality (OPQ) is a stakeholder-driven, cyclical process for analyzing human and organizational performance and setting up interventions to improve performance and quality or build on strengths and successes. It has been used by country leaders in over 15 countries to strengthen health-sector governance through greater accountability and transparency, broadened partnerships, and measurable results in improved service quality. The OPQ process builds capacity within an organization to recognize and address problems or performance gaps on an ongoing basis. Each of the seven stages provides evidence-based guidance and steps to follow, with a suite of tools to help users through the process.

Scaling Up Health Workforce Education and Training: Guide for Applying the Bottlenecks and Best Buys Approach

Bottlenecks and Best BuysCapacityPlus’s Bottlenecks and Best Buys Approach is designed to help educational institutions identify obstacles to increasing the production of competent and qualified health workers that can be overcome through limited yet strategic investments. This guide identifies the stakeholders who should be involved, the steps in conducting a bottlenecks assessment, and a method for using the results to identify and build consensus on the most effective and affordable actions (best buys) for overcoming bottlenecks. It also provides tools and examples for strategic steps in the approach, such as engaging stakeholders, conducting a situation analysis, defining the school’s scale-up goal, leading group interviews, analyzing the results, and presenting the final bottlenecks and best buys report to external stakeholders and potential investors. Access the guide and annexes, along with related resources.

Report of Training Needs Assessment for Community Health Workers in South-South Geopolitical Region of Nigeria

One of the recommendations from a 2013 CapacityPlus assessment of PEPFAR-funded in-service training in Nigeria was to ensure broader access to new developments in knowledge and technology, as well as sustainability of training, by integrating the in-service training contents into preservice education curricula and continuing professional development programs. This assessment explored community health extension worker and community health officer perceptions of globally-accepted competency domains for public health practitioners across the areas of importance, and confidence in their ability to demonstrate those competencies. To corroborate findings at the domain level, the assessment also assessed these health workers at the individual skill/ability levels, which are mapped to the competency domain areas. Need scores were calculated for each competency domain and individual skill/ability levels. A need score ranking placed the need for computer and information technology access and skills as the top priority among health workers who participated in the study. Financial planning and management and public health science skills ranked a close second and third. Read more »

CHEER: An Approach to Community-Based Education Evaluation

This presentation was given at the Community-Based Education Technical Working Group Session during the Medical Education Partnership Initiative (MEPI) Annual Symposium in Maputo, Mozambique.

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