The Knowledge library

Knowledge Library

Study of Attrition, Availability, and Retention of Midwife Service Scheme Officers in Nigeria

The Midwives Service Scheme, established in 2009 to reduce Nigeria’s high maternal mortality rate, supplies midwives to rural and remote areas where they are most needed. CapacityPlus collaborated with the National Primary Health Care Development Agency to study factors underpinning attrition, availability, and retention of personnel and propose measures for motivating and retaining rural-based midwives. Presented at the Third Global Symposium on Health Systems Research in Cape Town, South Africa, on October 1, 2014, this poster presents findings from the study.

Partnering with African Faith-Based Organizations for a Strong Health Workforce

Faith-based organizations (FBOs) make immense contributions to the health sector in many parts of the world. Yet they are often not integrated into planning and resource allocations for national health systems, leading to service and system redundancies and gaps. FBOs also face numerous human resources for health (HRH) challenges, similar to other public- and private-sector institutions providing health services. The Africa Christian Health Associations Platform (ACHAP) has strengthened its members’ capacities to address HRH challenges with support from CapacityPlus. This technical brief presents examples from ACHAP members’ efforts to strengthen HRH and integrate FBOs into national health systems and the HRH community. The brief highlights achievements in selected areas, provides lessons learned, and offers seven key recommendations for furthering FBOs’ efforts.

mHealth Compendium Volume Four

The fourth edition of the mHealth compendium is a collection of 31 case studies, including one focused on application of CapacityPlus’s interactive voice response (IVR) mLearning platform to deliver refresher training to family planning providers in Senegal (page 68). The compendium also highlights the nine Principles for Digital Development, provides evidence for mHealth interventions, and identifies valuable databases, training materials, guidelines, and toolkits for mHealth project implementers.

Health Workforce Productivity: An Approach for Measurement, Analysis, and Improvement

Increasing health workers’ productivity will make service delivery more efficient and ensure that high-quality family planning, reproductive health, HIV and AIDS, maternal and child health and other key services are accessible to the population. This free course on the Global Health eLearning Center, by CapacityPlus’s Rachel Deussom and Wanda Jaskiewicz of IntraHealth International, explores some basic concepts of health workforce productivity. It provides useful descriptions of a quantitative, formulaic approach for measuring productivity at the facility level; possible underlying causes of low productivity and methods to measure them; and potential interventions to improve productivity and strengthen health services. It takes approximately two hours to complete the course, after which each learner will receive a certificate.

Using Evidence for Human Resources for Health Decision-Making: An Example from Uganda on Health Workforce Recruitment and Retention

A strong and well-distributed health workforce is necessary for providing access to high-quality health care and achieving national and global health goals. Developing and implementing policies to effectively address health workforce challenges demands relevant data for evidence-based decision-making. This technical brief offers six recommendations to help national stakeholders transform evidence into policy decisions and subsequent action. Using an example from Uganda, the authors illustrate how the development and sharing of evidence can support decision-making for change in health workforce recruitment and retention policies, toward the aim of improving access to high-quality health care for the population.

Health Professional School Leadership and Health Sector Reform, Performance, and Practice

In the transition to the post-Millennium Development Goals era, many low and middle-income countries will be making significant shifts in their national health policies. The leadership that is drawn upon to make policy changes tends to be in ministries of health, flagship hospitals, physicians and nurses associations, and social protection entities. Health professional schools are an additional and valuable—yet often overlooked—source of leadership in health reform and health policy-making. This technical brief highlights some examples of how the education and research leadership of health professional schools has engaged, influenced, or obtained resources from national policy-makers and others with significant influence on the health sector. The brief also reviews instances in which different health educational institutions and professional associations have worked to shape national responses to health system needs.

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 »

The Medical Education Partnership Initiative: Report of the Graduate Tracking Software Review and Implementation Workshop

In collaboration with the Medical Education Partnership Initiative (MEPI) Physician Tracking Technical Working Group, CapacityPlus and the MEPI Coordinating Center conducted a Graduate Tracking Software Review and Implementation Workshop in Moshi, Tanzania, July 8–11, 2014. Participants reviewed the beta version of the graduate tracking software and provided additional feedback to finalize its functional requirements, data elements, forms, reports, and other features. Each MEPI-supported school representative developed a draft 100-day strategic action plan for his/her institution with three common outcome objectives: 1) build/achieve consensus from key stakeholders on how to apply the software; 2) define needs for adapting, deploying, and maintaining the software; and 3) deploy the software.