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Knowledge Library

Health Workforce Productivity Analysis and Improvement Toolkit

Health Workforce Productivity Analysis and Improvement ToolkitThe health workforce is critical for ensuring access to high-quality family planning/reproductive health, maternal and child health, HIV/AIDS, and other services in order to improve health outcomes. While increasing the number of health workers where there are shortages is essential, it is equally important to improve the productivity of the existing workforce and make service delivery more efficient. The Health Workforce Productivity Analysis and Improvement Toolkit describes a step-wise process to measure the productivity of facility-based health workers, understand the underlying causes of productivity problems, and identify potential interventions to address them. Users can enter and save facility-level data on service delivery outputs and human resources costs in order to calculate total health workforce productivity and compare these rates across facilities. This process differentiates higher-productivity facilities from lower-productivity ones, which through a qualitative assessment can help managers and supervisors to consider which factors are affecting health workforce productivity in the facilities.

Working Paper on the Role of Social Service Workforce Development in Care Reform

This working paper explores the topic of social service workforce development as it relates to child care reform. It is intended to be a useful resource for reform efforts and a practical overview for use by policy-makers, practitioners, and service providers in contexts that are either considering the implications of care reforms for their social service workforce or are already engaged in a process. The paper illustrates key issues by drawing on the experiences of Indonesia, Moldova, and Rwanda, three countries in the process of reform, each within their own context and history, social and political system, protection structure and services, and social service education system.

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.

Building Human Resources for Health Governance and Leadership Capacity at the Country Level: Approaches, Results, and Recommendations

CapacityPlus used three types of leadership approaches—thought leadership, community leadership, and implementing for results leadership—to develop HRH governance and leadership capacity at the country level. Presented at the Prince Mahidol Award Conference in Bangkok (January 26–31, 2015), this poster summarizes the results and outputs achieved in the Dominican Republic, Ghana, Nigeria, and Uganda.

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.

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.

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.

Developing a Human Resources for Health (HRH) Effort Index to Measure Country-Level Status in HRH

Human resources for health (HRH) are an essential component of health systems and crucial to increased accessibility and quality of services. However, there is a scarcity of HRH indicators and the few that exist are often unreliable, inconsistently related to outcomes, or do not inform on the multidimensional nature of the area. Based on HRH and performance-based frameworks, CapacityPlus and a technical advisory group developed the HRH Effort Index to measure inputs and outputs in HRH. Presented at the Prince Mahidol Award Conference in Bangkok (January 26–31, 2015), this poster highlights preliminary results from testing the HRH Effort Index in Kenya and Nigeria.