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Improving Ghana’s mental healthcare through task-shifting-psychiatrists and health policy directors perceptions about government’s commitment and the role of community mental health workers

AGYAPONG, Vincent
et al
October 2016

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The aim of this study was to examine the perceptions of psychiatrists and health policy directors about the policy to expand mental health care delivery in Ghana through a system of task-shifting from psychiatrists to community mental health workers (CMHWs). A self-administered semi-structured questionnaire was developed and administered to 11 psychiatrists and 29 health policy directors. Key informant interviews were also held with five psychiatrists and four health policy directors. .

Globalization and Health (2016) 12:57

DOI 10.1186/s12992-016-0199-z

The balanced counseling strategy plus : a toolkit for family planning service providers working in high HIV/STI prevalence settings

POPULATION COUNCIL
2011

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"This "is an interactive, client-friendly approach for improving counseling on family planning and prevention, detection, and treatment of sexually transmitted infections (STIs) including HIV. The BCS+ was adapted from the Balanced Counseling Strategy, an evidence-based and well-researched tool for improving counseling on contraceptive methods. The BCS+ toolkit, developed and tested in Kenya and South Africa, provides the information and materials needed for health care facility providers to provide complete and high-quality family planning counseling to clients who live in areas with high rates of HIV and STIs.The BCS+ tools are generic and can be revised according to national and/or regional guidelines and different contexts
This second edition toolkit includes the following: * BCS+ Trainer’s Guide: Supervisors and others can use this to train health care facility directors and service providers on how to use the BCS+ for counseling family planning clients. * BCS+ User’s Guide: This guide focuses on how to implement the Balanced Counseling Strategy Plus. It can be distributed during training or used on its own with the BCS+ job aids. * BCS+ job aids comprising: - BCS+ algorithm that summarizes the 19 steps needed to implement the BCS+ during a family planning counseling session. These steps are organized into four stages: pre-choice, method choice, post-choice, and STI/HIV counseling. - BCS+ counseling cards that the provider uses during a counseling session. There are 26 counseling cards, the first of which contains six questions that the service provider asks to rule out the possibility a client is pregnant. Each of the next 16 cards contains information about a different family planning method. The next 3 cards provide advice on pregnancy and the postpartum period. The last 6 cards provide essential information for counseling on preventing, detecting, and treating STIs and HIV. - BCS+ method brochures on each of the 16 methods represented by the counseling cards. The brochures provide counseling to clients on the method they have chosen and then are given to clients for later reference. This means clients do not have to rely on their recollection of what was discussed with the provider. - WHO Medical Eligibility Criteria Wheel (offsite link) guides providers through medical conditions and medications that may be contraindications to use of particular contraceptive methods. The BCS+ tools are generic and can be revised according to national and/or regional guidelines and different contexts"
A video describing use of the BCS+ toolkit in South Africa also is available. To obtain Microsoft Word versions of BCS+ files to modify or revise according to your local setting, please contact the publisher

Africa's health worker crisis - an interview with Dr Peter Ngatia

AFRICA MEDICAL RESEARCH FOUNDATION (AMREF)
April 2009

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This interview with Dr Peter Ngatia, former faculty head at the Kenya Medical Training Centre, explores the critical lack of health workers of all levels throughout the continent of Africa and its implications. It also discusses programmes that have been set up to train community health workers to help provide at least minimum access to health care providers, particularly for rural communities

Task shifting : rational redistribution of tasks among health workforce teams : global recommendations and guidelines

WORLD HEALTH ORGANIZATION (WHO)
2008

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These guidelines and 22 recommendations are designed to support for countries that face a high HIV burden and acute shortages within the health workforce. Task shifting involves the rational redistribution of tasks among health workforce teams. Specific tasks are moved, where appropriate, from highly qualified health workers to health workers with shorter training and fewer qualifications in order to make more efficient use of the available human resources for health. The key elements that must be in place if the approach is to prove safe, efficient, effective, equitable and sustainable, cover the need for consultation, situation analysis and national endorsement, and for an enabling regulatory framework. They specify the quality assurance mechanisms, including standardised training, supportive supervision, and certification and assessment, that will be important to ensure quality of care

Human resources for health : overcoming the crisis

JOINT LEARNING INITIATIVE
2004

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This report identifies strategies to strengthen the workforce of health systems. The Joint Learning Initiative was launched because many people believed that the most critical factor driving health system performance, the health worker, was neglected and overlooked

South African health review 2002

Health Systems Trust (HST)
2003

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This is a comprehensive, authoritative and independent review of the South African health system. It is published annually and the theme of this year's edition is the restructuring of the health care system: progress to date. It is made up of 21 chapters grouped into four themes: framework for transformation, human resources, priority programmes and support systems. The review acts as a barometer for assessing the transformation processes and their impact on provision of equitable health care to all in South Africa

South African health review 2001

HEALTH SYSTEMS TRUST (HST)
March 2002

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This is a comprehensive, authoritative and independent review of the South African health system. It is published annually and this year's edition is is made up of 17 chapters grouped into four themes: listening to voices, equity, information for health, accountability and transformation. The review acts as a barometer for assessing the transformation processes and their impact on provision of equitable health care to all in South Africa

Integrating STDs and AIDS services into family planning programs

CEDPA
1995

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[Publisher's abstract] A five-day, 13-session training workshop to broaden family planning programmes to meet additional reproductive health needs, field-tested in Kenya by more than 60 health care managers and community-based distributors. Topics include attitudes about STDs and HIV/AIDS, approaches to motivating behaviour change, cultural and gender issues in counselling, communication and counselling skills and content and confidentiality issues

Health exchange

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Publication of The Health Exchange ceased in 2006
Re-launched as Health Exchange in March 2009 by Merlin, RedR and Healthlink Worldwide
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