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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

Global strategy on human resources for health: Workforce 2030. DRAFT for the 69th World Health Assembly

World Health Organisation (WHO)
May 2016

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This report was presented to Member States at the World Health Assembly in May 2016 and is to be read in conjunction with A69/38: Draft global strategy on human resources for health: Workforce 2030. Report by the Secretariat. The vision of this work and report is to "Accelerate progress towards universal health coverage and the UN Sustainable Development Goals by ensuring equitable access to health workers within strengthened health systems". Objectives are "To optimise performance, quality and impact of the health workforce through evidence-informed policies on human resources for health, contributing to healthy lives and well-being, effective universal health coverage, resilience and strengthened health systems at all levels",  "To align investment in human resources for health with the current and future needs of the population and of health systems, taking account of labour market dynamics and education policies; to address shortages and improve distribution of health workers, so as to enable maximum improvements in health outcomes, social welfare, employment creation and economic growth", "To build the capacity of institutions at sub-national, national, regional and global levels for effective public policy stewardship, leadership and governance of actions on human resources for health" and "to strengthen data on human resources for health, for monitoring and ensuring accountability for the implementation of national and regional strategies, and the global strategy".  Global milestones by 2020 and 2030, policy options of Member States, responsibilities of the WHO Secretariat and recommendations to other stakeholders and international partners are discussed for each objective.

 

The IMF, the global crisis and human resources for health : still constraining policy space

LEFRANÇOIS, Fabien
February 2010

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This report "...examines evidence from nine IMF country programmes, chosen based on their HIV prevalence rates, and finds that although the IMF has changed its tune and is talking about greater flexibility, these changes are not enough and are only temporary. "In 2006, the World Health Organisation (WHO) estimated that 57 countries were facing a severe health workforce crisis.... Addressing this shortage, and action alongside it to strengthen health systems around the world, requires substantial, concerted effort from both aid donors and recipient governments. The current global downturn threatens to undermine steps taken in this direction so far and jeopardise progress towards the health-related Millennium Development Goals. "...the IMF has adapted its rhetoric so that it now claims its programmes are more flexible on fiscal and monetary policies, which determine to what extent governments can maintain or increase spending - including of foreign aid - and stimulate economic activity"

Increasing access to health workers in remote and rural areas through improved retention|Global policy recommendations

DOLEA, Carmen
et al
2010

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These guidelines aim to help national policy makers address the challenge of ensuring there are sufficient numbers of qualified health workers in remote and rural areas to be able to deliver effective health services and improve health outcomes. The guidelines outline the principles for creating national policy; evidence-based recommendations to improve the attraction, recruitment and retention of health workers to remote and rural areas; and measuring and evaluating the impact of rural retention policies

The health worker shortage in Africa : are enough physicians and nurses being trained?

KINFU, Yohannes
et al
February 2009

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"The health worker shortage in sub-Saharan Africa derives from many causes, yet the dynamics of entry into and exit from the health workforce in many of these countries remain poorly understood. This limits the capacity of national governments and their international development partners to design and implement appropriate intervention programmes. This paper provides some of this information through the first systematic estimates of health worker inflow and outflow in selected sub-Saharan African countries"

Scaling up the stock of health workers : a review

DUSSAULT, Gilles
et al
2009

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This paper synthesises some of the published and grey literature on the process of scaling up the health workforce - also known as human resources for health (HRH) - with a particular focus on increasing the number of trained providers of health services. It concentrates on low- and middle-income countries, although some literature on richer countries is included

World health report 2008|Primary health care : now more than ever

WORLD HEALTH ORGANIZATION (WHO)
2008

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This report considers four sets of reforms that reflect a convergence between the values of primary health care, the expectations of citizens and the common health performance challenges that cut across all contexts. These include: universal coverage reforms, service delivery reforms, public policy reforms, and leadership reforms. "While universally applicable, these reforms do not constitute a blueprint or a manifesto for action. The details required to give them life in each country must be driven by specific conditions and contexts, drawing on the best available evidence"

Developing human resources for health

DEUTSCHE GESELLSCHAFT FUR TECHNISCHE ZUSAMMENARBEIT (GTZ)
June 2007

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This booklet ..."describes the dire shortage of human resources (HR) in the health systems of low and middle income countries and the special challenges posed by this crisis. It touches on ways of addressing shortages of qualified staff and gives several examples of how countries can use technical support to build stronger a health workforce"

Human resource development for health in Ethiopia : challenges of achieving the millennium development goals

GIRMA, Samuel
et al
2007

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A "review of different documents on human resource for health in Ethiopia was undertaken. Generally there is shortage in number of different groups of professionals, maldistribution of professionals between regions, urban and rural setting, and governmental and non governmental/private organizations. A number of measures are being taken to alleviate these problems. The implications of these for human resource development by 2015 are explored briefly"

Global health watch 2005-2006 : an alternative world health report

LEMA, Claudia
et al
2005

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This report is the result of a collaboration of leading popular movements, NGOs, activists, academics and health workers. It provides an evidence-based analysis of the political economy of health and health care and challenges policies and initiatives of global organisations including the World Bank, the World Health Organization and UNICEF. Many key issues relevant to health are covered, including health care services and systems, health of vulnerable groups, climate change, food and water, education, armed conflicts. Part E also provides and assessment of the impact global institutions, transnational corporations and rich countries. This report is a call for action, directed to health workers and activists and national and international policy-makers

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

Improving transparency in pharmaceutical systems : strengthening critical decision points against corruption

COHEN, Jillian Clare
CERCONE,James A.
MACAYA, Roman
October 2002

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This is a diagnostic framework and methodology to evaluate a pharmaceutical system’s vulnerability to corruption and to determine which corrupt practices can have a major impact on the system’s ultimate efficiency. While developed in the context of the health systems of Latin America and the Caribbean (and implemented in a pilot study in Costa Rica), the methodology can be modified with ease so that it is applicable to other regions

AfroAIDSinfo.org

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This website aims to disseminate information on HIV/AIDS to researchers, the health profession, the public, infected individuals, educators and policy-makers. It has sections dedicated to each of these audiences available in English, Afrikaans and isiXhosa. 'Current awareness' pages offer compiled lists of links to 'breaking news' and 'fast facts' relevant to each audience group. Although some information refers specificially to the South African context, the site holds much information relevant to Africa and internationaly

Corruption in the health sector : literature review

U4 ANTI-CORRUPTION RESOURCE CENTRE

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This is a literature review of resources relating to various aspects of the health sector. It is divided into sections, including: general information; corruption in the health sector; documents from international anti-corruption conferences; pay reform, salaries and informal payments; staff recruitment, posting, ethical training, ethical codes; budgets and financing; and procurement

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