The crisis in human resources for health care and the potential of a 'retired' workforce: Case study of the independent midwifery sector in Tanzania

Health Policy and Planning

Volumn 23, Issue 2, 2008, Pages 137-149

  Rolfe, Ben ^a   Leshabari, Sebalda ^b   Rutta, Fredrik ^b   Murray, Susan F ^c  

^a Options Consultancy Services   (United Kingdom)

^b MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES   (Tanzania)

^c KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Health policy; Human resources; Multiple case study; Private sector; Qualitative; Retirement; Skilled attendant; Tanzania

Indexed keywords

ADULT; ANALYTIC METHOD; ARTICLE; CONTROLLED STUDY; FEMALE; HEALTH CARE; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HUMAN; MALE; MATERNAL CARE; MIDWIFE; NORMAL HUMAN; NURSING STAFF; PENSIONER; RETIREMENT; SOCIAL WELFARE; TANZANIA;

FEMALE; HUMANS; MATERNAL-CHILD NURSING; MIDWIFERY; ORGANIZATIONAL CASE STUDIES; PREGNANCY; PRIVATE SECTOR; RETIREMENT; TANZANIA;

EID: 39749163454     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czm049     Document Type: Article

References (73)

1. Abel-Smith B, Rawal P. 1992. Can the poor afford free health-services - a case-study of Tanzania. Health Policy and Planning 7: 329-41.
2. Agha S, Balal A, Ogojo-Okello F. 2004. The impact of a microfinance program on client perceptions of the quality of care provided by private sector midwives in Uganda. Health Services Research 39: 2081-100.
3. Beckmann S, Rai B. 2004. HIV/AIDS, work and development in the United Republic of Tanzania. Geneva: International Labour Organization.
4. Bell J, Hussein J, Jentsch B et al. 2003. Improving skilled attendance at delivery: a preliminary report of the SAFE strategy development tool. Birth 30: 227-34.
5. Benson JS. 2001. The impact of privatization on access in Tanzania. Social Science and Medicine 52: 1903-15.
6. Boller C, Wyss K, Mtasiwa D, Tanner M. 2003. Quality and comparison of antenatal care in public and private providers in the United Republic of Tanzania. Bulletin of the World Health Organization 81: 116-22.
7. Brugha R, Pritze-Aliassime S. 2003. Promoting safe motherhood through the private sector in low and middle income countries. Bulletin of the World Health Organisation 81: 616-23.
8. Brugha R, Zwi A. 2002. Global approaches to private sector provision: where is the evidence? In: Lee K, Buse K, Fustukian S, (eds). Health policy in a globalising world. Cambridge: Cambridge University Press, pp. 63-78.
9. Bureau of Statistics Planning Commission, Tanzania. 1993. Tanzania demographic and health survey 1991/1992. Dar es Salaam and Columbia MD: Macro International Inc.
10. Chijoriga M, Olomi DR, Nchimbi M. 2002. Jobs, gender and small entrepreneurship in Tanzania: factors affecting women entrepreneurs in the MSE sector. Primary research synthesis, Nov. Dar es Salaam/Geneva: UDEC/International Labour Organization.
11. Commission for Africa. 2005. Our common interest: Report of the Commission for Africa. London: Commission for Africa.
12. De Mello e Souza C. 1994. C-sections as ideal births: the cultural construction of beneficence and patients' rights in Brazil. Cambridge Quarterly of Healthcare Ethics 3: 358-66.
13. Department of Health (DoH). 2006. Recruitment and retention of mental health nurses. The Chief Nursing Officer's review. London: Department of Health.
14. Dominick A, Kurowski C. 2004. Human resources for health - an appraisal of the status quo in Tanzania mainland. Washington, DC: World Bank. Online at: http://www.ilo.org/public/english/protection/trav/aids/publ/cp_2_tanzania.pdf
15. Drucker P. 1985. Innovation and entrepreneurship. New York: Harper & Row.
16. Epstein TS. 1993. Female petty entrepreneurs and their multiple roles. In: Allen S, Truman C, (eds). Women in business: perspectives on women entrepreneurs. London: Routledge Press, pp. 14-27.
17. Faugier J. 2005. Developing a new generation of nurse entrepreneurs. Nursing Standard 19: 49-53.
18. Geefhuysen CF. 1999. Safe motherhood in Indonesia: a task for the next century. In: Berer M, Ravindran TKS, (eds). Safe Motherhood initiatives: critical issues. London: Reproductive Health Matters.
19. Global Health Workforce Alliance. 2006. Sharing Experiences Meeting Report, Lusaka Zambia, 4-6 April 2006. Geneva: World Health Organization.
20. Hanson K, Archard B, McPake B. 2001. Creating markets in hospital care: the adoption of developed country health sector reforms by developing countries. Is it appropriate? Tropical Medicine and International Health 6: 747.
21. Harding A, Preker AS. 2003. Private participation in health services. Washington, DC: World Bank.
22. Harrington JA. 2003. Law and the commodification of health care in Tanzania. Law, Social Justice & Global Development 2: [e-journal].
23. Health Research for Action (HERA). 2006. District health services delivery in Tanzania, where we are in terms of quantity and quality of health care provision? Online at: http://www.herabelgium.com, accessed 5 May 2007.
24. High Level Forum on the Health MDGs. 2004. Health workforce challenges: lessons from country experiences. Online at: http://www.hlfhealthmdgs.org/ Documents/HealthWorkforceChallenges-Final.pdf, accessed 1 July 2006.
25. Institute for Health Sector Development. 2004. Private sector participation in health. London: Institute for Health Sector Development.
26. John Snow Inc. 2005. Social franchising health services; a Philippines case study and review of experience. Boston: JSI.
27. Keen J, Packwood T. 2000. Using case studies in health services and policy research. In: Pope C, Mays N, (eds). Qualitative research in health care. London: BMJ Books, pp. 50-8.
28. Kendall J, Matosevic T, Forder J et al. 2002. The motivations of domiciliary care providers in England: building a typology. LSE Health and Social Care Discussion Paper No. 8. London: London School of Economics and Political Science.
29. Kurowski C, Wyss K, Abdulla S, Mills A. 2007. Scaling up priority health interventions in Tanzania: the human resources challenge. Health Policy and Planning 22: 113-27.
30. Kurowski C, Wyss K, Abdulla S et al. 2004. Human resources for health: requirements and availability in the context of scaling-up priority interventions in low-income countries. Case studies from Tanzania and Chad. HEFP Working Paper 1/4. London: London School of Hygiene and Tropical Medicine.
31. Kyejo KP. 2001. Tanzania. In: Technical assistance in fiscal policy and tax administration in developing countries. Keio University Research Papers, Tokyo. Online at: http://www.ic.keio.ac.jp/jjwbgsp/researchpapers.html, accessed 1 July 2006.
32. Mackintosh M, Tibandebage P. 2002. Inclusion by design? Rethinking health care market regulation in the Tanzanian context. Journal of Development Studies 39: 1-20.
33. Maestad O. 2006. Human resources for health in Tanzania: challenges, policy options and knowledge gaps. CMI Report. Bergen: Chr. Michelsen Institute.
34. Mamdani M, Bangser M. 2004. Poor people's experiences of health services in Tanzania: a literature review. Reproductive Health Matters 12: 138-53.
35. Marek T, O'Farrell C, Yamamoto C, Zable I. 2005. Trends and opportunities in public-private partnerships to improve health service delivery in Africa. Washington, DC: World Bank.
36. Maslin A. 2005. Pre-WHA meeting of Commonwealth Health Ministers, May 2005. Report from the Commonwealth Steering Committee for Nursing and Midwifery. London: Commonwealth Nurses Federation.
37. Mayoux L. 2001. Jobs, gender and small enterprises: getting the policy environment right. SEED Working Paper 15. Geneva: International Labour Office.
38. McGinn T, Aboagye-Owusu H, Dugan R et al. 1990. Private midwives: a new approach to family planning service in Ghana. Midwifery 6: 117-24.
39. McKee M, McPake B. 2004. Commentary: the devil is in the detail. British Medical Journal 329: 1175-76.
40. McKinsey & Company. 2005. Acting now to overcome Tanzania's greatest health challenge. Addressing the gap in human resources for health. New York: Touch Foundation.
41. Ministry of Health, Tanzania. 1997. Health sector reform programme of work. Dar es Salaam: Ministry of Health.
42. Ministry of Health, Tanzania. 2002. Health statistical abstract 2002. Inventory statistics 2. Dar es Salaam: Ministry of Health.
43. Murray SF, Elson MA. 2005. The promotion of private health insurance and the implications for the social organisation of healthcare: a case study of private sector obstetric practice in Chile. Sociology of Health and Illness 27: 6.
44. Murray SF, Nyambo N. 2003. Examining the role of private maternity services in Nepal, India and Tanzania. Private maternity services in Tanzania. Country Report. AG: 3128. London: Options Consultancy Services and King's College London.
45. Murray SF. 2000. Relation between private health insurance and high rates of casearean section in Chile: qualitative and quantitative study. British Medical Journal 321: 1501-5.
46. National Bureau of Statistics, Tanzania. 1999. Tanzania - reproductive and child health survey. Dar es Salaam and Columbia, MD: Macro International Inc.
47. National Bureau of Statistics, Tanzania and ORC Macro. 2005. Tanzania demographic and health survey 2004-05: key findings. Calverton, MA: ORC Macro.
48. NSW DADHC. 2000. From awareness to action. Mature Workforce Retention Project. Sydney: Department of Ageing, Disability and Home Care.
49. Nuffield Council on Bioethics. 2002. The ethics of research related to healthcare in developing countries. London: Nuffield Council on Bioethics.
50. Nursing Research Unit. 2007. Will an ageing nursing workforce work? Policy+ 2:1-2. London: King's College London.
51. Obuobo AAD, Pappoe M, Ofosu-Amaah S, Boni DY. 1999. Private health care provision: Greater Accra Region of Ghana. Bethesda MD: Partnerships for Health Policy Reform Project Associates Inc.
52. Price M, Broomberg J. 1990. The impact of the fee-for-service reimbursement system on the utilisation of heatlh services. A comparison of caesarean section rates in white nulliparous women in the private and public sectors. South African Medical Journal 78: 136-38.
53. Rutashobya LK. 1998. Women entrepreneurship in Tanzania: entry and performance barriers. GIRR No. 9. Addis Ababa: Organization for Social Science Research in Eastern and Southern Africa.
54. Saltman R. 2000. The concept of stewardship in health policy. Bulletin of the World Health Organization 78: 732-39.
55. Seiber E, Robinson-Miller AR. 2004. The impact of a microfinance program on private health care providers in Uganda. Washington, DC: USAID/Commercial Marketing Strategies Project.
56. Sharma S. 2001. The private sector and child health care. Chapel Hill, NC: Carolina Consulting Corporation.
57. Spoonley P, de Bruin A, Firkin P. 2002. Managing non-standard work arrangements: choices and constraints. Journal of Sociology 38: 425-41.
58. Stevenson L, St-Onge A. 2005. Support for growth-orientated women entrepreneurs in Tanzania. Geneva: International Labour Organization.
59. Suryanigsih D, Caiola N, Febriani E et al. 2005. Bidan Delima: Improving quality of care of private sector midwives. Paper presented at the International Society for Quality in Health Care conference, Vancouver.
60. UNDP. 2001. International/Millennium Declaration goals. Tanzania progress report. (Overview). Geneva: United Nations Development Program.
61. UNDP. 2005. Human Development Report 2005. New York: United Nations Development Program.
62. United Republic of Tanzania. 1997. Nurses and Midwives Registration Act 1997. Dar es Salaam.
63. UN Millennium Project. 2005. Who's got the power? Transforming health systems for women and children. UN Millennium Project Task Force on Child Health and Maternal Health. London/New York: Earthscan/UNDP.
64. Van Lerberghe W, Conceiçao C, Van Damme W, Ferrinho P. 2002. When staff is underpaid: dealing with the individual coping strategies of health personnel. Bulletin of the World Health Organisation 80: 581-84.
65. Walker D, Muyinda H, Foster S et al. 2001. The quality of care by private practitioners for sexually transmitted diseases in Uganda. Health Policy and Planning 16: 35-40.
66. Weber P, Schaper M. 2003. Understanding the grey entrepreneur: a review of the literature. Paper presented at the16th Annual Conference of Small Enterprise Association of Australia and New Zealand, University of Ballarant, Victoria, Australia.
67. WHO, ICM, FIGO. 2004. Making pregnancy safer: the critical role of the skilled attendant. A joint statement by WHO, ICM and FIGO. Geneva: World Health Organization.
68. WHO. 2003. Integrated management of pregnancy and childbirth. Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. Geneva: World Health Organization.
69. WHO. 2004. Maternal mortality in 2000: Estimates developed by WHO, UNICEF and UNFPA. Geneva: World Health Organization.
70. WHO. 2006. The World Health Report 2006: working together for health. Geneva: World Health Organization.
71. Wyss K, Whiting D, Kilima P et al. 1996. Utilisation of government and private health services in Dar es Salaam. East African Medical Journal 73: 357-63.
72. Yin R. 2003. Case study research: design and methods. 3rd edn. London: Sage.
73. Yumkella F, Githiori F. 2000. Technical Report 21: Expanding opportunities for postabortion care at the community level through private nurse-midwives in Kenya. Chapel Hill, NC: University of North Carolina, Program for International Training in Health (INTRAH).