Workforce resources for health in developing countries

Public Health Reviews

Volumn 32, Issue 1, 2010, Pages 296-318

  Bangdiwala, Shrikant I ^a,b   Fonn, Sharon ^c   Okoye, Osegbeaghe ^d   Tollman, Stephen ^c,e  

^a The University of North Carolina at Chapel Hill   (United States)

^b UNIVERSITY OF SOUTH AFRICA   (South Africa)

^c UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^d Rumuibekwe Housing Estate ^*  (Nigeria)

^e UMEÅ UNIVERSITY   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIRETROVIRUS AGENT;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; CASE STUDY; COMMUNITY CARE; DEVELOPING COUNTRY; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH PROGRAM; HIGHLY ACTIVE ANTIRETROVIRAL THERAPY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INCOME; INFECTION RISK; JOB FINDING; LABOR MANAGEMENT; LEADERSHIP; MALARIA; MANAGER; MEDICAL PROFESSION; NIGERIA; NURSE PRACTITIONER; OCCUPATIONAL DISEASE; PARAMEDICAL PERSONNEL; PREVENTIVE HEALTH SERVICE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; PROFESSIONAL PRACTICE; PUBLIC HEALTH PROBLEM; PUBLIC HEALTH SERVICE; REVIEW; SOCIOECONOMICS;

EID: 79959753567     PISSN: 03010422     EISSN: 21076952     Source Type: Journal    
DOI: 10.1007/BF03391604     Document Type: Review

References (93)

1. Dussault G, Franceschini MC. Not enough there, too many here: understanding geographical imbalances in the distribution of the health workforce. Hum Resour Health. 2006;4:12.
2. Speybroeck N, Kinfu Y, Dal Poz MR, Evans DB. Reassessing the relationship between human resources for health, intervention coverage and health outcomes. Evidence and Information For Policy. Geneva: World Health Organization ; 2006. Available from URL: https://www.who.int/hrh/documents/reassessing-relationship. pdf (Accessed 13 May, 2010).
3. Kinfu Y, Dal Poz MR, Mercer H, Evans DB. The health worker shortage in Africa: are enough physicians and nurses being trained? Bull World Health Organ. 2009;87(3)225-39.
4. Parfitt B. Health reform: the human resource challenges for Central Asian Commonwealth of Independent States (CIS) countries. Collegian. 2009;16(1): 36-40.
5. Dolea C, Stormont L, Braicheta JM. Evaluated strategies to increase attraction and retention of health workers in remote and rural areas. Bull World Health Organ. 2010;88:379-85.
6. Chen LC. Striking the right balance: health workforce retention in remote and rural areas. Bull World Health Organ. 2010;88:323.
7. Sim F, Lock K, McKee M. Maximizing the contribution of the public health workforce: the English experience. Bull World Health Organ. 2007;85:935-8. Available from URL: http://www.who.int/bulletin/volumes/85/12/07-044289.pdf (Accessed 13 May, 2010).
8. World Health Organization. Working together for health: the world health report 2006, Geneva: World Health Organization; 2006. Available from URL: http://www.who.int/whr/2006/whr06-en.pdf (Accessed 17 May, 2010).
9. Joint Learning Initiative. Human resources for health; overcoming the crisis. Washington (DC): The President and Fellows of Harvard College; 2004. Available from URL: http://www.who.int/hrh/documents/JLi-hrh-report.pdf (Accessed 13 May, 2010).
10. Beaglehole R, Sanders D, Dal Poz M. The public health workforce in sub-Saharan Africa: challenges and opportunities. Ethn Dis. 2003; 13 (2 Suppl 2): S24-30.
11. World Health Organization, Regional Office for Africa. The African regional health report, 2006: the health of the people. Available from URL: http://whqlibdoc.who.int/afro/2006/9290231033-rev-eng.pdf or http://www.who.int/bulletin/africanhealth/en/index.html (Accessed 13 May, 2010).
12. UNAIDS. 2008 report on the global Aids epidemic. Geneva: UNAIDS; 2008. http://whqlibdoc.who.int/unaids/2008/9789291737178-eng.pdf (Accessed 13 May, 2010).
13. Hongoro C, McPake B. How to bridge the gap in human resources for health. Lancet. 2004;364:1451-6. (Pubitemid 39370722)
14. Abdool Karim SS, Churchyard GJ, Abdool Karim Q, Lawn SD. HIV infection and tuberculosis in South Africa: an urgent need to escalate the public health response. Lancet. 2009;374:921-33.
15. Adjuik M, Smith T, Clark S, Todd J, Garrib A, Kinfu Y, et al. Cause-specific mortality in sub-Saharan Africa and Bangladesh, Bull World Health Organ. 2006;84:181-92.
16. Tollman SM, Kahn K, Sartorius B, Collinson MA, Clark SJ, Garenne ML. Implications of mortality transition for primary health care in rural South Africa: a population-based surveillance study. Lancet. 2008;372:893-901.
17. World Health Organization. World health report 2000: Health systems; improving performance. Geneva: World Health Organization; 2000. Available from URL: http://www.who.int/whr/2000/en/whr00-en.pdf (Accessed 13 May, 2010),
18. Frenk J. Bridging the divide: global lessons learned from evidence-based health policy in Mexico. Lancet. 2006;368:954-61. (Pubitemid 44331388)
19. Chopra M, Lawn JE, Sanders D, Barron P, Abdool Karim SS, Bradshaw D, et al. Achieving the health Millennium Development Goals for South Africa: challenges and priorities. Lancet. 2009; 374:1023-31.
20. Goudge J, Gilson L, Russell S, Gumede T, Mills A. The household costs of health care in rural South Africa with free primary public care and hospital exemptions for the poor. Trop Med Int Health. 2009;14:458-67.
21. Chan M. Return to Alma-Ata. Lancet. 2008;372:865-6.
22. World Health Organization. The world health report 2008; primary health care now more than ever. Geneva: World Health Organization; 2008. Available from URL: http://www.who.int/whr/2008/whr08-en.pdf (Accessed 13 May, 2010).
23. Spinaci S, Currat L, Shetty P, Crowell V, Kehler J. Tough choices: investing in health for development: experiences from national follow-up to the Commission on Macroeconomics and Health. Geneva: World Health Organization; 2006. Available from URL: http://www.who.int/macrohealth/documents/report-and- cover.pdf (Accessed 13 May, 2010).
24. Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health Geneva: World Health Organization; 2008. Available from URL: http://whqlibdoc.who.int/ publications/2008/9789241563703-eng.pdf (Accessed 13 May, 2010).
25. nd ed. Washington (DC) and New York: World Bank and Oxford University Press; 2006. p.1193-210.
26. Laxminarayan R, Mills AJ, Brennan JG, Measham AR, Alleyne G, Claeson M, et al. Advancement of global health: key messages from the Disease Control Priorities Project. Lancet. 2006;367:1193-208.
27. Frenk J. Reinventing primary health care: the need for systems integration. Lancet. 3009;374:170-3.
28. Haji M, Durairaj V, Zurn P, Stormont L, Mapunda M. Emerging opportunities for recruiting and retaining a rural health workforce through decentralized health financing systems. Bull World Health Organ 2010;88:397-9.
29. Gilks CF, Crowley S, Ekpini R, Gove S, Perriens J, Souteyrand Y, et al. The WHO public-health approach to antiretroviral treatment against HIV in resource-limited settings. Lancet. 2006;368:505-10. (Pubitemid 44142772)
30. Haines A, Sanders D, Lehmann U, Rowe AK, Lawn JE, Jan S, et al. Achieving child survival goals: potential contribution of community health workers. Lancet. 2007;369:2121-31. (Pubitemid 46935921)
31. Gilson L, Walt G, Heggenhougen K, Owuor-Omondi L, Perera M, Ross D, et al. National community health worker programs: how can they be strengthened? J Public Health Policy. 1989;10:518-32.
32. Hermann K, Van Damme W, Pariyo GW, Schouten E, Assefa Y, Cirera A, et al. Community health workers for ART in sub-Saharan Africa: learning from experience - capitalizing on new opportunities. Hum Resour Health. 2009; 7:31.
33. Schneider H, Hlophe H, van Rensberg D. Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects. Health Policy Plan. 2008;23:179-87.
34. Samb B, Celletti F. Holloway J, Van Damme W, De Cock KM, Dybul M. Rapid expansion of the health workforce in response to the HIV epidemic. N Engl J Med. 2007;357:2510-4. (Pubitemid 350272794)
35. Chang LW, Alamo S, Guma S, Christopher J, Suntoke T, Omasete R, et al. Two-year virologic outcomes of an alternative AIDS care model: evaluation of a peer health worker and nurse-staffed community-based program in Uganda. J Acquir Immune Defic Syndr. 2009;50:276-82.
36. Wouters E, Van Damme W, Van Loon F, van Rensburg D, Meulemans H. Public-sector ART in Free State Province, South Africa: community support as an important determinant of outcome. Soc Sci Med. 2009;69:1177-85.
37. Harvey SA, Jennings L, Chinyama M, Masaninga F, Mulholland K, Bell DR. Improving community health worker use of malaria rapid diagnostic tests in Zambia: package instruction, job aid and job aid-plus-training. Malar J. 2008; 7:160.
38. Lewin SA, Dick J, Pond P, Zwarenstein M, Aja G, van Wyk B, et al. Lay health workers in primary and community health care. Cochrane Database Syst Rev. 2005;(1):CD004015.
39. Webster PC. Uganda registers successes with child-health volunteers. Lancet. 2009;374:1735-6.
40. Clarke M, Dick J, Zwarenstein M, Lombard CJ, Diwan VK. Lay health worker intervention with choice of DOT superior to standard TB care for farm dwellers in South Africa: a cluster randomized control trial. Int J Tuberc Lung Dis. 2005:673-9. (Pubitemid 40826161)
41. World Health Organization, Western Pacific Region. Mid-level and nurse practitioners in the Pacific: models and issues. Manila: World Health Organization, Western Pacific Region; 2001. Available from URL: http://www.wpro.who.int/internet/resources.ashx/NUR/nursescoverall.pdf (Accessed 14 May, 2010).
42. Lehmann U. Mid-level workers. The state of the evidence on programmes, activities, costs and impact on health outcomes. A literature review. Geneva: World Health Organization; 2008. Available from URL: http://www.who.int/hrh/ MLHW-review-2008.pdf (Accessed 14 May, 2010).
43. McAuliffe E, Bowie C, Manafa O, Maseko F, MacLachlan M, Hevey D, et al. Measuring and managing the work environment of the mid-level provider - the neglected human resource. Hum Resour Health. 2009;7:13.
44. McPake B, Mensah K. Task shifting in health care in resource-poor countries. Lancet. 2008;372:870-1.
45. Glicken AD. Excellence in physician assistant training through faculty development. Acad Med. 2008;83:1107-10.
46. Stewart AC, Catanzaro R. Can physician assistants be effective in the UK? Clin Med. 2005;5: 344-8.
47. Ashton CW, Aiken A, Duffie D. Physician assistants - a solution to wait times in Canada? Healthc Manage Forum. 2007;20:38-42.
48. Kamalakanthan A, Jackson S. Doctor supply in Australia: rural-urban imbalances and regulated supply. Aust J Prim Health. 2009;15:3-8.
49. Sweet M. Australia to try US-style physician assistants to increase health workforce. BMJ. 2008;337:a1407.
50. Mullan F, Frehywot S. Non-physician clinicians in 47 sub-Saharan African countries. Lancet. 2007;370:2158-63. (Pubitemid 350301983)
51. Kurowski C, Wyss K. Abdulla S, Yémadji N'D, Mills A. 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 01/04. London: LSHTM;2004. Available from URL: http://www.hefp.lshtm.ac.uk/publications/downloads/working-papers/01-04.pdf (Accessed 12 May, 2010)
52. Wools-Kaloustian K, Kimalyo S. Extending HIV care in resource-limited settings. Current HIV/AIDS reports. 2006;3:182-6. (Pubitemid 44657377)
53. Record R, Mohiddin A. An economic perspective on Malawi's medical "brain drain". Globalization Health. 2006;2:12.
54. Adano U. The health worker recruitment and deployment process in Kenya: an emergency hiring program. Hum Resour Health. 2008;6:19.
55. Nanda G, Switlick K, Lule E. Accelerating progress towards achieving the MDG to improve maternal deaths. A collection of promising approaches. Health, Nutrition and Population (HNP) discussions paper. Washington (DC); World Bank; 2005. Available from URL: http://siteresources.worldbank.org/ HEALTHNUTRITIONANDPOPULATION/Resources/281627-1095698140167/ NandaAcceleratingProgresswithCover.pdf (Accessed 14 May, 2010).
56. Jones G, Steketee RW, Black RE, Bhutta ZA, Morris S. How many child deaths can we prevent this year? Lancet. 2003;362:65-71.
57. Staton FS, Bhosle MJ, Camacho FT, Feldman SR, Balkrisnan R. How PAs improve access to care for the underserved. JAAPA. 2007;20:32,34,36 passim.
58. Keni BH. Training competent and effective primary health care workers to fill a void in the outer islands health service delivery of the Marshall Islands of Micronesia. Hum Resour Health. 2006;4:27.
59. Mikhail J, Millerz W, Wagner J. Midlevel practitioner role evolution in an American College of Surgeons - verified trauma surgery service: the 23-year experience at Hurley Medical Center. J Trauma Nurs. 2009;16:33-40.
60. Berer M. Provision of abortion by mid-level providers: international policy, practice and perspectives. Bull World Health Organ. 2009;87:58-63.
61. Médicins Sans Frontières. Help wanted. Confronting the health care worker crisis to expand access to HIV/AIDS treatment. Johannesburg: Médicins Sans Frontières; 2007. Available from URL: http://www.msf.org/source/countries/ africa/southafrica/2007/Help-wanted.pdf (Accessed 14 May, 2010).
62. Médicins Sans Frontières. Decentralising free nurse-based HIV/TB care and treatment at the primary health care level in rural Lesotho: 2007 mid-year progress report. Available from URL: http://msf.org.za/Docs/2007- Mid-Year-Progress-Report-FINAL.pdf (Accessed 14 May, 2010).
63. Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ. 2002;324:819-23. (Pubitemid 34280734)
64. Renders CM, Valk GD, Griffin SJ, Wagner E, van Eijk JThM, Assendelft WJJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database of Systematic Reviews. 2000; Issue 4. Art. No: CD001481.
65. Bodenheimer T, MacGregor K, Stothart N. Nurses as leaders in chronic care. BMJ. 2005;330:612-3. (Pubitemid 40444754)
66. Laurant MGH, Hermens RPMG, Braspenning JCC, Sibbald B, Grol RPTM. Impact of nurse practitioners on workload of general practitioners: a randomised controlled trial. BMJ. 2004;328:927-30. (Pubitemid 38496986)
67. AIDSMap. Task shifting: successes from Mozambique and Rwanda 05/09/08. Available from URL: http://www.aidsmap.co.uk/cms1277951.asp (Accessed 20 May, 2010)
68. Dovlo D. Using mid-level cadres as substitutes for internationally mobile health professionals in Africa. A desk review. Hum Resour Health. 2004;2:7.
69. Yarnall J, Swica Y, Winikoff B. Non-physician clinicians can safely provide first trimester medical abortion. Reproductive Health Matters. 2009:17:61-69.
70. Weller JM, Merry AF, Robinson BJ, Warman GR, Janssen A. The impact of trained assistance on error rates in anaesthesia: a stimulation-based randomised controlled trial. Anaesthesia, 2009;64:126-30.
71. Roy CL, Liang CL, Lund M, Boyd C, Katz JT, McKean S, et al. Implementation of a physician assistant/hospitalist service in an academic medical center: impact on efficiency and patient outcomes. J Hosp Med. 2008;3:361-8.
72. Pereira C, Cumbi A, Malalane R, Vaz F, McCord C, Bacci A, Bergstrom S. Meeting the need for emergency obstetric care in Mozambique: work performance and histories of medical doctors and assistant medical officers trained for surgery. BJOG. 2007;114:1530-3. (Pubitemid 350077422)
73. Cumbi A, Pereira C, Malalane R, Vaz F, McCord C, Bacci A, Bergstrom S. Major surgery delegation to mid-level health practitioners in Mozambique: health professionals' perceptions. Hum Resour Health. 2007;5:27
74. McCoy D, Bennett S, Witter S, Pond B, Baker B, Gow J, et al. Salaries and incomes of health workers in sub-Saharan Africa. Lancet. 2008;371:675-81.
75. Henderson LN, Tulloch J. Incentives for retaining and motivating health workers in Pacific and Asian countries. Hum Resour Health. 2008;6:18.
76. Udin S. The no-nonsense guide to world health. Oxford; New Internationalist; 2007.
77. Willis-Shattuck M, Bidwell P, Thomas S, Wyness L, Blaauw D, Ditlopo P. Motivation and retention of health workers in developing countries: a systematic review. BMC Health Services Research. 2008;8:247.
78. Penn-Kekana L, Blaauw D, Tint KS, Monareng D, Chege J. Nursing staff dynamics and implications for maternal health provision in public health facilities in the context of HIV/AIDS. Johannesburg (SA): Centre for Health Policy, University of Witwatersrand Frontiers in Reproductive Health Population Council; 2005. Available from URL: http://web.wits.ac.za/NR/rdonlyres/AEB72B9A- AD32-47B3-A19F-C976A1303960/0/FR109-SA-Nursing-Staff.pdf (Accessed 14 May, 2010).
79. Chandler CI, Chonya S, Mtei F, Reyburn H, Whitty CJ. Motivation, money and respect: a mixed-method study of Tanzanian non-physician clinicians. Soc Sci Med. 2009;68:2078-88.
80. Rowe AK, de Savigny D, Lanata CF, Victora CG. How we achieve and maintain high-quality performance of health workers in low-resource settings. Lancet. 2005;366:1026-35. (Pubitemid 41323038)
81. Health system reform initiatives in Tamil Nadu: Contribution to improvements in sexual and reproductive health services. Available from URL: http://web.wits.ac.za/Academic/health/PublicHealth/ (Accessed 14 May, 2010).
82. World Health Organization. WHO African Region. Nigeria: health profile. 2006. Available from URL: http://www.who.int/countries/nga/nga/en/ and http://www.who.int/gho/countries/nga.pdf (Accessed 14 May, 2010).
83. World Health Organization. Country health system fact sheet, 2006. Nigeria. Available from URL: http://www.afro.who.int/index.php?option=com- content&view=article&id=1047&Itemid=1936 or http://www.afro.who.int/ en/nigeria/who-country-office-nigeria.html (Accessed 14 May, 2010).
84. Tulchinsky TH, Varavikova EA. The new public health: second edition. San Diego: Elsevier Academic Press; 2008. Chapter 15.
85. United Nations International Children's Fund. The state of the world's children, 2009. New York: United Nations; 2009. Available from URL: http://www.unicef.org/publications/files/SOWC-2009-Main--Report--03112009.pdf (Accessed 14 May, 2010).
86. Labiran A. Mafe M. Onajole A. Lambo E. Health workforce country profile for Nigeria: first edition. Nigeria Africa Health Workforce Observatory; 2008 Available from URL: http://www.hrh-observatory.afro.who.int/images/Document- Centre/nigeria-country-profile.pdf (Accessed 14 May, 2010)
87. National Agency for the Control of AIDS (NACA). United Nations: UNGASS country progress report- reporting period January 2008- December 2009 (March 2010). Available from URL: http://data.unaids.org/pub/Report/2010/nigeria-2010- country-progress-report-en.pdf (Accessed 3 June, 2010).
88. World Health Organization. Stop TB strategy: Nigeria. Available from URL: http://www.stoptb.org/assets/documents/countries/GlobalReport2009/nga.pdf (Accessed 5 June, 2010).
89. Rourke J. How can medical schools contribute to the education, recruitment and retention of rural physicians in their region. Bull World Health Organ. 2010; 88:395-6.
90. Frehywot S, Mullan F, Payne PW, Ross H. Compulsory service programmes for recruiting health workers in remote and rural areas: do they work? Bull World Health Organ. 2010;88:364-70.
91. World Health Organization. World health report 2000: Health systems - improving performance. Geneva: World Health Organization; 2000. Available from URL: http://www.who.int/whr/2000/en/ (Accessed 14 May, 2010).
92. World Health Organization. World Health Assembly 2006. Available from URL: http://www.who.int/mediacentre/events/2006/wha59/en/ (Accessed 14 May, 2010).
93. Fonn S, Ray S, Blaauw D. Innovation to improve health care provision and health systems in sub-Saharan Africa - promoting agency in mid-level workers and district managers. Global Public Health; 2010 (in press).