Does supervision improve health worker productivity? Evidence from the Upper East Region of Ghana

Tropical Medicine and International Health

Volumn 16, Issue 10, 2011, Pages 1225-1233

  Frimpong, Jemima A ^a,d   Helleringer, Stéphane ^a,d   Awoonor Williams, John Koku ^b   Yeji, Francis ^c   Phillips, James F ^a,d  

^a Columbia University ^*  (United States)

^b GHANA HEALTH SERVICE   (Ghana)

^c NAVRONGO HEALTH RESEARCH CENTRE   (Ghana)

^d Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

Ghana; Health workers; Productivity; Supervision; Time use; Work sampling

Indexed keywords

HEALTH SERVICES; HEALTH WORKER; HUMAN RESOURCE; HYPOTHESIS TESTING; LABOR PRODUCTIVITY; PERFORMANCE ASSESSMENT; PRIMARY HEALTH CARE; QUALITY CONTROL; REGRESSION ANALYSIS;

ADULT; ARTICLE; DOCUMENTATION; FEMALE; GHANA; HEALTH CARE FACILITY; HEALTH CARE PERSONNEL; HEALTH CARE PERSONNEL MANAGEMENT; HEALTH SURVEY; HUMAN; MALE; MONITORING; PATIENT CARE; PRIMARY HEALTH CARE; PRODUCTIVITY;

ADULT; EFFICIENCY; EFFICIENCY, ORGANIZATIONAL; FEMALE; GHANA; HEALTH PERSONNEL; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; PERSONNEL MANAGEMENT; PRIMARY HEALTH CARE; QUALITY ASSURANCE, HEALTH CARE; TASK PERFORMANCE AND ANALYSIS;

GHANA;

EID: 80052898415     PISSN: 13602276     EISSN: 13653156     Source Type: Journal    
DOI: 10.1111/j.1365-3156.2011.02824.x     Document Type: Article

References (43)

1. Ahmed AM, Desta A, Tekle K & Mweta EA (1993) Pursuing better health care delivery at district level. World Health Forum 14, 360-366.
2. Alwan A & Hornby P (2002) The implications of health sector reform for human resources development. Bulletin of the World Health Organization 80, 56-60.
3. Ammenwerth E & Spotl HP (2009) The time needed for clinical documentation versus direct patient care. A work-sampling analysis of physicians' activities. Methods of Information in Medicine 48, 84-91.
4. Bamisaiye A, Abodunde MB & Ransome-Kuti O (1984) A simple work-sampling system for use in hospitals and health centres in the developing world. Journal of Tropical Pediatrics 30, 299-303.
5. Becker G, Kempf DE, Xander CJ, Momm F, Olschewski M & Blum HE (2010) Four minutes for a patient, twenty-seconds for a relative - an observational study at a university hospital. BMC Health Services Research 10, 94.
6. Bosch-Capblanch X & Garner P (2008) Primary health care supervision in developing countries. Tropical Medicine and International Health 13, 369-383.
7. Bratt JH, Foreit J, Chen PL, West C, Janowitz B & De Vargas T (1999) A comparison of four approaches for measuring clinician time use. Health Policy and Planning 14, 374-381.
8. Bryant M & Essomba RO (1995) Measuring time utilization in rural health centres. Health Policy Planning 10, 415-422.
9. Capuano T, Bokovoy J, Halkins D & Hitchings K (2004) Work flow analysis: eliminating non-value-added work. Journal of Nursing Administration 34, 246-256.
10. Chen L, Evans T, Anand S et al. (2004) Human resources for health: overcoming the crisis. Lancet 364, 1984-1990.
11. Dovlo D (2007) Migration of nurses from sub-saharan africa: a review of issues and challenges. Health Services Research 42, 1373-1388.
12. Dussault G & Dubois CA (2003) Human resources for health policies: a critical component in health policies. Human Resources for Health 1, 1.
13. Fritzen SA (2007) Strategic management of the health workforce in developing countries: what have we learned? Human Resources for Health 5, 4.
14. Haines A, Sanders D, Lehmann U et al. (2007) Achieving child survival goals: potential contribution of community health workers. Lancet 369, 2121-2131.
15. Herdman TH, Burgess LP, Ebright PR et al. (2009) Impact of continuous vigilance monitoring on nursing workflow. Journal of Nursing Administration 39, 123-129.
16. Hsiao C (2003) Analysis of Panel Data. Cambridge University Press, Cambridge, New York.
17. Kurowski C, Wyss K, Abdulla S & Mills A (2007) Scaling up priority health interventions in tanzania: the human resources challenge. Health Policy Planning 22, 113-127.
18. Linden L & English K (1994) Adjusting the cost-quality equation: utilizing work sampling and time study data to redesign clinical practice. Journal of Nursing Care Quality 8, 34-42.
19. Mache S, Kelm R, Bauer H, Nienhaus A, Klapp BF & Groneberg DA (2010) General and visceral surgery practice in german hospitals: a real-time work analysis on surgeons' work flow. Langenbeck's Archives of Surgery 395, 81-87.
20. Marquez L & Kean L (2002) Making supervision supportive and sustainable: new approaches to old problems. MAQ Paper No. 4. Supplement to Population Reports, Volume XXX, Issue 4. Accessed on May 13, 2011.
21. Mills A, Bennett S & Russell S (2000) The Challenge of Health Sector Reform: What Must Governments Do? Palgrave Macmillan, Basingstoke.
22. Naicker S, Plange-Rhule J, Tutt RC & Eastwood JB (2009a) Shortage of healthcare workers in developing countries - Africa. Ethnicity and Disease 19, S1-S60.
23. Naicker S, Plange-Rhule J, Tutt RC & Eastwood JB (2009b) Shortage of healthcare workers in developing countries-Africa. Ethnicity & Disease 19, 60-64.
24. Narasimhan V, Brown H, Pablos-Mendez A et al. (2004) Responding to the global human resources crisis. Lancet 363, 1469-1472.
25. Narayan KA & Bansal RD (1984) Time utilisation pattern of medical officers in primary health centres of Pondicherry. Indian Journal of Medical Research 79, 451-455.
26. Nyonator FK, Awoonor-Williams JK, Phillips JF, Jones TC & Miller RA (2005) The ghana community-based health planning and services initiative: fostering evidencebased organizational change and development in a resource-constrained setting. Health Policy Planning 20, 25-34.
27. PATH CsVPa (2003) Guidelines for implementing supportive supervision: a step-by-step guide with tools to support immunization. Accessed on May 13, 2011.
28. Poissant L, Pereira J, Tamblyn R & Kawasumi Y (2005) The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Journal of the American Medical Informatics Association 12, 505-516.
29. Rafferty AM, Ball J & Aiken LH (2001) Are teamwork and professional autonomy compatible, and do they result in improved hospital care? Quality in Health Care 10(Suppl. 2), ii32-ii37.
30. Reerink IH & Sauerborn R (1996) Quality of primary health care in developing countries: recent experiences and future directions. International Journal for Quality in Health Care 8, 131-139.
31. Rowe AK, de Savigny D, Lanata CF & Victora CG (2005) How can we achieve and maintain high-quality performance of health workers in low-resource settings? Lancet 366, 1606.
32. Rowe AK, Onikpo F, Lama M & Deming MS (2009) The rise and fall of supervision in a project designed to strengthen supervision of integrated management of childhood illness in benin. Health Policy Planning 25, 125-134.
33. Rowe AK, Onikpo F, Lama M & Deming MS (2010) The rise and fall of supervision in a project designed to strengthen supervision of integrated management of childhood illness in benin. Health Policy and Planning 25, 125-134.
34. Sennun P, Suwannapong N, Howteerakul N & Pacheun O (2006) Participatory supervision model: building health promotion capacity among health officers and the community. Rural and Remote Health 6, 440.
35. Upenieks VV (1998) Work sampling. Assessing nursing efficiency. Nursing Management 29, 27-29.
36. Urden LD & Roode JL (1997) Work sampling - a decision-making tool for determining resources and work redesign. Journal of Nursing Administration 27, 34-41.
37. Valadez J, Vargas W & Diprete L (1990) Supervision of primary health care in costa rcia: time well spent? Health Policy and Planning 5, 118-125.
38. Weigl M, Muller A, Zupanc A & Angerer P (2009) Participant observation of time allocation, direct patient contact and simultaneous activities in hospital physicians. BMC Health Services Research 9, 110.
39. Willis-Shattuck M, Bidwell P, Thomas S, Wyness L, Blaauw D & Ditlopo P (2008) Motivation and retention of health workers in developing countries: a systematic review. BMC Health Services Research 8, 247.
40. Witt J (2009) Addressing the migration of health professionals: the role of working conditions and educational placements. BMC Public Health 9(Suppl. 1), S7.
41. World Health Organization (2006) World health report - working together for health. Accessed on May 14, 2011.
42. World Health Organization (2010) World health report - health systems financing: the path to universal coverage. Accessed on May 14, 2011.
43. Xyrichis A & Ream E (2008) Teamwork: a concept analysis. Journal of Advanced Nursing 61, 232-241.