Human Resources for Health in Maternal, Neonatal and - HRH ...
Human Resources for Health in Maternal, Neonatal and - HRH ... Human Resources for Health in Maternal, Neonatal and - HRH ...
Figures Figure 1 The continuum of care and possible interventions undertaken by HRH at community level .......................................................................................................................................... 18 Figure 2 Effective HRH and quality MNRH practice ............................................................. 19 Figure 3 A schematic model of the ideal health care pyramid, linking the three levels - family and community, health centre, and district hospital ................................................................ 20 Figure 4 Areas of Community Health Practice ........................................................................ 22 Figure 5 Millennium Development Goal 5: Improve maternal health .................................... 24 Figure 6 Causes of maternal mortality ..................................................................................... 25 Figure 7 Causes of neonatal mortality ..................................................................................... 25 Figure 8 Examples of factors that influence the impact and sustainability of community health programmes ................................................................................................................... 27 Figure 9 Eight Steps to Effective Use of Health Services by the Poor .................................... 28 Figure 10 Overview of HRH at community level .................................................................... 30 Figure 11 The relationship between density of health workers and child, maternal and infant survival ..................................................................................................................................... 35 Figure 12 Relationship between service provision, the health system and HRH .................... 37 Figure 13 Summary of sources, document numbers and processes in this review .................. 43 Figure 14 Barriers issues and constraints to HRH practice in MNRH at community level .... 46 Figure 15 Estimated critical shortages of doctors, nurses and midwives, by WHO region .... 47 Figure 16 Density of health workers (doctors, nurses and midwives) in the Pacific............... 48 Figure 17 Trends in proportion of births attended by SBAs 1990-2005 and projection for 2015 in SEARO countries ........................................................................................................ 49 Figure 18 The Capacity Project approach to strengthening HRH ........................................... 57 Figure 19 The strategies, objectives and values of HRM ........................................................ 61 Figure 20 Conceptual framework for effective management of nursing and midwifery ........ 62 Figure 21 Performance Management System .......................................................................... 66 Figure 22 Steps in the PRIME II Performance Improvement process..................................... 69 Figure 23 The Task Shifting Process and requirements .......................................................... 84 Figure 24 Motivational determinants and processes ................................................................ 92 Figure 25 Leadership outcomes focused on human resource development ............................ 97 Figure 26 Factors affecting health worker partnership building with communities .............. 111 Figure 27 Ways in which community members can be involved in HRH processes ............ 111 Figure 28 key aspects involved in the improvement of education and training .................... 122 Figure 29 MMR and percentage of live births with skilled attendance, Sri Lanka, 1930 – 1996 ................................................................................................................................................ 143 Figure 30 Phases of Health Systems Development for Maternal Health as Related to Reduction in Maternal Mortality Ratio, ................................................................................. 144 Figure 31 Issues for program managers and policy makers when planning when considering scaling up human resources for health ................................................................................... 151 Figure 32 Examples of structural and economic changes in Indonesia which impacted upon improved HRH performance.................................................................................................. 153 Figure 33 Essential elements and monitoring points for scaling up skilled birth attendance 154 P a g e | 9
Figure 34 Potential gain in percentage of skilled care at delivery under six scale up options: ................................................................................................................................................ 155 Figure 35 Key components of the CHPS initiative ................................................................ 156 Figure 36 10 Rules for success .............................................................................................. 157 Figure 37 Critical success factors for scaling up education and training of health workers . 160 Figure 38 Aspects of HRH Indicators .................................................................................... 163 Figure 39 Main HRH indicator categories ............................................................................. 164 Figure 40 HRM components assessed by the MSH Assessment tool ................................... 165 Figure 41 Indicator fields for HRH in MNRH at community levels ..................................... 176 Figure 42 Horizontal and vertical integration of indicators across an HRH system ............. 178 P a g e | 10
- Page 1 and 2: Human Resources for Health in Mater
- Page 3 and 4: What human resource practices in ma
- Page 5 and 6: Collaboration with traditional and
- Page 7 and 8: Acronyms AAAH Asia and Pacific Acti
- Page 9: TBA T & L UNFPA UNICEF UOG UPNG USA
- Page 13 and 14: Executive Summary Addressing the ba
- Page 15 and 16: Introduction What human resource pr
- Page 17 and 18: Review Questions 1. What HR approac
- Page 19 and 20: Effective HRH practice and quality
- Page 21 and 22: is no single prescribed set of ways
- Page 23 and 24: Table 3 Classification of health ce
- Page 25 and 26: Figure 5 Millennium Development Goa
- Page 27 and 28: (UNICEF 2007) However, the road to
- Page 29 and 30: A number of steps are purported to
- Page 31 and 32: Figure 10 Overview of HRH at commun
- Page 33 and 34: functions, the latter involving mob
- Page 35 and 36: settings‖(ICN 2009). They may be
- Page 37 and 38: Table 7 What Skilled attendants can
- Page 39 and 40: Traditional healers may also be inv
- Page 41 and 42: Methodology What human resource pra
- Page 43 and 44: Table 9 Search terms used for the s
- Page 45 and 46: findings. Differences and similarit
- Page 47 and 48: Barriers and constraints to HRH pra
- Page 49 and 50: PHEs. In the Pacific the density of
- Page 51 and 52: partum services as being from 1:60
- Page 53 and 54: husbands who oppose family planning
- Page 55 and 56: Remuneration for CHWs, nurse and mi
- Page 57 and 58: Supportive HRH strategies and appro
- Page 59 and 60: Strengthening HRH policy legislatio
Figure 34 Potential ga<strong>in</strong> <strong>in</strong> percentage of skilled care at delivery under six scale up options:<br />
................................................................................................................................................ 155<br />
Figure 35 Key components of the CHPS <strong>in</strong>itiative ................................................................ 156<br />
Figure 36 10 Rules <strong>for</strong> success .............................................................................................. 157<br />
Figure 37 Critical success factors <strong>for</strong> scal<strong>in</strong>g up education <strong>and</strong> tra<strong>in</strong><strong>in</strong>g of health workers . 160<br />
Figure 38 Aspects of <strong>HRH</strong> Indicators .................................................................................... 163<br />
Figure 39 Ma<strong>in</strong> <strong>HRH</strong> <strong>in</strong>dicator categories ............................................................................. 164<br />
Figure 40 HRM components assessed by the MSH Assessment tool ................................... 165<br />
Figure 41 Indicator fields <strong>for</strong> <strong>HRH</strong> <strong>in</strong> MNRH at community levels ..................................... 176<br />
Figure 42 Horizontal <strong>and</strong> vertical <strong>in</strong>tegration of <strong>in</strong>dicators across an <strong>HRH</strong> system ............. 178<br />
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