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 ...
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of community leaders improved the competencies required <strong>for</strong> the promotion of a health<br />
liv<strong>in</strong>g environment (Hien, Takano et al. 2008). This study revealed that the participatory-style<br />
<strong>and</strong> <strong>in</strong>tersectoral collaboration approach facilitated educational processes thereby improv<strong>in</strong>g<br />
learn<strong>in</strong>g outcomes <strong>for</strong> community people.<br />
Tools that have been employed <strong>in</strong> child health may provide some useful models <strong>in</strong> MNRH.<br />
These <strong>in</strong>clude the Catchment Area Plann<strong>in</strong>g <strong>and</strong> Action (CAPA) h<strong>and</strong>book which aims to<br />
empower community members to take an active role <strong>in</strong> improv<strong>in</strong>g the health of their children<br />
<strong>in</strong> areas of immunization, nutrition, <strong>and</strong> malaria. Other tools such as those from developed<br />
contexts such as the community development manual <strong>for</strong> nurses <strong>in</strong> the UK could also provide<br />
useful <strong>in</strong>sights.<br />
<strong>HRH</strong> & the consideration of socio-cultural issues <strong>in</strong> the community<br />
A number of approaches can be employed to assist <strong>and</strong> support HR to provide the most<br />
appropriate care <strong>and</strong> services to meet the socio-cultural needs of communities but the<br />
evidence is limited. Three systematic reviews provide <strong>in</strong>sight <strong>in</strong> HIC sett<strong>in</strong>gs however their<br />
transferability to LMIC may be limited by the limited functionality of health systems. A<br />
study by Lew<strong>in</strong> et al. found strong evidence to suggest that tra<strong>in</strong><strong>in</strong>g providers <strong>in</strong> patient<br />
centred care can <strong>in</strong>crease the patient centredness of consultation processes, as <strong>in</strong>dicated by a<br />
range of measures related to clarify<strong>in</strong>g patients‘ concerns <strong>and</strong> beliefs; communicat<strong>in</strong>g about<br />
treatment options; or levels of empathy (2001). Another systematic review that focused on<br />
<strong>in</strong>terventions <strong>and</strong> the health care of ethnic m<strong>in</strong>orities found that tools such as track<strong>in</strong>g<br />
systems to follow up patients, provider education, <strong>and</strong> simultaneous translation <strong>for</strong> patients<br />
with limited English proficiency <strong>and</strong> task shift<strong>in</strong>g had an effect on improved health care <strong>and</strong><br />
services (Beach 2006). A third review exam<strong>in</strong>es the quality of <strong>in</strong>teraction between women<br />
<strong>and</strong> providers <strong>and</strong> did not f<strong>in</strong>d strong evidence that <strong>in</strong>terventions (i.e. antenatal test<strong>in</strong>g<br />
<strong>in</strong><strong>for</strong>mation, computer-assisted history tak<strong>in</strong>g, woman-held maternity records, <strong>and</strong> provision<br />
of <strong>in</strong><strong>for</strong>med choice leaflets) improve women‘s knowledge <strong>and</strong> underst<strong>and</strong><strong>in</strong>g, women‘s<br />
satisfaction, or their health outcomes (Rowe 2002).<br />
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