Human Resources for Health in Maternal, Neonatal and - HRH ...

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of this is the decentralized national clinical training network for reproductive health and family planning (Vollmer 1996; Huicho, Davila et al. 2005) in the Philippines. This led to standardised curricula and increased number of graduations. Partnerships also contribute to maintaining a link between pre and in-service training curriculum and can help facilitate inter professional learning which may strengthen team work and clinical practice (Reeves 2008). A partnership approach involves private sector, civil society and philanthropic organizations working together to design, deliver and evaluate education and training. Some examples of a partnership approach with respect to training for HR in MNRH at community level are noted below. P a g e | 123
Table 20 Examples of Partnership approaches to training Partnership Govt / Professional association partnership PMCT program partnered with the Kenya Obstetric and Gynecological Society to develop clinical guidelines for PMCT. The National AIDS Council has adopted these guidelines, which have helped to set national standards for PMCT care. American College of Nurse-Midwives (ACNM) and Save the Children field-tested the Home-Based Lifesaving Skills program Private Sector / Professional association partnership Bidan Delima Midwife Training Program with Johnson & Johnson & Indonesian Midwives Association Bayer Schering Pharma & Family Planning education programme with Asia Pacific Council on Contraception MoH / UN partnership Bangladesh has also organized community-based skilled birth attendant (CSBA) training programme on behalf of Government of Bangladesh from 2003 with UNFPA and WHO support 2 WHO Collaborating Centres in Nursing and Midwifery Development in Chiang Mai and Mahidol University, Thailand are in the process of translating WHO guidelines on acute respiratory distress syndrome for training of nurse-midwives at the primary health care units and community health volunteers With WHO support, Bangladesh, Bhutan and Timor-Leste reviewed and revised pre-service midwifery training. India carried out refresher midwifery training for staff nurses/auxiliary nurses midwives and revised the pre-service midwifery curriculum, while Indonesia and Sri Lanka addressed provision of maternal and newborn care in remote and conflict areas respectively Reference (Rutenberg 2002) (Sibley, Buffington et al. 2004) (IFPMA 2009) (IFPMA 2009) (UNFPA/DFID/ WHO/Govt. India/UNICEF 2008) (WHO/SEARO 2009) (WHO/SEARO 2008) MoH / Donor partnership 850 Timorese students studying medicine with Cuban trainers (Anderson 2008) Australia-Pacific Technical College (APTC) is an Australian Government initiative (APTC 2009) APTC School of Health and Community Services (SHCS) provides course in community child welfare has campuses in Fiji and Vanuatu MoH / NGO partnership Family health volunteers trained by Health Alliance international in Timor (Mize 2006) Rotary Club of Morialta Inc, Infancy, Midwifery, Obstetrics & Gynaecology Aid (Mahmood Programme IMO. Training for midwives at community health centres 2009) MoH Private sector Thai adolescents Sexual & Reproductive Health Program partnership with Organon, a part of Schering-Plough Pharmaceutical company, the Thai Dept. of Health, the Institute of Health Research of the Chulalongkorn University and the Rajabhat Bansomdej Chaopraya University in Bangkok HIC University / LMIC university collaboration Memorial University of Newfoundland, University of Indonesia The project aims to strengthen the capacity of the faculty of nursing at the University of Indonesia to develop a comprehensive model for women's and community health services for rural Indonesia and to establish a management and monitoring system to ensure the sustainability and success of women's health projects. (IFPMA 2009) (UPCD 2003) P a g e | 124
Page 1 and 2:
Human Resources for Health in Mater
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What human resource practices in ma
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Collaboration with traditional and
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Acronyms AAAH Asia and Pacific Acti
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TBA T & L UNFPA UNICEF UOG UPNG USA
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Figure 34 Potential gain in percent
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Executive Summary Addressing the ba
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Introduction What human resource pr
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Review Questions 1. What HR approac
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Effective HRH practice and quality
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is no single prescribed set of ways
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Table 3 Classification of health ce
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Figure 5 Millennium Development Goa
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(UNICEF 2007) However, the road to
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A number of steps are purported to
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Figure 10 Overview of HRH at commun
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functions, the latter involving mob
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settings‖(ICN 2009). They may be
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Table 7 What Skilled attendants can
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Traditional healers may also be inv
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Methodology What human resource pra
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Table 9 Search terms used for the s
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findings. Differences and similarit
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Barriers and constraints to HRH pra
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PHEs. In the Pacific the density of
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partum services as being from 1:60
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husbands who oppose family planning
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Remuneration for CHWs, nurse and mi
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Supportive HRH strategies and appro
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Strengthening HRH policy legislatio
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Strategies to improve Human resourc
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there are interrelationships betwee
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Table 11 Tools for managing HR in M
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Performance management Effective ma
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The Health and Family Planning Mana
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as a guide to mentoring, delegation
Page 73 and 74: eceived from outside the routine pu
Page 75 and 76: The isolated nature of much communi
Page 77 and 78: progress over time. This tool and t
Page 79 and 80: At national level, countries may ha
Page 81 and 82: evaluating and adjusting the size a
Page 83 and 84: There are a number of difficulties
Page 85 and 86: Figure 23 The Task Shifting Process
Page 87 and 88: Substitution Substitution is differ
Page 89 and 90: which was developed in 2002. This w
Page 91 and 92: al. 2008). Dual practice is another
Page 93 and 94: Figure 24 Motivational determinants
Page 95 and 96: Many of the incentives to health wo
Page 97 and 98: files suggests that more careful at
Page 99 and 100: Management autonomy at community le
Page 101 and 102: Initiative focus Details Context Re
Page 103 and 104: informal, mutual-help action groups
Page 105 and 106: Building relationships with cultura
Page 107 and 108: groups; encouraging recruitment thr
Page 109 and 110: Summary This section has identified
Page 111 and 112: encouraging midwives to proactively
Page 113 and 114: Facilitation & attendance at MOH/ N
Page 115 and 116: of community leaders improved the c
Page 117 and 118: Table 19 Examples of initiatives in
Page 119 and 120: information and advice from peers (
Page 121 and 122: esources to provide clinical and ma
Page 123: Strengthening Education and compete
Page 127 and 128: Table 21 Learner needs analysis and
Page 129 and 130: Table 22 Some approaches to the des
Page 131 and 132: Participants/ Method / document typ
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Page 135 and 136: Participants / context LMICs method
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Page 139 and 140: Country / cadre Niger: Birth attend
Page 141 and 142: Country / cadre Indonesia Surabaya
Page 143 and 144: Lessons learned from countries that
Page 145 and 146: Malaysia The sharp decline in mater
Page 147 and 148: although supplemented with epidemio
Page 149 and 150: A technical meeting in Bangkok in 2
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Page 153 and 154: flexibility in order to overcome ge
Page 155 and 156: up skilled birth attendance‖. The
Page 157 and 158: Scaling up of the Navrongo service
Page 159 and 160: conditions (Walt, Perera et al. 198
Page 161 and 162: Figure 37 Critical success factors
Page 163 and 164: Health system standards are explici
Page 165 and 166: prevalence rate, however in order t
Page 167 and 168: (Dieleman 2006) Selected key indica
Page 169 and 170: In order to determine the answers t
Page 171 and 172: Summary of findings This narrative
Page 173 and 174: Health worker performance is theref
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Discussion and Recommendations What
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outlines how the HRH information ba
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communities. A collaborative approa
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Table 29 Examples of HRH performanc
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Appendices Appendix 1. MDG5 Country
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World Health Statistics http://www.
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Appendix 3. Sources of all material
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Data source Keywords used in search
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Appendix 4: Barriers and Constraint
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Area Barriers & constraints in MNRH
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Area Barriers & constraints in MNRH
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Appendix 5 Literature that document
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P a g e | 206
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IMNCI PMTCT Perinatal Period Postna
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Ambegaokar, M., Lush, L. (2004). "F
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Barrett, B., J. Ladinsky, et al. (2
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University South Africa with the Re
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Cruse, D. (1997). Community Health
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Elson, D., Evers, B. (1998). Sector
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Flanagan, D., Williams, C., Mahler,
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Greenwood, A. M., Bradley, A.K., By
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Howard, G., Bogh, C., Goldstein, G.
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Jhpeigo (1998). Participatory techn
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Kroll, D., Dwyer, D. (1994). "Postn
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Manandhar, D. S., D. Osrin, et al.
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Morisky, D. E. (1985-86). "Evaluati
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O‘Brien-Pallas, L., Irvine, D., P
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Pfeiffer, J. and J. Pfeiffer (2003)
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Replogle, J. (2007). "Training Trad
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Shankar, A., S. Sebayang, et al. (2
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Teela, K. C., L. C. Mullany, et al.
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van Damm, W., et. al (2008). "Scali
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WHO (2008). Global Standards for In
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