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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Data source Keywords used in search No. Items retrieved Websites of Key Organisations Cambodia Reproductive and Child Health Resource Center http://rc.racha.org.kh/ ―traditional" and "birth" and "attendant‖ ―community" and "health" and "worker‖ "human" and "resources" "skilled" and "birth" and "attendant" 2 2 3 0 1 0 0 0 Sub total 1 Overall Sub Total 560 minus duplicates 512 Plus significant items uncovered in preliminary scoping, and 325 hand searching Minus duplicates 94 TOTAL included in the review 743 No. items included in review P a g e | 197

Appendix 4: Barriers and Constraints to HRH Practice Area Barriers & constraints in MNRH Reference Coverage Too few skilled personnel: Too few Nurses/midwives at community level Oversupply of VHW Lack of female providers inefficiently distributed in rural areas-poor skills mix High attrition / low retention rates (low pay + poor working conditions=migration, retirement, HIV, career change, move from rural areas, move to private sector) Absenteeism can prevent hiring of other staff as the post is technically filled (Gerein, Green et al. 2006; WHO 2006; Henderson 2008; Dogba and Fournier 2009) (Kwast 1991) (Matomora 1989) (Naisho 1982) (Olsen, Ndeki et al. 2005) (Ofosu-Amaah 1983; Pfeiffer and Pfeiffer 2003; Dovlo 2005; WHO 2005; Henderson 2008; Willis-Shattuck, Bidwell et al. 2008) (Berman 1984; Berman 1987; FIGO 2009) Policy & legislation Too much focus on Drs & nurses-other cadres need to be included Lack of government policies & support CHW programs vertical not integrated Lack of involvement of CHWs nurses & Midwives in policy & planning No laws concerning solo practice of nurses Uneven enforcement of regulations Outlawing TBAs affected links with the community & led to extinction of cultural support approaches Unregulated small clinics undertaking surgery without appropriate infrastructure Use of employee facilities for private practice & personal gain (Kruk, Prescott et al. 2009) (Singh 1994; Campos 2004; Haider, Adhish et al. 2008) (WHO 1989) (WHO 1989; WHO/SEARO 2003) (Heywood and Harahap 2009) (WHO/SEARO 2003) (Jenkins 2003) (FIGO 2009) (Omaswa 2006) P a g e | 198

Data source Keywords used <strong>in</strong> search No. Items<br />

retrieved<br />

Websites of Key Organisations<br />

Cambodia Reproductive <strong>and</strong> Child <strong>Health</strong> Resource Center<br />

http://rc.racha.org.kh/<br />

―traditional" <strong>and</strong> "birth" <strong>and</strong> "attendant‖<br />

―community" <strong>and</strong> "health" <strong>and</strong> "worker‖<br />

"human" <strong>and</strong> "resources"<br />

"skilled" <strong>and</strong> "birth" <strong>and</strong> "attendant"<br />

2<br />

2<br />

3<br />

0<br />

1<br />

0<br />

0<br />

0<br />

Sub total 1<br />

Overall Sub Total 560<br />

m<strong>in</strong>us duplicates 512<br />

Plus significant items uncovered <strong>in</strong> prelim<strong>in</strong>ary scop<strong>in</strong>g, <strong>and</strong><br />

325<br />

h<strong>and</strong> search<strong>in</strong>g<br />

M<strong>in</strong>us duplicates 94<br />

TOTAL <strong>in</strong>cluded <strong>in</strong> the review 743<br />

No. items<br />

<strong>in</strong>cluded<br />

<strong>in</strong> review<br />

P a g e | 197

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