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

Area Barriers & constraints in MNRH Reference
Roles & functions lack of clear roles and functions
Supportive working
environment
Commodities, equipment &
infrastructure
Occupational health and
safety
Lack of community knowledge of HRH scope of practice
lack of a clear delineation of responsibility between health
care professionals
TBA roles did not match actual practice
Roles contradict societal and family norms
•Lack of pregnancy related technology
•Unavailability of HIV testing at commune level; shortage of
antiretroviral drugs; lack of operational guidelines
•lack of logistic support for CHW
•Very large numbers of patients and the frequent reposting of
health workers
•Isolation inability to communicate with families
•Availability of drugs & cost of travel affect performance
Violence & Conflict
HRH HIV/AIDS Burden
Stress
low morale
lack of protective materials, No policy or guideline on care and
support for nurses/midwives with HIV/AIDS. No light duties
for chronically ill nurses/midwives
Poor eyesight – lack of glasses
(WHO 1989; Senderowitz 1998; Campos 2004; ESD Project 2008;
Manafa, McAuliffe et al. 2009)
(Pathfinder International 2005)
(Creati, Saleh et al. 2007)
(Bisika 2008)
(Piedade 2004)
(Tsu and Free 2002)
Nguyen, Oosterhoff et al. 2009)
(Stekelenburg 2003)
(Naisho 1982)
(Haq 2008)
(Sauerborn, Nougtara et al. 1989)
(Barcelon 1990; WHO/SEARO 2003; WHO 2005)
(Dovlo 2005)
(Dovlo 2005; Haq 2008)
(Stekelenburg 2003; Dovlo 2005)
(Chikampa 2003)
(IntraHealth 2002)
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