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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Area Barriers & constra<strong>in</strong>ts <strong>in</strong> MNRH Reference<br />
Teamwork<br />
•Lower levels of HR trust <strong>in</strong> CHWs , lack of <strong>in</strong>tersectoral<br />
collaboration will lead to bypass<strong>in</strong>g CHWs <strong>for</strong> referrals<br />
•Politicization of conflict between different providers<br />
•Poor <strong>in</strong>terpersonal relations with the govt. health staff,<br />
community & professionals<br />
•Disrespectful attitudes of HR towards TBAs<br />
•Paternal relationships result <strong>in</strong> poor communication<br />
•VHW face competition from other providers<br />
•Vertical relationships impedes teamwork<br />
•Supervisors face hostility<br />
•Gender discrim<strong>in</strong>ation<br />
•perceived low status of auxiliary nurse midwives & CHW<br />
•Competition between midwives & TBA<br />
(Sauerborn 1989; Cruse 1997)<br />
(Twumasi 1985; Doherty 2005)<br />
(S<strong>in</strong>gh 1994; Campos 2004; Haider, Adhish et al. 2008)<br />
(Izugbara, Ezeh et al. 2009)<br />
(Iyun 1989; Replogle 2007)<br />
(Walt, Perera et al. 1989)<br />
(Kahssay 1998)<br />
(Rowe 2005)<br />
(WHO 2005)<br />
(Walt 1990; FIGO 2009)<br />
(Utomo 2008)<br />
Partnership<br />
Lack of referral <strong>and</strong> partnership between traditional (Peltzer 2009)<br />
Work<strong>in</strong>g with the<br />
community<br />
<strong>Health</strong> worker Education<br />
& competence<br />
Attitudes (towards patients)<br />
Knowledge<br />
system <strong>and</strong> biomedical system<br />
Low community participation, villagers not <strong>in</strong>volved <strong>in</strong><br />
identification of problems<br />
Donor support of VHW led to dependency on this f<strong>in</strong>ance<br />
Hostility towards CHWs, socio-cultural & political<br />
barriers to practice<br />
Poor l<strong>in</strong>ks with VNC members<br />
CHWs used as aides <strong>in</strong> facilities rather than communities<br />
Women dissatisfied with care as skills are perceived as poor &<br />
poor patient provider relationships this affects care seek<strong>in</strong>g<br />
behaviour<br />
fear of HIV <strong>in</strong>fection<br />
fear <strong>and</strong> negative perceptions towards SP<br />
poor attitudes <strong>in</strong> STI<br />
staff <strong>in</strong>sensitive to social-cultural context of patients<br />
Authoritarian attitudes<br />
Attitudes manifest <strong>in</strong> violence towards women<br />
lack of knowledge on HIV & PMTC<br />
poor knowledge of neonatal problems<br />
(Sauerborn 1989; Campos 2004)<br />
(Maclure 1995)<br />
(Stark 1985; WHO 1989; Simmons 1992)<br />
(Haider, Adhish et al. 2008)<br />
(WHO 1989)<br />
(Dogba <strong>and</strong> Fournier 2009)<br />
(Dovlo 2005; Nguyen, Oosterhoff et al. 2009)<br />
(Nsimba 2006)<br />
(Passey 1996 )<br />
(Duke, Oa et al. 2005; Replogle 2007)<br />
(Bossyns <strong>and</strong> Van Lerberghe 2004; PNG NDoH 2009)<br />
(d'Oliveira 2002)<br />
Nguyen, Oosterhoff et al. 2009)(Piwoz, Ferguson et al. 2006; Bassey, Elemuwa et<br />
al. 2007; Peltzer 2009)<br />
(de Haas 1994; Ogunfowora <strong>and</strong> Daniel 2006)<br />
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