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 ...
The review protocol Specific resources such as databases and meta-indexes were searched in order to obtain materials. Documents were identified using specific keywords and combinations of these. The usefulness of these documents was then assessed according to criteria which were based upon relevance to the review questions. Search strategy The Cochrane handbook for the systematic review of interventions (Higgins 2008) was consulted for guidance on searching for studies. The handbook recommends that the search process be clearly documented. In line with this, the full strategy for each search and the total number of hits retrieved by each search strategy was recorded. A table outlining where all material was retrieved is available at Appendix 3 and a summary is given at Table 9 below. This approach enables others to replicate the search with similar results. The search strategy adopted six approaches. 1. Subject specific and specialized databases were identified and searched. 2. Relevant non-indexed and indexed journals were identified. Those not included in the database searches above were then hand searched to ensure comprehensiveness. 3. The search for fugitive literature also makes use of directories such as electronic gateways to indicate organizations undertaking topic-specific research and development. The websites of a number of key organisations were searched for relevant documentation. 4. Materials were also gained through hand searches and snowballing from the references of key documents. P a g e | 41
Table 9 Search terms used for the selection of documentation for this review Criteria: Relevance / trustworthiness Focus: human resources for health, manpower, and/or community health worker primary health care worker, skilled birth attendant, traditional birth attendant, midwife/ery maternal, neonatal, reproductive, family planning Setting Low or middle income country focus (as per World Bank definition) or Asia Pacific or ―Developing countries‖ or Papua New Guinea, Solomon Islands, Vanuatu, Fiji, Timor-Leste, Indonesia, Philippines, Cambodia, Laos, Bangladesh Authorship: Official government document or Commissioned report Unilateral and bilateral reports or Presentation by published ―expert‖ at international meeting / conference or Peer reviewed review or Peer reviewed qualitative or quantitative research study Date of 1979-2009 publication Inclusion and exclusion criteria A preliminary scoping exercise revealed that the majority of material in the area of HRH in MNRH at community level is grey or un published material. As a result a criteria based upon methodological appraisal is inappropriate and is likely to exclude a large number of relevant texts. A criteria was developed based upon the review questions as outlined below and all items were classified accordingly (see Table 10). 1. Very useful: Highly relevant to the study area and addresses all criteria 2. Useful: Relates to three of the 4 areas outlined in the criteria 3. Somewhat useful: Directly related to 2 of the 4 areas 4. General background: One or none of the criteria apply All items classified in 1,2 & 3 must have an HRH element. All documents those that scored a 1 or 2 were included in the review. A summary of the sources, document numbers and process in this review is provided in Figure 13. P a g e | 42
- Page 1 and 2: Human Resources for Health in Mater
- Page 3 and 4: What human resource practices in ma
- Page 5 and 6: Collaboration with traditional and
- Page 7 and 8: Acronyms AAAH Asia and Pacific Acti
- Page 9 and 10: TBA T & L UNFPA UNICEF UOG UPNG USA
- Page 11 and 12: Figure 34 Potential gain in percent
- Page 13 and 14: Executive Summary Addressing the ba
- Page 15 and 16: Introduction What human resource pr
- Page 17 and 18: Review Questions 1. What HR approac
- Page 19 and 20: Effective HRH practice and quality
- Page 21 and 22: is no single prescribed set of ways
- Page 23 and 24: Table 3 Classification of health ce
- Page 25 and 26: Figure 5 Millennium Development Goa
- Page 27 and 28: (UNICEF 2007) However, the road to
- Page 29 and 30: A number of steps are purported to
- Page 31 and 32: Figure 10 Overview of HRH at commun
- Page 33 and 34: functions, the latter involving mob
- Page 35 and 36: settings‖(ICN 2009). They may be
- Page 37 and 38: Table 7 What Skilled attendants can
- Page 39 and 40: Traditional healers may also be inv
- Page 41: Methodology What human resource pra
- Page 45 and 46: findings. Differences and similarit
- Page 47 and 48: Barriers and constraints to HRH pra
- Page 49 and 50: PHEs. In the Pacific the density of
- Page 51 and 52: partum services as being from 1:60
- Page 53 and 54: husbands who oppose family planning
- Page 55 and 56: Remuneration for CHWs, nurse and mi
- Page 57 and 58: Supportive HRH strategies and appro
- Page 59 and 60: Strengthening HRH policy legislatio
- Page 61 and 62: Strategies to improve Human resourc
- Page 63 and 64: there are interrelationships betwee
- Page 65 and 66: Table 11 Tools for managing HR in M
- Page 67 and 68: Performance management Effective ma
- Page 69 and 70: The Health and Family Planning Mana
- Page 71 and 72: 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
The review protocol<br />
Specific resources such as databases <strong>and</strong> meta-<strong>in</strong>dexes were searched <strong>in</strong> order to obta<strong>in</strong> materials.<br />
Documents were identified us<strong>in</strong>g specific keywords <strong>and</strong> comb<strong>in</strong>ations of these. The usefulness of<br />
these documents was then assessed accord<strong>in</strong>g to criteria which were based upon relevance to the<br />
review questions.<br />
Search strategy<br />
The Cochrane h<strong>and</strong>book <strong>for</strong> the systematic review of <strong>in</strong>terventions (Higg<strong>in</strong>s 2008) was consulted <strong>for</strong><br />
guidance on search<strong>in</strong>g <strong>for</strong> studies. The h<strong>and</strong>book recommends that the search process be clearly<br />
documented. In l<strong>in</strong>e with this, the full strategy <strong>for</strong> each search <strong>and</strong> the total number of hits retrieved<br />
by each search strategy was recorded. A table outl<strong>in</strong><strong>in</strong>g where all material was retrieved is available<br />
at Appendix 3 <strong>and</strong> a summary is given at Table 9 below. This approach enables others to replicate<br />
the search with similar results.<br />
The search strategy adopted six approaches.<br />
1. Subject specific <strong>and</strong> specialized databases were identified <strong>and</strong> searched.<br />
2. Relevant non-<strong>in</strong>dexed <strong>and</strong> <strong>in</strong>dexed journals were identified. Those not <strong>in</strong>cluded <strong>in</strong> the<br />
database searches above were then h<strong>and</strong> searched to ensure comprehensiveness.<br />
3. The search <strong>for</strong> fugitive literature also makes use of directories such as electronic gateways to<br />
<strong>in</strong>dicate organizations undertak<strong>in</strong>g topic-specific research <strong>and</strong> development. The websites of<br />
a number of key organisations were searched <strong>for</strong> relevant documentation.<br />
4. Materials were also ga<strong>in</strong>ed through h<strong>and</strong> searches <strong>and</strong> snowball<strong>in</strong>g from the references of<br />
key documents.<br />
P a g e | 41