Community midwifery initiatives in fragile and conflict-affected countries: a scoping review of approaches from recruitment to retention

Miyake, Sachiko; Speakman, Elizabeth M; Currie, Sheena; Howard, Natasha

doi:10.1093/heapol/czw093

Cited by 39 publications

(72 citation statements)

References 25 publications

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“…Therefore, it is easier for them to communicate with the locals on the health issues that are affecting them. The findings from this study are also similar to the findings from the studies conducted by Rowe et al (2005), Aboshaiqah (2016) and Miyake et al (2016). These three studies found that socio-cultural factors affect the skill level and work ethics of the domestic health care staff.…”

Section: Variations In the Research Findingssupporting

confidence: 88%

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Health Care Service Quality and Availability of Skilled Health Workforce: A Panel Data Modelling of the UK, USA and Israel

Chand

Naidu

2017

MAS

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In the recent decade, as the number of new health related issues are on the rise, more qualified medical specialists are needed, who can advocate the importance of adopting innovative means of diagnosing health problems. There are many qualitative studies that has emphasised that there is two way relationships between health care service quality and availability of skilled health workforce; however, the significance of this relationship is still unclear. This study utilises the panel data modelling technique (PDMT) to examine the relationship between health care service quality and availability of skilled health workforce by drawing data from the Organisation for Economic Cooperation and Development (OECD) database. Based on the availability of data, three countries were studied in this paper and these three countries are on USA, UK and Israel. The findings from this study showed that the status quo of the health care service delivery can be improved in the USA and the UK if more nurses, irrespective of domestic or foreign trained nurses, are hired. In the context of Israel, more locally trained doctors and nurses rather than foreign trained doctors and nurses needs to be hired, as locally trained doctors are better able to communicate issues related to local public health to the patients.

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Section: Variations In the Research Findingssupporting

confidence: 88%

“…Aboshaiqah (2016) argued that cultural traditions and beliefs in Saudi Arabia affect the skill level of medical staff. Miyake et al (2016) argued that improving the availability of skilled workers during new births is a challenging task in conflicted areas.…”

Section: Theoretical Perspectives Related To Health Care Service Qualmentioning

confidence: 99%

Health Care Service Quality and Availability of Skilled Health Workforce: A Panel Data Modelling of the UK, USA and Israel

Chand

Naidu

2017

MAS

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“…The MoH has limited capacity to manage the coordination of the different partners. This limited capacity has been attributed to the shortage of staff to support the directors in their day-to-day activities, including policy formulation, implementation, enforcement, and monitoring [44,51,52].…”

Section: Leadership and Governancementioning

confidence: 99%

“…"You could get anti-leishmaniasis [medication] coming to Western Equatoria where there is no leishmaniasis" [44].…”

Section: Medicines and Suppliesmentioning

confidence: 99%

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Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review

et al. 2020

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Background: Pregnant women, neonates, children, and adolescents are at higher risk of dying in fragile and conflict-affected settings. Strengthening the healthcare system is a key strategy for the implementation of effective policies and ultimately the improvement of health outcomes. South Sudan is a fragile country that faces challenges in implementing its reproductive, maternal, neonatal, child, and adolescent health (RMNCAH) policies. In this paper, we map the key RMNCAH policies and describe the current status of the WHO health system building blocks that impede the implementation of RMNCAH policies in South Sudan. Methods: We conducted a scoping review (39 documents) and individual interviews (n = 8) with staff from the national Ministry of Health (MoH) and implementing partners. We organized a workshop to discuss and validate the findings with the MoH and implementing partner staff. We synthesized and analyzed the data according to the WHO health system building blocks. Results: The significant number of policies and healthcare strategic plans focused on pregnant women, neonates, children, and adolescents evidence the political will of the MoH to improve the health of members of these categories of the population. The gap in the implementation of policies is mainly due to the weaknesses identified in different health system building blocks. A critical shortage of human resources across the blocks and levels of the health system, a lack of medicines and supplies, and low national funding are the main identified bottlenecks. The upstream factors explaining these bottlenecks are the 2012 suspension of oil production, ongoing conflict, weak governance, a lack of accountability, and a low human resource capacity. The combined effects of all these factors have led to poor-quality provision and thus a low use of RMNCAH services. Conclusion: The implementation of RMNCAH policies should be accomplished through innovative and challenging approaches to building the capacities of the MoH, establishing governance and accountability mechanisms, and increasing the health budget of the national government.

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Perspectives on Training Needs for Geriatric Mental Health Providers: Preparing to Serve a Diverse Older Adult Population

Joo

Jimenez

et al. 2019

The American Journal of Geriatric Psychiatry

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An increasingly diverse population of older adults requires a workforce trained to address the situation of differential health care access and quality of care. The purpose of this article is to describe specific areas of training focused on addressing health disparities based on ethnic differences, while recognizing that other factors such as gender and socioeconomic status also contribute to disparities among older adult populations. Training is critical at multiple levels: at the level of the patient, provider and patient and the health system. Cultural competency training can be effective as a part of general clinical training. Clinicians should be trained in cultural competency skills that include effective communication, development of appropriate attitudes and knowledge that are relevant to caring for ethnically diverse older adults. Additionally, the mental health workforce needs to become skilled in working within different models of mental health service delivery. Evidence-based service delivery models such as the collaborative care model and the use of lay health workers (i.e. community health workers and peers) are becoming common in health care organizations and have potential to address disparities in mental health care. These models are associated with specific training needs such as interprofessional collaboration, education, and supervisory skills needed to work effectively with a lay workforce. We are at the intersection of a growing and diversifying population of older adults and a rapidly transforming healthcare system with new models of care that will require training to achieve equitable and quality mental health care.

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Community midwifery initiatives in fragile and conflict-affected countries: a scoping review of approaches from recruitment to retention

Cited by 39 publications

References 25 publications

Health Care Service Quality and Availability of Skilled Health Workforce: A Panel Data Modelling of the UK, USA and Israel

Health Care Service Quality and Availability of Skilled Health Workforce: A Panel Data Modelling of the UK, USA and Israel

Health policy mapping and system gaps impeding the implementation of reproductive, maternal, neonatal, child, and adolescent health programs in South Sudan: a scoping review

Perspectives on Training Needs for Geriatric Mental Health Providers: Preparing to Serve a Diverse Older Adult Population

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