The impact of an emergency hiring plan on the shortage and distribution of nurses in Kenya: the importance of information systems

Groß, Jessica; Pl, Riley; Kiriinya, Rose; Rakuom, Chris; Willy, R; Kamenju, Andrew; Oywer, Elizabeth; Wambua, D; Waudo, Agnes; Rogers, MF

doi:10.2471/blt.09.072678

Cited by 21 publications

(33 citation statements)

References 20 publications

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“…Among the subset of nurses hired by donors with absorption agreement, 94% of nurses were absorbed into the public sector by February 2010 [15]. Data from other donors without established GoK agreements for absorption do not demonstrate GoK inclusion following the end of their contract (n = 159).…”

Section: Discussionmentioning

confidence: 99%

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Kenya’s emergency-hire nursing programme: a pilot evaluation of health service delivery in two districts

Vindigni

Riley

Kimani³

et al. 2014

Hum Resour Health

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Objective: To assess the feasibility of utilizing a small-scale, low-cost, pilot evaluation in assessing the short-term impact of Kenya's emergency-hire nursing programme (EHP) on the delivery of health services (outpatient visits and maternal-child health indicators) in two underserved health districts with high HIV/AIDS prevalence. Methods: Six primary outcomes were assessed through the collection of data from facility-level health management forms-total general outpatient visits, vaginal deliveries, caesarean sections, antenatal care (ANC) attendance, ANC clients tested for HIV, and deliveries to HIV-positive women. Data on outcome measures were assessed both pre-and post-emergency-hire nurse placement. Informal discussions were also conducted to obtain supporting qualitative data. Findings:The majority of EHP nurses were placed in Suba (15.5%) and Siaya (13%) districts. At the time of the intervention, we describe an increase in total general outpatient visits, vaginal deliveries and caesarean sections within both districts. Similar significant increases were seen with ANC attendance and deliveries to HIV-positive women. Despite increases in the quantity of health services immediately following nurse placement, these levels were often not sustained. We identify several factors that challenge the long-term sustainability of these staffing enhancements.Conclusions: There are multiple factors beyond increasing the supply of nurses that affect the delivery of health services. We believe this pilot evaluation sets the foundation for future, larger and more comprehensive studies further elaborating on the interface between interventions to alleviate nursing shortages and promote enhanced health service delivery. We also stress the importance of strong national and local relationships in conducting future studies.

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Section: Discussionmentioning

confidence: 99%

“…This programme comprises a fast-track hiring and deployment intervention supported by multiple donor organizations [15]. The EHP’s intent was to scale-up health-care providers, focusing on nursing staff within the public sector.…”

Section: Introductionmentioning

confidence: 99%

Kenya’s emergency-hire nursing programme: a pilot evaluation of health service delivery in two districts

Vindigni

Riley

Kimani³

et al. 2014

Hum Resour Health

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“…20 Currently, over 51% of all staff positions at all levels of the healthcare delivery system in Uganda are unfilled. 21,22 Uganda's National Development Plan for 2010/2011-2014/2015 estimated the health worker-to-population ratio to be 1:1,298; this is much higher than the ratio in most countries in the East African region. 23 In 2010, data showed that the doctor-to-patient ratio in Uganda was 1:24,725 while the nurse-to-patient ratio was 1:1,000.…”

mentioning

confidence: 99%

“…31 To ensure that the United Nations Millennium Development Goals are met, the Government of Uganda has prioritised their response by addressing the uneven distribution of health workers. [21][22][23]32,33 The majority of trained healthcare providers are educated in state-sponsored universities; thus, a loss of trained personnel is an investment loss on the part of the government. 21 It is therefore imperative for the Government of Uganda, healthcare leaders and policy-makers to extend their political commitment to support and allocate adequate budgets for training, incentivising, hiring and retaining healthcare workers in the public sector.…”

Section: Political and Legal Environmentmentioning

confidence: 99%

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Shining a Light on Task-Shifting Policy: Exploring opportunities for adaptability in non-communicable disease management programmes in Uganda

Katende

Donnelly

2016

SQUMJ

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abstract:In terms of disease burden, many low-and middle-income countries are currently experiencing a transition from infectious to chronic diseases. In Uganda, non-communicable diseases (NCDs) have increased significantly in recent years; this challenge is compounded by the healthcare worker shortage and the underfunded health system administration. Addressing the growing prevalence of NCDs requires evidence-based policies and strategies to reduce morbidity and mortality rates; however, the integration and evaluation of new policies and processes pose many challenges. Task-shifting is the process whereby specific tasks are transferred to health workers with less training and fewer qualifications. Successful implementation of a task-shifting policy requires appropriate skill training, clearly defined roles, adequate evaluation, an enhanced training capacity and sufficient health worker incentives. This article focuses on task-shifting policy as a potentially effective strategy to address the growing burden of NCDs on the Ugandan healthcare system.

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Effective policies for eliminating nursing workforce shortages: A systematic review

Park¹,

Yu²

2019

Health Policy and Technology

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The impact of an emergency hiring plan on the shortage and distribution of nurses in Kenya: the importance of information systems

Cited by 21 publications

References 20 publications

Kenya’s emergency-hire nursing programme: a pilot evaluation of health service delivery in two districts

Kenya’s emergency-hire nursing programme: a pilot evaluation of health service delivery in two districts

Shining a Light on Task-Shifting Policy: Exploring opportunities for adaptability in non-communicable disease management programmes in Uganda

Effective policies for eliminating nursing workforce shortages: A systematic review

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