scholarly journals Application of the WHO Method of Workload Indicators of Staffing Needs to Evaluate Health Workers Availability and Capacity for Universal Health Coverage in Maternal and Child Health in Benin

2020 ◽  
Vol 8 (5) ◽  
pp. 163-178
Author(s):  
Sossou Justin Adanmavokin ◽  
Sossou Gilles Armand ◽  
Igué Babatounde Charlemagne ◽  
Ouendo Edgard-Marius
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Universal Health Coverage ◽  
Health Workers ◽  
Health Coverage ◽  
Staffing Needs ◽  
Universal Health ◽  
And Child Health

scholarly journals Willingness to Pay for Universal Health Coverage Scheme for Maternal and Child Health Care and Services in Benin

2021 ◽  
Vol 7 (3) ◽  
pp. 111
Author(s):  
Adanmavokin Justin Sossou ◽  
Gilles Armand Sossou ◽  
Alphonse Kpozehoue ◽  
Babatounde Charlemagne Igue ◽  
Edgard-Marius Ouendo
Keyword(s):  
Health Care ◽  
Child Health ◽  
Willingness To Pay ◽  
Maternal And Child Health ◽  
Universal Health Coverage ◽  
Child Health Care ◽  
Health Coverage ◽  
Universal Health ◽  
And Child Health

scholarly journals Measuring universal health coverage in reproductive, maternal, newborn and child health: An update of the composite coverage index

PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0232350 ◽  
Author(s):  
Fernando C. Wehrmeister ◽  
Aluisio J. D. Barros ◽  
Ahmad Reza Hosseinpoor ◽  
Ties Boerma ◽  
Cesar G. Victora
Keyword(s):  
Child Health ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Newborn And Child Health ◽  
Universal Health ◽  
And Child Health

scholarly journals Which mechanisms explain motivation the of primary health workers? Insights from the realist evaluation of a maternal and child health programme in Nigeria

2020 ◽  
Vol 5 (8) ◽  
pp. e002408
Author(s):  
Bassey Ebenso ◽  
Chinyere Mbachu ◽  
Enyi Etiaba ◽  
Reinhard Huss ◽  
Ana Manzano ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Healthcare Delivery ◽  
Realist Evaluation ◽  
Future Research ◽  
Health Coverage ◽  
Worker Motivation ◽  
The Impact ◽  
And Child Health

IntroductionWell-trained, adequately skilled and motivated primary healthcare (PHC) workers are essential for attaining universal health coverage (UHC). While there is abundant literature on the drivers of workforce motivation, published knowledge on the mechanisms of motivation within different contexts is limited, particularly in resource-limited countries. This paper contributes to health workforce literature by reporting on how motivation works among PHC workers in a maternal and child health (MCH) programme in Nigeria.MethodsWe adopted a realist evaluation design combining document review with 56 in-depth interviews of PHC workers, facility managers and policy-makers to assess the impact of the MCH programme in Anambra State, Nigeria. A realist process of theory development, testing and consolidation was used to understand how and under what circumstances the MCH programme impacted on workers’ motivation and which mechanisms explain how motivation works. We drew on Herzberg’s two-factor and Adam’s equity theories to unpack how context shapes worker motivation.ResultsA complex and dynamic interaction between the MCH programme and organisational and wider contexts triggered five mechanisms which explain PHC worker motivation: (1) feeling supported, (2) feeling comfortable with work environment, (3) feeling valued, (4) morale and confidence to perform tasks and (5) companionship. Some mechanisms were mutually reinforcing while others operated in parallel. Other conditions that enabled worker motivation were organisational values of fairness, recognition of workers’ contributions and culture of task-sharing and teamwork.ConclusionsPolicy designs and management strategies for improving workforce performance, particularly in resource-constrained settings should create working environments that foster feelings of being valued and supported while enabling workers to apply their knowledge and skills to improve healthcare delivery and promote UHC. Future research can test the explanatory framework generated by this study and explore differences in motivational mechanisms among different cadres of PHC workers to inform cadre-related motivational interventions.

Task shifting in maternal and child health care: An evidence brief for Uganda

2011 ◽  
Vol 27 (2) ◽  
pp. 173-179 ◽  
Author(s):  
Harriet Nabudere ◽  
Delius Asiimwe ◽  
Rhona Mijumbi
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Professionals ◽  
Health Workers ◽  
Perinatal Outcomes ◽  
Implementation Strategies ◽  
Cost Effective ◽  
Task Shifting ◽  
Care Seeking ◽  
And Child Health

The Problem: There is a shortage and maldistribution of medically trained health professionals to deliver cost-effective maternal and child health (MCH) services. Hence, cost-effective MCH services are not available to over half the population of Uganda and progress toward the Millennium Development Goals for MCH is slow. Optimizing the roles of less specialized health workers (“task shifting”) is one strategy to address the shortage and maldistribution of more specialized health professionals.Policy Options: (i) Lay health workers (community health workers) may reduce morbidity and mortality in children under five and neonates; and training for traditional birth attendants may improve perinatal outcomes and appropriate referrals. (ii) Nursing assistants in facilities might increase the time available from nurses, midwives, and doctors to provide care that requires more training. (iii) Nurses and midwives to deliver cost-effective MCH interventions in areas where there is a shortage of doctors. (iv) Drug dispensers to promote and deliver cost-effective MCH interventions and improve the quality of the services they provide. The costs and cost-effectiveness of all four options are uncertain. Given the limitations of the currently available evidence, rigorous evaluation and monitoring of resource use and activities is warranted for all four options.Implementation Strategies: A clear policy on optimizing health worker roles. Community mobilization and reduction of out-of-pocket costs to improve mothers’ knowledge and care-seeking behaviors, continuing education, and incentives to ensure health workers are competent and motivated, and community referral and transport schemes for MCH care are needed.

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