Analysis of adequacy levels for human resources improvement within primary health care framework in Africa

Abstract

Human resources in health care system in sub-Saharan Africa are generally picturing a lack of adequacy between expected skills from the professionals and health care needs expressed by the populations. It is, however, possible to analyse these various lacks of adequacy related to human resource management and their determinants to enhance the effectiveness of the health care system. From two projects focused on nurse professionals within the health care system in Central Africa, we present an analytic grid for adequacy levels looking into the following aspects:-adequacy between skills-based profiles for health system professionals, quality of care and service delivery (health care system /medical standards), needs and expectations from the populations, -adequacy between allocation of health system professionals, quality of care and services delivered (health care system /medical standards), needs and expectations from the populations, -adequacy between human resource management within health care system and medical standards, -adequacy between human resource management within education/teaching/training and needs from health care system and education sectors, -adequacy between basic and on-going education and realities of tasks expected and implemented by different categories of professionals within the health care system body, -adequacy between intentions for initial and on-going trainings and teaching programs in health sciences for trainers (teachers/supervisors/health care system professionals/ directors (teaching managers) of schools...).This tool is necessary for decision-makers as well as for health care system professionals who share common objectives for changes at each level of intervention within the health system. Setting this adequacy implies interdisciplinary and participative approaches for concerned actors in order to provide an overall vision of a more broaden system than health district, small island with self-rationality, and in which they operate.

Barriers to Sexual and Reproductive Health Programming for Adolescents Living with HIV in Uganda

“…Nonetheless, as is evident from the discussion in this paper, the process of developing, disseminating and implementing the guidelines might be hampered by a number of factors. These include available budgetary allocations, political and cultural acceptability of discussion of issues relating to SRH of adolescents in general and those living with HIV in particular, available infrastructure and human resources, as well as the institutional capacity of the HIV/AIDS treatment, care and support programs to implement the guidelines (Brock et al 2002;Glenngård and Maina 2007;Haines et al 2004;Hardon 2005;Innvaer et al 2002;Neema et al 2004;Parent et al 2005;Philpott et al 2002). Whereas the other potential barriers can be surmounted through support from donors and other international and national organizations involved in adolescent SRH, political and cultural acceptance of any given policy considered to be sensitive remain the greatest challenge for effective implementation (Brock et al 2002;Neema et al 2004).…”

“…The actual implementation, on the other hand, faces a number of local realities including the socio-economic, socio-cultural, and political environment in a particular country. The implementation process is, for instance, influenced by the available infrastructure and human resources, budgetary allocation, personal interaction between policy-makers and implementers, the political establishment, as well as the cultural acceptability of the programs put in place in response to the policies (Brock et al 2002;Glenngård and Maina 2007;Haines et al 2004;Hardon 2005;Innvaer et al 2002;Neema et al 2004;Parent et al 2005;Philpott et al 2002).…”

Healthcare context and nursing workforce in a main city of Angola

“…Hence, if not all sectors are strengthened and, mainly, if human values are not supported, it will be very hard to achieve national and global health goals (Kulwicki ; Mathauer & Imhoff ; Oliveira & Artmann ,b; Parent et al. ; Pinto ; Queza ; WHO ).…”

Proceso de construcción de la agenda nacional de investigación sobre Recursos Humanos en Salud (RHUS) en el Perú, 2011-2014

“…Los procesos participativos y representativos de la diversidad de sectores en varios niveles de organización cumplen una función en la mejora de los sistemas de salud. Entre los actores de los niveles organizacionales están: Salud -Educación -Gerencia de recursos humanos; dichos actores necesitan un horizonte común y aportan su experticia y metodología (33) .…”