Human resources for health: overcoming the crisis

Health Systems and Access to Antiretroviral Drugs for HIV in Southern Africa: Service Delivery and Human Resources Challenges

“…[24][25][26][27] The problem of human resource development is multi-faceted -it includes supply, migration, distribution, skills mix, remuneration and productivity dimensions. 28 Despite the conventional view of African public health sectors as bloated, 29 the health worker-to-population ratios of developing country health systems remain vastly inferior to those of industrialised nations (Figure 1). …”

“…28 Demotivated health workers are less inclined to orient their actions towards the achievement of organisational goals and may be less willing to balance self-interested behaviour with altruism and solidarity towards users of services. 41 In many health systems, underpaid health workers have increasingly looked to health systems as a means to ensure their own survival rather than as an avenue for expression of professional and societal norms of caring and altruism.…”

Impact of Organizational Factors on Adherence to Laboratory Testing Protocols in Adult HIV Care in Lusaka, Zambia

“…5 Malaria Case Management Officer National Malaria Control Commission, Lusaka, Zambia. 6 Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia. 7 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.…”

“…First, recent studies have measured structural factors of service delivery such as worker satisfaction and motivation [6][7][8][9] and have uncovered a number of predictors of dissatisfaction. These include public vs. private sector employment, workload, availability of resources, salaries [10], and low levels of staffing, management support and control over their practice [11].…”

Tuberculosis control in the era of HIV

“…31. Health-worker density is clearly related to health-system performance 32 . The current quality of staff is also inhibiting the scale up of TB-and HIV-control interventions 33 .…”