Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes

<p>Abstract</p> <p>Background</p> <p>There is increasing attention, globally and in countries, to monitoring and addressing the health systems and human resources inputs, processes and outputs that impede or facilitate progress towards achieving the Millennium Developme...

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Main Authors: Sanders David, Pate Muhammad A, Nyonator Frank, França Adson, Maliqi Blerta, Gupta Neeru, Belhadj Hedia, Daelmans Bernadette
Format: Article
Language:English
Published: BMC 2011-06-01
Series:Human Resources for Health
Online Access:http://www.human-resources-health.com/content/9/1/16
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author Sanders David
Pate Muhammad A
Nyonator Frank
França Adson
Maliqi Blerta
Gupta Neeru
Belhadj Hedia
Daelmans Bernadette
author_facet Sanders David
Pate Muhammad A
Nyonator Frank
França Adson
Maliqi Blerta
Gupta Neeru
Belhadj Hedia
Daelmans Bernadette
author_sort Sanders David
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>There is increasing attention, globally and in countries, to monitoring and addressing the health systems and human resources inputs, processes and outputs that impede or facilitate progress towards achieving the Millennium Development Goals for maternal and child health. We reviewed the situation of human resources for health (HRH) in 68 low- and middle-income countries that together account for over 95% of all maternal and child deaths.</p> <p>Methods</p> <p>We collected and analysed cross-nationally comparable data on HRH availability, distribution, roles and functions from new and existing sources, and information from country reviews of HRH interventions that are associated with positive impacts on health services delivery and population health outcomes.</p> <p>Results</p> <p>Findings from 68 countries demonstrate availability of doctors, nurses and midwives is positively correlated with coverage of skilled birth attendance. Most (78%) of the target countries face acute shortages of highly skilled health personnel, and large variations persist within and across countries in workforce distribution, skills mix and skills utilization. Too few countries appropriately plan for, authorize and support nurses, midwives and community health workers to deliver essential maternal, newborn and child health-care interventions that could save lives.</p> <p>Conclusions</p> <p>Despite certain limitations of the data and findings, we identify some key areas where governments, international partners and other stakeholders can target efforts to ensure a sufficient, equitably distributed and efficiently utilized health workforce to achieve MDGs 4 and 5.</p>
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spelling doaj.art-7e0b37f366734726b9a0fea72974cce32022-12-22T01:07:36ZengBMCHuman Resources for Health1478-44912011-06-01911610.1186/1478-4491-9-16Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomesSanders DavidPate Muhammad ANyonator FrankFrança AdsonMaliqi BlertaGupta NeeruBelhadj HediaDaelmans Bernadette<p>Abstract</p> <p>Background</p> <p>There is increasing attention, globally and in countries, to monitoring and addressing the health systems and human resources inputs, processes and outputs that impede or facilitate progress towards achieving the Millennium Development Goals for maternal and child health. We reviewed the situation of human resources for health (HRH) in 68 low- and middle-income countries that together account for over 95% of all maternal and child deaths.</p> <p>Methods</p> <p>We collected and analysed cross-nationally comparable data on HRH availability, distribution, roles and functions from new and existing sources, and information from country reviews of HRH interventions that are associated with positive impacts on health services delivery and population health outcomes.</p> <p>Results</p> <p>Findings from 68 countries demonstrate availability of doctors, nurses and midwives is positively correlated with coverage of skilled birth attendance. Most (78%) of the target countries face acute shortages of highly skilled health personnel, and large variations persist within and across countries in workforce distribution, skills mix and skills utilization. Too few countries appropriately plan for, authorize and support nurses, midwives and community health workers to deliver essential maternal, newborn and child health-care interventions that could save lives.</p> <p>Conclusions</p> <p>Despite certain limitations of the data and findings, we identify some key areas where governments, international partners and other stakeholders can target efforts to ensure a sufficient, equitably distributed and efficiently utilized health workforce to achieve MDGs 4 and 5.</p>http://www.human-resources-health.com/content/9/1/16
spellingShingle Sanders David
Pate Muhammad A
Nyonator Frank
França Adson
Maliqi Blerta
Gupta Neeru
Belhadj Hedia
Daelmans Bernadette
Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes
Human Resources for Health
title Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes
title_full Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes
title_fullStr Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes
title_full_unstemmed Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes
title_short Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes
title_sort human resources for maternal newborn and child health from measurement and planning to performance for improved health outcomes
url http://www.human-resources-health.com/content/9/1/16
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