The Knowledge library

Journal Articles

Increasing Community Health Worker Productivity and Effectiveness: A Review of the Influence of the Work Environment

Community health workers (CHWs) are increasingly recognized as a critical link in improving access to services and achieving the health-related Millennium Development Goals. Given the financial and human resources constraints in developing countries, CHWs are expected to do more without necessarily receiving the needed support to do their jobs well. This article in Human Resources for Health presents policy-makers and program managers with key considerations for a model to improve the work environment as an important approach to increase CHW productivity and, ultimately, the effectiveness of community-based strategies.

Measuring the Success of the HRH Global Resource Center

In 2006, IntraHealth International, as implementer of the USAID-funded Capacity Project, developed and launched the HRH Global Resource Center, a digital library committed to reducing access barriers in developing countries to the best human resources for health information available. Since the launch, the HRH Global Resource Center has transformed in response to usage, feedback, and changes in the field. This article in Knowledge Management for Development shares IntraHealth’s experiences developing, using, and refining monitoring and evaluation methods and metrics for the HRH Global Resource Center.

Championing a Regional Approach to Health Workforce Planning and Management

This profile of Professor Kayode Odusote draws on CapacityPlus’s technical brief, West Africa’s Regional Approach to Strengthening Health Workforce Information. It is part of the Aspen Institute’s Council Conversation Series: Stories and Solutions.

Preferences for Working in Rural Clinics among Trainee Health Professionals in Uganda: A Discrete Choice Experiment

In low-income countries, failure to attract and retain health workers in rural areas reduces population access to health services and undermines facility performance, resulting in poor health outcomes. This article in BMC Health Services Research presents findings from CapacityPlus’s study on preferences for job characteristics among final-year medical, nursing, pharmacy, and laboratory students at select universities in Uganda. The findings contribute to mounting evidence that salary is not the only important factor health workers consider when deciding where to work.

Workplace Violence and Gender Discrimination in Rwanda's Health Workforce: Increasing Safety and Gender Equality

This article in Human Resources for Health draws on research conducted during the Capacity Project, the predecessor to CapacityPlus.

Workplace violence has been documented in all sectors, but female-dominated sectors such as health and social services are at particular risk. This article reexamines a set of study findings that directly relate to the influence of gender on workplace violence, synthesizes these findings with other research from Rwanda, and examines the subsequent impact of the study on Rwanda’s policy environment.

Overcoming the Hurdle of Implementation: Putting Human Resources for Health Tools into Action

This article in Revista Peruana de Medicina Experimental y Salud Pública by CapacityPlus’s deputy director for HRH and health systems strengthening provides guidance for putting health workforce tools into action.

The global human resources for health (HRH) challenge remains persistent. In 2006, the World Health Report identified 57 crisis countries, and, despite increased attention and investment in strengthening the workforce, those countries are still in crisis. While many countries have HRH plans, this paper asserts that a major reason countries remain in crisis is the lack of sustained implementation to achieve concrete workforce strengthening results. It is critical for HRH leaders to take action to ensure that already available tools are disseminated, adapted, and used to foster effective implementation at the country level. The paper highlights four such tools as examples that can be used to build implementation capacity, and offers recommendations to support more results-oriented implementation.

Occupational Segregation, Gender Essentialism and Male Primacy as Major Barriers to Equity in HIV Care Giving: Findings from Lesotho

This article in the International Journal for Equity in Health draws on research conducted during the Capacity Project, the predecessor to CapacityPlus.

Gender segregation of occupations has been recognized as a major source of inequality worldwide with implications for the development of robust health workforces. In sub-Saharan Africa, gender inequalities are particularly acute in HIV/AIDS caregiving (90% of which is provided in the home), where women and girls make up the informal (and mostly unpaid) workforce. Men's and boy's entry into HIV/AIDS caregiving in greater numbers would both increase the equity and sustainability of national and community-level HIV/AIDS caregiving and mitigate health workforce shortages, but notions of gender essentialism and male primacy make this far from inevitable. The Capacity Project partnered with the Lesotho Ministry of Health and Social Welfare in a study of the gender dynamics of HIV/AIDS caregiving to account for men's absence in HIV/AIDS caregiving and investigate ways in which they might be recruited into the community and home-based care workforce. This article presents findings and recommendations resulting from the study.

Tracking and Monitoring the Health Workforce: A New Human Resources Information System (HRIS) in Uganda

This article draws on work from the Capacity Project, the predecessor to CapacityPlus. It describes Uganda’s transition from a paper filing system for health workers to an electronic human resources information system (HRIS) capable of providing information about country-specific health workforce questions, and how HRIS data can be used in workforce planning.