Health Workforce Development

Health Workforce training with model baby

Crucial for efforts to provide universal health coverage is the strengthening of the existing health workforce – maximizing the talents that are currently available and building mechanisms to ensure that productivity, performance, and engagement will continue to improve as these resources grow and evolve.  In order to obtain desired results, it is necessary to both explore and develop the evidence to enhance our understanding of the factors that influence health worker outputs and clinical outcomes.  This is accomplished through innovative research that is then used to develop practical tools and guidance that is applied to analyze and strengthen health workforce planning, management, and development.  Applying improvement approaches to engage health workers in providing quality care and to empower teams to deliver better services to more users is an integral part of systems strengthening. 

In many countries the performance of health workers is constrained by factors such as regular stock-out of medicines, shortage of supplies, high levels of staff turnover, unclear job expectations, and limited feedback and supervision. Growing evidence suggests that improving the productivity and engagement of health workers and addressing performance factors within the health workforce contribute to improved care outcomes.  Improvement methods can help to:

  • Clarify roles and expectations, assess work distribution and rationalize tasks among team members, and introduce measurement of performance
  • Develop and test incentives, rewards and consequences that reinforce strong performance and discourage poor performance, from verbal recognition to career path and bonus mechanisms
  • Strengthen performance feedback mechanisms among members of the care delivery team, supervisors, and community members
  • Enhance the work environment, including both the physical environment (including safety and the availability of supplies) and the non-physical environment (including management practices that build confidence and security, mechanisms for coordination and communication, and protection from violence or harassment), to enable health workers to perform at their best
  • Build the competencies needed to implement tasks and perform at expected levels

 

Ensuring the Follow-up of Children Affected by Zika in Health Region I, Dominican Republic

The follow-up of children affected by Congenital Zika Syndrome and Microcephaly is one of the most important aspects in the evolution of these children. The USAID ASSIST Project has provided technical assistance to the personnel (Doctors,...

En Nicaragua, el seguimiento de los niños expuestos al Zika es una realidad sostenible

Delegados del SILAIS Nueva Segovia en una sesión de trabajo bimestral evaluando las historias clínicas de niños con síndrome congénito del Zika El Ministerio de Salud implementó las primeras medidas para la detección, provisión de atención...

In Nicaragua, Following up with Children Exposed to Zika is a Sustainable Reality

Delegates from SILAIS Nueva Segovia in a bi-monthly work session reviewing medical records of children with Congenital Syndrome Associated with Zika The Ministry of Health implemented the first actions for detection, care provision and...

Standardizing the process of Care to Reach Children in Difficult Places in Honduras

Mother demonstrates stimulation techniques that she learned at hospital due to the support of ASSIST, Honduras 19-year-old Jane didn’t think that there was anything different about her baby right away, but immediately she noticed that he...

Cómo estandarizar el proceso de atención para que llegue a los niños en lugares difíciles en Honduras

Una madre demuestra las técnicas de estimulación que aprendió en el hospital gracias al apoyo de ASSIST, Honduras Jane, de 19 años, no pensó de inmediato que su bebé tenía algo diferente, pero se dio cuenta inmediatamente de que no lloraba...

Superando la brecha de la evaluación y tratamiento oftalmológico en los niños con microcefalia y síndrome congénito por Zika

Izquierda: DM y su mama llegando a FUDEM. Derecha: DM con sus lentes proporcionados con apoyo del Proyecto ASSIST-Zika/FUDEM Garantizar el abordaje multidisciplinario de los niños y niñas con microcefalia y Síndrome congénito por Zika (...

Overcoming the gap in Ophthalmological Evaluation and Treatment in Children with Microcephaly and Congenital Zika Syndrome

Left: DM and his mother arriving at FUDEM. Right: DM with his glasses, provided with support from the ASSIST-Zika Project/FUDEM Ensuring the multidisciplinary approach of children with microcephaly and Congenital Zika Syndrome (CSaZ) can...

The Involvement of Routine Dental Care in Prenatal Care as a Tool for Quality Counseling in the context of Zika in El Salvador

Dr. Lorena Arevalo, dentist UCSFI San Isidro, Cabanas sharing Zika prevention methods with patients during dental treatments UCSFI San Isidro is one of the Health Centers in the north of El Salvador that USAID's Project Applying Science to...

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