2023-09-28 14:46:10 +00:00
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abstract: 'Background: A critical shortage of health workers with needed maternal
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and newborn competencies remains a major challenge for the provision of
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quality care for mothers and newborns, particularly in low- and
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middle-income countries. Supply-side challenges related to human
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resources for health (HRH) worsen shortages and can negatively affect
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health worker performance and quality of care. This review scoped
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country-focused sources to identify and map evidence on HRH-related
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challenges to quality facility-based newborn care provision by nurses
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and midwives.
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Methods: Evidence for this review was collected iteratively, beginning
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with pertinent World Health Organization documents and extending to
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articles identified via database and manual reference searches and
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country reports. Evidence from country-focused sources from 2000 onward
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was extracted using a data extraction tool that was designed
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iteratively; thematic analysis was used to map the 10 categories of HRH
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challenges.
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Findings: A total of 332 peer-reviewed articles were screened, of which
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22 met inclusion criteria. Fourteen additional sources were added from
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manual reference search and gray literature sources. Evidence has been
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mapped into 10 categories of HRH-related challenges: (1) lack of health
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worker data and monitoring; (2) poor health worker preservice education;
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(3) lack of HW access to evidence-based practice guidelines, continuing
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education, and continuing professional development; (4) insufficient and
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inequitable distribution of health workers and heavy workload; (5) poor
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retention, absenteeism, and rotation of experienced staff; (6) poor work
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environment, including low salary; (7) limited and poor supervision; (8)
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low morale, motivation, and attitude, and job dissatisfaction; (9)
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weaknesses of policy, regulations, management, leadership, governance,
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and funding; and (10) structural and contextual barriers.
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Conclusion: The mapping provides needed insight that informed new World
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Health Organization strategies and supporting efforts to address the
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challenges identified and strengthen human resources for neonatal care,
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with the ultimate goal of improving newborn care and outcomes.'
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affiliation: 'Bolan, N (Corresponding Author), Univ Maryland, Sch Nursing, Off Global
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Hlth, Baltimore, MD 21201 USA.
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Bolan, Nancy, Univ Maryland, Sch Nursing, Off Global Hlth, Baltimore, MD 21201 USA.
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Cowgill, Karen D., Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA.
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Walker, Karen, George Inst Global Hlth, Newtown, Tas, Australia.
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Kak, Lily, US Agcy Int Dev, Washington, DC USA.
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Shaver, Theresa, Social Solut Int Inc, Washington, DC USA.
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Moxon, Sarah, London Sch Hyg \& Trop Med, London, England.
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Lincetto, Ornella, WHO, Geneva, Switzerland.'
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author: Bolan, Nancy and Cowgill, Karen D. and Walker, Karen and Kak, Lily and Shaver,
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Theresa and Moxon, Sarah and Lincetto, Ornella
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author-email: nbolan@umaryland.edu
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author_list:
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- family: Bolan
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given: Nancy
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- family: Cowgill
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given: Karen D.
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- family: Walker
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given: Karen
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- family: Kak
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given: Lily
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- family: Shaver
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given: Theresa
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- family: Moxon
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given: Sarah
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- family: Lincetto
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given: Ornella
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da: '2023-09-28'
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doi: 10.9745/GHSP-D-20-00362
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files: []
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issn: 2169-575X
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journal: GLOBAL HEALTH-SCIENCE AND PRACTICE
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keywords-plus: 'NEONATAL CARE; PROFESSIONAL-DEVELOPMENT; MULTICOUNTRY ANALYSIS; SYSTEM
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BOTTLENECKS; INPATIENT CARE; EVERY NEWBORN; SICK NEWBORNS; CHILD HEALTH;
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SCALING-UP; OF-CARE'
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language: English
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month: APR
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number: '1'
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number-of-cited-references: '90'
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orcid-numbers: Bolan, Nancy/0000-0002-4650-1834
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pages: 160-176
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papis_id: ac51dbac5c51a312a57ecd7b82b90936
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ref: Bolan2021humanresources
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researcherid-numbers: Bolan, Nancy/AAE-3699-2022
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tags:
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- review
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times-cited: '16'
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title: 'Human Resources for Health-Related Challenges to Ensuring Quality Newborn
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Care in Low- and Middle-Income Countries: A Scoping Review'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000636989800013
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usage-count-last-180-days: '2'
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usage-count-since-2013: '9'
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volume: '9'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2021'
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