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