This paper presents our experiences of a 14 months participatory action research project in the Audit Commission, a major governmental body, responsible for auditing, inspecting and researching public service quality and efficiency throughout the territories of England and Wales. Its workforce, geographically widely dispersed, must operate in strict observance of legal regulations and policy gu...

Background Published evidence on the drivers of absenteeism among the health workforce is mainly limited to high-income countries. Uganda suffers the highest rate of health workforce absenteeism in Africa, attracting attention but lacking a definitive ameliorative strategy. This study aimed to explore the underlying reasons for absenteeism in the public and private 'not-for-profit' health secto...

AIMS This paper is based on a review of the Australian and International literature relating to the nursing-medical division of labour. It also explores how the division of labour affects patient access to emergency care in small rural health services in Victoria, Australia. BACKGROUND The paper describes the future Australian health workforce and the implications for rural Victoria. The conc...

INTRODUCTION The sustainability of New Zealand's rural hospitals has been in question for some years. Increasingly, clinical services have been centralised and specialist staff have moved to bigger centres. As well as clinical services, the governance of these hospitals has shifted, often due to a shortage of vocationally registered medical practitioners available to lead the clinical services....

OBJECTIVES Many resource-limited countries have adopted and implemented healthcare reform to improve the quality of healthcare, but few have had much impact and strategies in support of these efforts remain limited. We aimed to explore and propose evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings. DESIGN Descriptive and exploratory design...

Abstract Background The present crisis offers a unique opportunity to better understanding the specific contribution of health workforce system resilience, and more specifically adaptive, absorptive transformative capacities that influence how systems respond COVID-19 pandemic. Methods study examined different in context as central prerequisite resilience. We compared policies services response...

BACKGROUND An Ebola outbreak started in December 2013 in Guinea and spread to Liberia and Sierra Leone in 2014. The health systems in place in the three countries lacked the infrastructure and the preparation to respond to the outbreak quickly and the World Health Organisation (WHO) declared a public health emergency of international concern on August 8 2014. OBJECTIVE The aim of this study w...

BACKGROUND Guinea-Bissau is one of the world's poorest and least developed countries. Amid poverty, political turmoil and state withdrawal, its health workforce (HW) has been swamped for the last four decades in a deepening crisis of under-resourcing, poor performance and laissez-faire. METHODS The present study aimed at analysing the human resources for health (HRH) situation in Guinea-Bissa...