The Human Resources for Health Effort Index: a tool to assess and inform Strategic Health Workforce Investments
Identifieur interne : 000154 ( Pmc/Curation ); précédent : 000153; suivant : 000155The Human Resources for Health Effort Index: a tool to assess and inform Strategic Health Workforce Investments
Auteurs : Alfredo L. Fort [États-Unis] ; Rachel Deussom [États-Unis] ; Randi Burlew [États-Unis] ; Kate Gilroy [États-Unis] ; David Nelson [États-Unis]Source :
- Human Resources for Health [ 1478-4491 ] ; 2017.
Abstract
Despite its importance, the field of human resources for health (HRH) has lagged in developing methods to measure its status and progress in low- and middle-income countries suffering a workforce crisis. Measures of professional health worker densities and distribution are purely numerical, unreliable, and do not represent the full spectrum of workers providing health services. To provide more information on the multi-dimensional characteristics of human resources for health, in 2013–2014, the global USAID-funded Capacity
The index includes seven recognized HRH dimensions: Leadership and Advocacy; Policy and Governance; Finance; Education and Training; Recruitment, Distribution, and Retention; Human Resources Management; and Monitoring, Evaluation, and Information Systems. Each item is scored from 1 to 10 and scores are averaged with equal weights for each dimension and overall. The questionnaire is applied to knowledgeable informants from public, nongovernmental organization, and private sectors in each country. A pilot test among 49 respondents in Kenya and Nigeria provided useful information to improve, combine, and streamline questions. Capacity
The results revealed a range of scores between 3.7 and 6.2 across dimensions, for overall scores between 4.8 and 5.5. Dimensions with lower scores included Recruitment, Distribution, and Retention, while Leadership and Advocacy had higher scores.
The tool proved to be well understood and provided key qualitative information on the health workforce to assist in health systems strengthening. It is expected that subsequent applications should provide more information for comparison purposes, to refine aspects of the questionnaire and to correlate scores with measures of service outputs and outcomes.
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DOI: 10.1186/s12960-017-0223-2
PubMed: 28724381
PubMed Central: 5518138
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Fort</name><affiliation wicri:level="2"><nlm:aff id="Aff1">IMA World Health, Washington, DC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>IMA World Health, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Deussom, Rachel" sort="Deussom, Rachel" uniqKey="Deussom R" first="Rachel" last="Deussom">Rachel Deussom</name><affiliation wicri:level="2"><nlm:aff id="Aff2">FHI360, Washington, DC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>FHI360, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Burlew, Randi" sort="Burlew, Randi" uniqKey="Burlew R" first="Randi" last="Burlew">Randi Burlew</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Philliber Research and Evaluation, Accord, NY USA</nlm:aff><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Philliber Research and Evaluation, Accord</wicri:cityArea></affiliation></author><author><name sortKey="Gilroy, Kate" sort="Gilroy, Kate" uniqKey="Gilroy K" first="Kate" last="Gilroy">Kate Gilroy</name><affiliation wicri:level="2"><nlm:aff id="Aff4">Maternal and Child Survival Program, Washington, DC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>Maternal and Child Survival Program, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Nelson, David" sort="Nelson, David" uniqKey="Nelson D" first="David" last="Nelson">David Nelson</name><affiliation wicri:level="2"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0425 3849</institution-id><institution-id institution-id-type="GRID">grid.420367.4</institution-id><institution></institution><institution>IntraHealth International,</institution></institution-wrap>Chapel Hill, NC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Chapel Hill</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28724381</idno><idno type="pmc">5518138</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518138</idno><idno type="RBID">PMC:5518138</idno><idno type="doi">10.1186/s12960-017-0223-2</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000155</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000155</idno><idno type="wicri:Area/Pmc/Curation">000154</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000154</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Human Resources for Health Effort Index: a tool to assess and inform Strategic Health Workforce Investments</title><author><name sortKey="Fort, Alfredo L" sort="Fort, Alfredo L" uniqKey="Fort A" first="Alfredo L." last="Fort">Alfredo L. Fort</name><affiliation wicri:level="2"><nlm:aff id="Aff1">IMA World Health, Washington, DC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>IMA World Health, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Deussom, Rachel" sort="Deussom, Rachel" uniqKey="Deussom R" first="Rachel" last="Deussom">Rachel Deussom</name><affiliation wicri:level="2"><nlm:aff id="Aff2">FHI360, Washington, DC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>FHI360, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Burlew, Randi" sort="Burlew, Randi" uniqKey="Burlew R" first="Randi" last="Burlew">Randi Burlew</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Philliber Research and Evaluation, Accord, NY USA</nlm:aff><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Philliber Research and Evaluation, Accord</wicri:cityArea></affiliation></author><author><name sortKey="Gilroy, Kate" sort="Gilroy, Kate" uniqKey="Gilroy K" first="Kate" last="Gilroy">Kate Gilroy</name><affiliation wicri:level="2"><nlm:aff id="Aff4">Maternal and Child Survival Program, Washington, DC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">District de Columbia</region></placeName><wicri:cityArea>Maternal and Child Survival Program, Washington</wicri:cityArea></affiliation></author><author><name sortKey="Nelson, David" sort="Nelson, David" uniqKey="Nelson D" first="David" last="Nelson">David Nelson</name><affiliation wicri:level="2"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0425 3849</institution-id><institution-id institution-id-type="GRID">grid.420367.4</institution-id><institution></institution><institution>IntraHealth International,</institution></institution-wrap>Chapel Hill, NC USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Chapel Hill</wicri:cityArea></affiliation></author></analytic><series><title level="j">Human Resources for Health</title><idno type="eISSN">1478-4491</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Despite its importance, the field of human resources for health (HRH) has lagged in developing methods to measure its status and progress in low- and middle-income countries suffering a workforce crisis. Measures of professional health worker densities and distribution are purely numerical, unreliable, and do not represent the full spectrum of workers providing health services. To provide more information on the multi-dimensional characteristics of human resources for health, in 2013–2014, the global USAID-funded Capacity<italic>Plus</italic> project, led by IntraHealth International, developed and tested a 79-item HRH Effort Index modeled after the widely used Family Planning Effort Index.</p></sec><sec><title>Methods</title><p id="Par2">The index includes seven recognized HRH dimensions: Leadership and Advocacy; Policy and Governance; Finance; Education and Training; Recruitment, Distribution, and Retention; Human Resources Management; and Monitoring, Evaluation, and Information Systems. Each item is scored from 1 to 10 and scores are averaged with equal weights for each dimension and overall. The questionnaire is applied to knowledgeable informants from public, nongovernmental organization, and private sectors in each country. A pilot test among 49 respondents in Kenya and Nigeria provided useful information to improve, combine, and streamline questions. Capacity<italic>Plus</italic> applied the revised 50-item questionnaire in 2015 in Burkina Faso, Dominican Republic, Ghana, and Mali, among 92 respondents. Additionally, the index was applied subnationally in the Dominican Republic (16 respondents) and in a consensus-building meeting in Mali (43 respondents) after the national application.</p></sec><sec><title>Results</title><p id="Par3">The results revealed a range of scores between 3.7 and 6.2 across dimensions, for overall scores between 4.8 and 5.5. Dimensions with lower scores included Recruitment, Distribution, and Retention, while Leadership and Advocacy had higher scores.</p></sec><sec><title>Conclusions</title><p id="Par4">The tool proved to be well understood and provided key qualitative information on the health workforce to assist in health systems strengthening. It is expected that subsequent applications should provide more information for comparison purposes, to refine aspects of the questionnaire and to correlate scores with measures of service outputs and outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kabene, Sm" uniqKey="Kabene S">SM Kabene</name></author><author><name sortKey="Orchard, C" uniqKey="Orchard C">C Orchard</name></author><author><name sortKey="Howard, Jm" uniqKey="Howard J">JM Howard</name></author><author><name sortKey="Soriano, Ma" uniqKey="Soriano M">MA Soriano</name></author><author><name sortKey="Leduc, R" uniqKey="Leduc R">R Leduc</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lapham, Rj" uniqKey="Lapham R">RJ Lapham</name></author><author><name sortKey="Mauldin, Wp" uniqKey="Mauldin W">WP Mauldin</name></author><author><name sortKey="Mauldin, Wp" uniqKey="Mauldin W">WP Mauldin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khalifa, M" uniqKey="Khalifa M">M Khalifa</name></author><author><name sortKey="Suliman, Ed" uniqKey="Suliman E">ED Suliman</name></author><author><name sortKey="Ross, J" uniqKey="Ross J">J Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="San, Pb" uniqKey="San P">PB San</name></author><author><name sortKey="Ross, Ja" uniqKey="Ross J">JA Ross</name></author><author><name sortKey="Phuong, Nl" uniqKey="Phuong N">NL Phuong</name></author><author><name sortKey="Vinh, Nd" uniqKey="Vinh N">ND Vinh</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Stover, J" uniqKey="Stover J">J Stover</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Hum Resour Health</journal-id><journal-id journal-id-type="iso-abbrev">Hum Resour Health</journal-id><journal-title-group><journal-title>Human Resources for Health</journal-title></journal-title-group><issn pub-type="epub">1478-4491</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28724381</article-id><article-id pub-id-type="pmc">5518138</article-id><article-id pub-id-type="publisher-id">223</article-id><article-id pub-id-type="doi">10.1186/s12960-017-0223-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>The Human Resources for Health Effort Index: a tool to assess and inform Strategic Health Workforce Investments</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Fort</surname><given-names>Alfredo L.</given-names></name><address><email>alfredofort@imaworldhealth.org</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Deussom</surname><given-names>Rachel</given-names></name><address><email>rdeussom@fhi360.org</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Burlew</surname><given-names>Randi</given-names></name><address><email>RBurlew@philliberresearch.com</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Gilroy</surname><given-names>Kate</given-names></name><address><email>kate_gilroy@jsi.com</email></address><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Nelson</surname><given-names>David</given-names></name><address><email>dnelson@intrahealth.org</email></address><xref ref-type="aff" rid="Aff5">5</xref></contrib><aff id="Aff1"><label>1</label>IMA World Health, Washington, DC USA</aff><aff id="Aff2"><label>2</label>FHI360, Washington, DC USA</aff><aff id="Aff3"><label>3</label>Philliber Research and Evaluation, Accord, NY USA</aff><aff id="Aff4"><label>4</label>Maternal and Child Survival Program, Washington, DC USA</aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0425 3849</institution-id><institution-id institution-id-type="GRID">grid.420367.4</institution-id><institution></institution><institution>IntraHealth International,</institution></institution-wrap>Chapel Hill, NC USA</aff></contrib-group><pub-date pub-type="epub"><day>19</day><month>7</month><year>2017</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>7</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>15</volume><elocation-id>47</elocation-id><history><date date-type="received"><day>24</day><month>2</month><year>2017</year></date><date date-type="accepted"><day>7</day><month>7</month><year>2017</year></date></history><permissions><copyright-statement>© The Author(s). 2017</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p id="Par1">Despite its importance, the field of human resources for health (HRH) has lagged in developing methods to measure its status and progress in low- and middle-income countries suffering a workforce crisis. Measures of professional health worker densities and distribution are purely numerical, unreliable, and do not represent the full spectrum of workers providing health services. To provide more information on the multi-dimensional characteristics of human resources for health, in 2013–2014, the global USAID-funded Capacity<italic>Plus</italic> project, led by IntraHealth International, developed and tested a 79-item HRH Effort Index modeled after the widely used Family Planning Effort Index.</p></sec><sec><title>Methods</title><p id="Par2">The index includes seven recognized HRH dimensions: Leadership and Advocacy; Policy and Governance; Finance; Education and Training; Recruitment, Distribution, and Retention; Human Resources Management; and Monitoring, Evaluation, and Information Systems. Each item is scored from 1 to 10 and scores are averaged with equal weights for each dimension and overall. The questionnaire is applied to knowledgeable informants from public, nongovernmental organization, and private sectors in each country. A pilot test among 49 respondents in Kenya and Nigeria provided useful information to improve, combine, and streamline questions. Capacity<italic>Plus</italic> applied the revised 50-item questionnaire in 2015 in Burkina Faso, Dominican Republic, Ghana, and Mali, among 92 respondents. Additionally, the index was applied subnationally in the Dominican Republic (16 respondents) and in a consensus-building meeting in Mali (43 respondents) after the national application.</p></sec><sec><title>Results</title><p id="Par3">The results revealed a range of scores between 3.7 and 6.2 across dimensions, for overall scores between 4.8 and 5.5. Dimensions with lower scores included Recruitment, Distribution, and Retention, while Leadership and Advocacy had higher scores.</p></sec><sec><title>Conclusions</title><p id="Par4">The tool proved to be well understood and provided key qualitative information on the health workforce to assist in health systems strengthening. It is expected that subsequent applications should provide more information for comparison purposes, to refine aspects of the questionnaire and to correlate scores with measures of service outputs and outcomes.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Human resources for health</kwd><kwd>Health systems strengthening</kwd><kwd>Index</kwd><kwd>Health workforce</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution-id institution-id-type="FundRef">http://dx.doi.org/10.13039/100000200</institution-id><institution>United States Agency for International Development</institution></institution-wrap></funding-source></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2017</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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