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Compendio estadístico: información de recursos humanos del sector salud, Perú 2013 - 2015

BIREME - Repositorio RHS - Jue, 13/12/2018 - 19:00
Con la publicación del “Compendio Estadístico: Información de Recursos Humanos del Sector Salud, Perú 20132015”, la Dirección General de Gestión del Desarrollo de Recursos Humanos reafrma su compromiso para continuar brindando información de recursos humanos en salud a gestores, planifcadores y decisores para contar con un amplio panorama para la elaboración de estrategias de dotación de recursos humanos, a fin de ofrecer la mejor calidad de atención a todos los peruanos. (AU)

Carrera sanitaria en el Perú: avances en la generación de un consenso

BIREME - Repositorio RHS - Jue, 13/12/2018 - 19:00
El Decreto Supremo 011-2008-SA, que modifica el Reglamento de Organización y Funciones del MINSA para crear la Dirección General de Gestión del Desarrollo de Recursos Humanos, establece como una de sus funciones específicas, “proponer un plan de carrera sanitaria que incluya un sistema de incentivos articulado al desempeño laboral, en concertaciones con las instituciones y actores sociales involucrados”. En cumplimiento de dicho mandato, el MINSA comisionó un estudio, apoyado por la Organización Panamericana de la Salud, ejecutado por el Dr. Juan Arroyo y el Lic. Ciro Echegaray, que fue publicado en el año 2009, bajo el título “Carrera Sanitaria en el Perú: Fundamentos Técnicos para su Desarrollo”. Dicho estudio revisaba la normativa existente en el Perú en torno a carrera pública para los servidores de salud, y de carrera sanitaria, entre 1950 y el año 2008, y sentaba las bases para que dicha información pudiera ser tomada por los diversos actores involucrados y se empezara a establecer los consensos necesarios para la propuesta de carrera sanitaria. (AU)

Información de recursos humanos en salud: Perú 2016

BIREME - Repositorio RHS - Jue, 13/12/2018 - 19:00
Se ha sistematizado la información correspondiente a la Política Integral de Compensaciones y Entregas Económicas del Personal de Salud al Servicio del Estado - D. Leg. N° 1153 para lo cual, por primera vez se ha utilizado como fuente información la base de dtos del Aplicativo Informático delRegistro Centralizado de Planillas y de datos de los Recursos Humanos del Sector Público - AIRHSP del Ministerio de Economía y Finanzas . (AU)

Alianza colaborativa para el desarrollo de la enfermería y la partería en la región de las Américas: informe de un taller

BIREME - Repositorio RHS - Jue, 13/12/2018 - 19:00
En el otoño 1997 se formó una alianza colaborativa para el desarrollo de la enfermería y la partería en la Región de las Américas de la Organización Mundial de la Salud (OMS). La alianza colaborativa incluía a representantes de tres programas de la Organización Panamericana de la Salud (OPS): Programa de Desarrollo de Recursos Humanos, Programa de Salud de la Familia y Población, y Programa de Organización y Gestión de Sistemas y Servicios de Salud; la División de Enfermería (HRSA) del Departamento de Salud y Servicios Sociales (HHS); y el Centro Colaborador de la OMS para Liderazgo en Enfermería y Partería de la Escuela de Enfermería de la Universidad de Pennsylvania. (AU)

Collaborative partnership for nursing and midwifery development in the region of the Americas: report of a workshop

BIREME - Repositorio RHS - Jue, 13/12/2018 - 19:00
In fall 1997, a collaborative partnership for nursing and midwifery development in the World Health Organization (WHO) region of the Americas was formed. The collaborative partnership included representatives from three Pan American Health Organization (PAHO) programs - Human Resources Development, Family Health and Population, and Organization and Management of Health Systems and Services- the Department of Health and Human Services (HHS), Division of Nursing, HRSA, and the University of Pennsylvania School of Nursing's WHO Collaborating Center in Nursing and Midwifery Leadership.

Informe del Taller sobre procesos de aprobación y acreditación para la educación de enfermería

BIREME - Repositorio RHS - Jue, 13/12/2018 - 19:00
Durante las últimas décadas, la educación de la profesión de enfermería ha progresado. El nivel académico que han alcanzado numerosas instituciones ha permitido formar recursos humanos de enfermería de buena calidad, el objetivo que se persigue es que todas las escuelas logren niveles académicos óptimos. La cantidad de programas y escuelas aumentó considerablemente. Los países americanos, incluyendo los del Caribe del Este, elevaron los niveles de educación de lo meramente básico a estudios avanzados y especializados. La calidad de la educación ha mejorado a medida que se han aumentado, ampliado, diversificado y evaluado los programas. (AU)

Introducción a la educación interprofesional

Search "Educación Interprofesional" - Jue, 13/12/2018 - 03:07

Fareham; Centro para el Avance de la Educación Interprofesional; jul. 2013. 36 p. ilus. [No convencional]

Application of machine learning models in predicting length of stay among healthcare workers in underserved communities in South Africa

Abstract Background

Human resource planning in healthcare can employ machine learning to effectively predict length of stay of recruited health workers who are stationed in rural areas. While prior studies have identified a number of demographic factors related to general health practitioners’ decision to stay in public health practice, recruitment agencies have no validated methods to predict how long these health workers will commit to their placement. We aim to use machine learning methods to predict health professional’s length of practice in the rural public healthcare sector based on their demographic information.

Methods

Recruitment and retention data from Africa Health Placements was used to develop machine-learning models to predict health workers’ length of practice. A cross-validation technique was used to validate the models, and to evaluate which model performs better, based on their respective aggregated error rates of prediction. Length of stay was categorized into four groups for classification (less than 1 year, less than 2 years, less than 3 years, and more than 3 years). R, a statistical computing language, was used to train three machine learning models and apply 10-fold cross validation techniques in order to attain evaluative statistics.

Results

The three models attain almost identical results, with negligible difference in accuracy. The “best”-performing model (Multinomial logistic classifier) achieved a 47.34% [SD 1.63] classification accuracy while the decision tree model achieved an almost comparable 45.82% [SD 1.69]. The three models achieved an average AUC of approximately 0.66 suggesting sufficient predictive signal at the four categorical variables selected.

Conclusions

Machine-learning models give us a demonstrably effective tool to predict the recruited health workers’ length of practice. These models can be adapted in future studies to incorporate other information beside demographic details such as information about placement location and income. Beyond the scope of predicting length of practice, this modelling technique will also allow strategic planning and optimization of public healthcare recruitment.

Categorías: Investigaciones

Stronger together: midwifery twinning between Tanzania and Canada

Abstract

This article describes a twinning relationship between the Canadian Association of Midwives (CAM) and the Tanzania Midwives Association (TAMA). It argues that the twinning relationship strengthened both associations. The article briefly reviews the existing literature on professional associations and association strengthening to demonstrate that professional associations are a vital tool for improving the performance of healthcare workers and increasing their capacity to contribute to national and international policy-making. It then suggests that midwifery associations are particularly significant given the frequent professional marginalization of midwives. The article then describes in depth the relationship between CAM and TAMA, highlighting the accomplishments of the twinned partners, and analyzing the factors that contributed to the success of the relationship. The findings demonstrate that twinning can successfully strengthen associations, increasing their ability to support their membership, care for the public, and shape national policy-making. The article therefore proposes twinning as a successful and cost-effective model for encouraging the growth of the midwifery profession.

Categorías: Investigaciones

Pediatric neuroimaging at a university hospital in Rwanda: a pictorial essay

Abstract

Rwanda is a country of 12 million people with 41% of its population under the age of 14 years. Despite major improvements in health care since the 1994 genocide, pediatric neuroimaging in Rwanda remains challenging. Prenatal and advanced imaging techniques, such as magnetic resonance imaging (MRI), are not widespread. As a result, many children with neurological diseases present unexpectedly as newborns or are in advanced stages of disease at diagnosis. The goal of this essay is to describe some unique features of the practice of pediatric neuroradiology in Rwanda in 2018.

Categorías: Investigaciones

Enfermería en salud mental. Informe de reunión

BIREME - Repositorio RHS - Mié, 12/12/2018 - 19:00
La atención y el cuidado han sido, y siguen siendo, el elemento básico del suministro de los servicios de enfermería. Los adelantos científicos del último decenio están cambiando la comprensión que se tiene del cerebro humano, las enfermedades mentales y los tratamientos bioquímicos de los trastornos mentales. Las enfermeras psiquiátricas deben integrar constantemente las neurociencias, y en su práctica profesional en particular, la psicofarmacología, para brindar una atención segura y eficaz a las personas con enfermedades mentales, y fomentar el progreso de la especialidad. Las enfermeras psiquiátricas forman parte de los profesionales de la atención primaria de salud que se ocupan a diario del tratamiento a largo plazo de pacientes psiquiátricos, en el proceso continuo de prevención, diagnóstico, tratamiento, mantenimiento y rehabilitación. Vista la actual variedad de tratamientos posibles, ese cuidado de enfermería obliga a prestar suma atención a los problemas médicos conexos y a las interacciones complejas entre hechos conductuales, emocionales, fisiológicos y psicofarmacológicos. (AU)

Psychiatric mental health nursing meeting report

BIREME - Repositorio RHS - Mié, 12/12/2018 - 19:00
Care and caring have been and continue to be the cornerstone of nursing delivery of services. The scientific advances of the past decade are changing the understanding of the human brain, mental illness, and biochemical treatments of mental disorders. Psychiatric nurses continuously must integrate the neurosciences, particularly psychopharmacology, into nursing practice in order to ensure safe and effective care of people with mental illness and the advancement of the specialty. Psychiatric nurses are among the primary health care professionals working on a daily basis with the long-term management of psychiatric patients on the continuum of prevention, diagnosis, treatment, maintenance, and rehabilitation. Given the present array of treatment options, this nursing management includes considerable attention to concurrent medical problems and complex interactions between behavioral, emotional, physiological, and psychopharmacologic events. Psychiatric mental health nurses are unique in that their training and experience enable them to assess the biological as well as psychosocial needs of patients. Nursing interventions offer patients and families high quality and cost effective care. Psychiatric mental health nurses worldwide will continue to refine and demonstrate their evolving role in the mental health field. (AU)

Informe final del Taller Internacional de gerencia en enfermería en los servicios de salud

BIREME - Repositorio RHS - Mié, 12/12/2018 - 19:00
En la actualidad la mayoría de los países de la Región se encuentran inmersos en procesos de reforma sectorial, todos ellos encaminados a replantear el papel del Estado en el desarrollo sustentable. Esta nueva concepción de políticas públicas debe partir del hecho que estamos frente a nuevos paradigmas tanto en lo referente a las formas en que se ha desarrollado la sociedad así como a las maneras como se solucionan sus problemas y se realizan los proyectos. En relación a estas nuevas formas de participación gubernamental, se reconoce la necesidad de cambios en la manera de hacer políticas públicas, las cuáles a su vez dependen de la dinámica propia de cada país y de los objetivos de democracia establecidas en cada uno de ellos (AU).

Self-assessment of the human resources for health planning process. Work book

BIREME - Repositorio RHS - Mié, 12/12/2018 - 19:00
In connection with the 10th meeting of the Technical Commission for Human Resources Development in Central America and the Dominican Republic, a three-day workshop was held to help identify the current situation in each country regarding the human resource planning process and capacity-building to measure gaps in achieving universal access and coverage objectives. (AU)

Relatório final da oficina de alinhamento conceitual sobre educação e trabalho interprofissional em saúde

BIREME - Repositorio RHS - Mié, 12/12/2018 - 19:00
A educação interprofissional em saúde (EIP) vem ganhando visibilidade mundial nos últimos anos por apresentar evidências de sua relevância no desenvolvimento de competências colaborativas como pilares para o efetivo trabalho em equipe na produção dos serviços de saúde. A EIP, por meio de suas bases teóricas e metodológicas, apresenta como horizonte o fortalecimento do trabalho interprofissional sustentado pela colaboração, efetivo trabalho em equipe e centralidade na pessoa. Entretanto a EIP não se configura por si só como uma estratégia isolada do contexto do trabalho em saúde e assim, considerando sua relevância, o trabalho interprofissional também deve ser alcançado para cumprir, de fato, os princípios do SUS para o atendimento das necessidades de saúde e das transformações no perfil demográfico e epidemiológico da sociedade atual. (AU)

Undergraduate medical education in Sierra Leone: a qualitative study of the student experience

Abstract Background

Sierra Leone, a low-income and post-conflict country, has an extreme shortage of qualified medical doctors. Given the complex challenges facing medical education in this country and the need for context-specific knowledge, the aim of this paper is to explore the undergraduate medical education experience in Sierra Leone through qualitative interviews with recent graduates.

Methods

In-depth interviews were conducted with purposively sampled junior doctors (n = 15) who had graduated from the only medical school in Sierra Leone. Additionally, semi-structured interviews were held with senior teaching staff at the School (n = 7). Interviews were conducted in October 2013. Results were thematically analysed.

Results

The analytical framework consisted of four themes. Medical school experiences (Theme 1) were described as ‘stressful and tedious’ but also ‘interesting and enjoyable’. Various constraints were experienced linked to the Medical school capacity (Theme 2), including human (limited number of teachers, teaching skills), organisational (departmental differences, curriculum related challenges), physical (lacking teaching facilities on campus, transportation problems) and financial capacity (inadequate remunerations for teachers, most students receive scholarships). Medical school culture (Theme 3) was by some participants perceived as fearful and unfair. Findings suggest various coping strategies (Theme 4) were used at school (‘creatively’ hire extra teaching staff, teaching schedule upon availability of staff), staff (juggle multiple roles, teach flexibly), and student levels (comply with ‘hidden’ rules, negotiate teaching support from less qualified health personnel).

Conclusions

This study has provided an insight into the student perspective on medical education in Sierra Leone. Numerous capacity related concerns were identified; which are unsurprising for an educational institution in a low-income and conflict affected country. While the School, staff and students have found creative ways to deal with these constraints, participants’ accounts of stress imply more is needed. For example, findings suggest that: students could be better supported in their self-directed learning, more effort is required to ensure basic needs of students are met (like shelter and food), and the power imbalance between staff and students could be addressed. Also better alignment amongst learning objectives and assessment methods will likely diminish student distress and may, consequently, reduce exam failure and possibly drop-out.

Categorías: Investigaciones

Delivering postpartum family planning services in Nepal: are providers supportive?

Abstract Background

Health service providers play a key role in addressing women’s need for pregnancy prevention, especially during the postpartum period. Yet, in Nepal, little is known about their views on providing postpartum family planning (PPFP) services and postpartum contraceptive methods such as immediate postpartum intra-uterine devices (PPIUD). This paper explores the perspectives of different types of providers on PPFP including PPIUD, their confidence in providing PPFP services, and their willingness to share their knowledge and skills with colleagues after receiving PPFP and PPIUD training.

Methods

In-depth interviews were conducted with 14 obstetricians/gynecologists and nurses from six tertiary level public hospitals in Nepal after they received PPFP and PPIUD training as part of an intervention aimed at integrating PPFP counseling and insertion into routine maternity care services. The interviews were audio recorded, transcribed, and analyzed using a thematic approach.

Results

Providers identified several advantages of PPFP, supported the provision of such services, and were willing to transfer their newly acquired skills to colleagues in other facilities who had not received PPFP and PPIUD training. However, many providers identified several supply-side and training-related barriers to providing high quality PPFP services, such as, (i) lack of adequate human resources, particularly a FP counselor; (ii) work overload; (iii) lack of private space for counseling; (iv) lack of IUDs and information, education and counseling materials; and (v) lack of support from hospital management.

Conclusions

Providers appeared to be motivated to deliver quality PPFP services and transfer their knowledge to colleagues but identified several barriers which prevented them from doing so. Future efforts to improve provision of quality PPFP services should address the barriers identified by providers.

Categorías: Investigaciones

Practice of emergency obstetric care signal functions and reasons for non-provision among health centers and hospitals in Lake and Western zones of Tanzania

Abstract Background

The Lake and Western Zones of Tanzania that encompass eight regions namely; Kagera, Geita, Simiyu, Shinyanga, Mwanza, Mara Tabora and Kigoma have consistently been reported with the poorest Maternal Newborn and Child Health (MNCH) indicators in the country. This study sought to establish the provision of Emergency Obstetric Care (EmOC) signal functions and reasons for the failure to do so among health centers and hospitals in the two zones.

Methods

All the 261 public and private hospitals and health centers providing Obstetric Care services in Lake and Western Zones were surveyed in 2014. Data were collected using questionnaires adapted from the Averting Maternal Deaths and Disabilities (AMDD) tool to assess EmOC indicators. Managers in all facilities were interviewed and services, medicines and equipment were observed. Spatial Mapping was done using a calibrated Global Positioning System (GPS) Essential Software for Android and coordinates represented on digitalized map with Arc Geographical Information System (GIS) software. Population data were according to the 2012 Housing and Population National Census.

Results

In total 261 health facilities were identified as providers of Obstetric care services, including 69 hospitals and 192 health centres which constitute an overall facility density of 8 per 500,000 population. The three most common EmOC signal functions available in the 3 months preceding the survey were oxytocics (95.7%), injectable antibiotics (88.9%) and basic newborn resuscitation (83.4%). The lowest proportions of facilities performed Cesarean section (25.7%) and blood transfusion (34.6%). Policy restrictions were the most frequent reasons given in relation to nonperformance of blood transfusion and Cesarean section when needed. Lack of training and supplies were the most common reasons for non availability of assisted vaginal delivery and uterine evacuation. Overall the Direct Case fatality Rate for direct obstetric causes was 3%. The referral system highly depended on hired or shared ambulance.

Conclusion

The provision of EmOC signal functions in Lake and Western zones of Tanzania is inconsistent, being mainly compromised by policy restrictions, lack of supplies and professional development, and by operating under lowly developed referral services.

Categorías: Investigaciones

Health Systems and Services - November 2018

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December 4, 2018

PAHO and Ministers of Health from the Americas identified a series of actions that seek to improve the health of migrants in the Region
Ministers of health from the Americas and the Secretariat of the Pan American Health Organization (PAHO) identified a series of actions that seek to improve the response of health systems to the mass migration that is occurring in the Region. Read more

The Strategic Fund supports the MERCOSUR countries and Associate States in the procurement of immunosuppressant medicines at reduced prices
The ministers of health of MERCOSUR, and Associate States, agreed on the procurement of an immunosuppressant medicine at reduced prices, by up to 80%, with the support of the PAHO Strategic Fund. The medicine seeks to reduce the rejection of organs in transplant patients. Read more
Countries in the Americas commit to continuing to collaborate in strengthening regulatory systems to ensure safe, effective and quality medicines
While progress in the Region of the Americas has been made over the past 20 years to harmonize national regulatory systems in order to ensure access to safe, effective and quality medicines, more must be done for well-functioning health systems that want to achieve Universal Health. Read more

PAHO at the Pan American Nursing Research Symposium
From 5-9 November, 2018, delegates from more than 20 countries of the Region participated at the XVI Pan American Nursing Research Colloquium, in La Havana, Cuba, with the theme “Contribution of Nursing in Primary Health Care for Universal Health." Read more

Countries launch the Regional Initiative for Information Exchange on prices, coverage and economic regulation of health technologies
The initiative is made up of 15 institutions from nine countries of the Americas, including ministries of health, regulatory authorities, social insurance entities and other public entities with responsibilities related to the issues of price regulation, price negotiation, market monitoring, public purchases and health technology coverage decisions. Read more
 
X Meeting of the Health Technology Assessment Network of the Americas
More than 190 experts and health authorities of the Americas met at the X Meeting of the Health Technology Assessment Network of the Americas (RedETSA), on 7-8 November, in the city of Buenos Aires, Argentina. Read more
 
Call for Applications: 2019 International Health Leaders Program
Professionals with managerial or executive experience in public health, international relations or related areas are invited to apply to participate in the 2019 Edmundo Granda Ugalde Leaders in International Health Program (LIHP) of the Pan American Health Organization.The application deadline is 15 February 2019. 
Read more

 
Communication materials: PAHO Strategic Fund
Do you know the PAHO Strategic Fund?
The Strategic Fund of the Pan American Health Organization is a regional mechanism for pooled procurement of essential medicines and strategic public health supplies for the countries of the Americas. Watch this short video about how the Fund works to improve access to quality, safe, and effective medicines and health supplies in the Americas, while ensuring affordability. 
Click here to watch the video
This new brochure of the PAHO Strategic Fund includes: what is the Fund, vision, mission, values and objectives, who can use it, products available, financial resources, benefits of using the Fund, and other information to get to know the Fund and how it works with the countries of the Americas.
Download the brochure here
A mobile application developed in Spanish by PAHO and Jhpiego, an NGO affiliated with Johns Hopkins University, aims to facilitate the introduction of a pill for HIV prevention in the Region of the Americas. PAHO offers its Member States the option to acquire the high-quality generic drug used for pre-exposure prophylaxis at a cost of less than seven dollars per person per month, through the PAHO Strategic Fund. This could reduce the cost of the pill and make it more accessible for the Region’s ministries of health. 
Read the full story here -- Download the material here
Publications
  1. Nursing Perspectives and the “Nursing Now” Campaign.Cassiani SHB, Lira Neto JCG. Rev Bras Enferm [Internet]. 2018;71(5):2351-2. [English] [Spanish] [Portuguese]

  2. Declaration of Astana. Global Conference on Primary Health Care From Alma-Ata towards universal health coverage and the Sustainable Development Goals. Astana, Kazakhstan, 25 and 26 October 2018.
Upcoming Events
Third Technical Meeting on Interprofessional Professional Education (IPE)
Improve the capacity of human resources to achieve universal health
Date: 6-7 December, 2018
Location: Buenos Aires
More information here Universal Health Day 
United for Universal Health: Now is the time for collective action. Leave No One Behind.
Date: 12 December, 2018
Location: Washington DC
Country's News
Argentina
Lanzarán acervo documental en conmemoración a los 40 años de la Atención Primaria de Salud. Read more Bolivia
OPS/OMS apoya a Bolivia en la construcción del Sistema Único de Salud SUS con la participación de misiones internacionales de expertos en diferentes áreas. Read more Brazil
OPAS lança relatório ‘30 anos de SUS – Que SUS para 2030?’ e destaca importância de atenção primária e Mais Médicos. Read more Ecuador
Conversación sobre los desafíos en la implementación de la Atención Primaria de Salud. Read more El Salvador
La Red Panamericana para la Armonización de la Reglamentación Farmacéutica conmemora su 20 aniversario en El Salvador. Read more Guatemala
Médicos capacitados en protección radiológica y rayos X. Read more
OPS/OMS participa en lanzamiento de Modelo de Atención y Gestión del Ministerio de Salud. Read more Honduras
ARSA avanza en el proceso de autoevaluación asistida. Read more
Promociones PALTEX para noviembre y diciembre 2018. Read more
Plan de Acción para el Acceso Universal a Sangre Segura. Read more Panama
Segundo Taller de consultas a las autoridades tradicionales de las comarcas para la reglamentación de la Ley 17 sobre medicina tradicional indígena en Panamá. Read more Uruguay
Medicamentos de alto costo y Fondo Estratégico de la OPS. Read more
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