The inclusion of mothers in human resources for health planning.
Education
Human Resource Planning
Mothers
Needs-Based Approach
Postnatal
Tanzania
Journal
International nursing review
ISSN: 1466-7657
Titre abrégé: Int Nurs Rev
Pays: England
ID NLM: 7808754
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
04
10
2018
revised:
10
07
2019
accepted:
14
08
2019
pubmed:
17
1
2020
medline:
17
3
2020
entrez:
17
1
2020
Statut:
ppublish
Résumé
This paper examines the possibility of including families, particularly mothers, within the health workforce using the human resource for health planning model to improve newborn outcomes. In many low- and middle-income countries, there is a critical shortage of healthcare providers which impacts care for the neonatal population. A maternal and newborn health need that is prevalent in such countries is the care available between pregnancy and the postnatal period, where significant maternal and newborn deaths occur. Using the population health need of the neonatal population in Tanzania, this paper explores the opportunity to include mothers as an additional human resource for health within the Needs-Based Health Human Resources and Health Systems Planning model. In relation to educating and engaging family caregivers, the possible extension of the health workforce to include mothers as a response to meeting the healthcare needs of the neonatal population has yet to be explored. Through mothers and healthcare providers working together to address the population health need of essential newborn care, it offers a way forward for planning the resources needed in a health system. If utilized, mothers offer the opportunity to supplement the demand for human resources for health in the provision of newborn care, without replacing healthcare providers. Mothers as potential members of the health workforce furthers the health system as a whole whereby population health needs are addressed and newborn mortality declines. To solve the critical gap based on the supply of and demand for providers including doctors, nurses and midwives, a broader look at innovative solutions is essential. Mothers offer the opportunity to supplement the available human resources for health in the provision of newborn care, thus helping to close existing gaps.
Sections du résumé
AIM
OBJECTIVE
This paper examines the possibility of including families, particularly mothers, within the health workforce using the human resource for health planning model to improve newborn outcomes.
BACKGROUND
BACKGROUND
In many low- and middle-income countries, there is a critical shortage of healthcare providers which impacts care for the neonatal population. A maternal and newborn health need that is prevalent in such countries is the care available between pregnancy and the postnatal period, where significant maternal and newborn deaths occur.
SOURCES OF EVIDENCE
METHODS
Using the population health need of the neonatal population in Tanzania, this paper explores the opportunity to include mothers as an additional human resource for health within the Needs-Based Health Human Resources and Health Systems Planning model.
DISCUSSION
CONCLUSIONS
In relation to educating and engaging family caregivers, the possible extension of the health workforce to include mothers as a response to meeting the healthcare needs of the neonatal population has yet to be explored. Through mothers and healthcare providers working together to address the population health need of essential newborn care, it offers a way forward for planning the resources needed in a health system. If utilized, mothers offer the opportunity to supplement the demand for human resources for health in the provision of newborn care, without replacing healthcare providers.
CONCLUSION
CONCLUSIONS
Mothers as potential members of the health workforce furthers the health system as a whole whereby population health needs are addressed and newborn mortality declines.
IMPLICATIONS FOR HEALTH POLICY
CONCLUSIONS
To solve the critical gap based on the supply of and demand for providers including doctors, nurses and midwives, a broader look at innovative solutions is essential.
IMPLICATIONS FOR NURSING PRACTICE
CONCLUSIONS
Mothers offer the opportunity to supplement the available human resources for health in the provision of newborn care, thus helping to close existing gaps.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
101-108Subventions
Organisme : Canadian Institute of Health Research Doctoral Award
ID : FRN154341
Organisme : Canadian Child Health Clinician Scientist Program Career Development
Informations de copyright
© 2020 International Council of Nurses.
Références
Afnan-Holmes, H., et al (2015) Tanzania’s countdown to 2015: an analysis of two decades of progress and gaps for reproductive, maternal, newborn, and child health, to inform priorities for post-2015. The Lancet Global Health, 3 (7), e396-e409.
American Academy of Pediatrics (2017) Helping Babies Survive. Available at: www.helpingbabiesbreathe.org (accessed 28 March 2017).
American Academy of Pediatrics, Council of International Neonatal Nurses, The International Council of Nurses, American College of Obstetricians and Gynecologists, Obstetrics, T. I. F. of G. and, American College of Nurse-Midwives, & International Confede (2015) International Policy Statement for Universal Use of Kangaroo Mother Care for Preterm and Low Birthweight Infants.
Arlington, L., et al (2017) Implementation of helping babies breathe: a 3-year experience in Tanzania. Pediatrics, 139 (5), e20162132.
Baker, U., et al (2017) Unpredictability dictates quality of maternal and newborn care provision in rural Tanzania-A qualitative study of health workers’ perspectives. BMC Pregnancy and Childbirth, 17 (1), 1-11.
Birch, S., et al (2007) Human resources planning and the production of health: a needs-based analytical framework. Canadian Public Policy, 33, S1-S16.
Chaudhury, S., et al (2016) Cost analysis of large-scale implementation of the ‘Helping Babies Breathe’ newborn resuscitation-training program in Tanzania. BMC Health Services Research, 16 (1), 1-10.
Conde-Aguedelo, A. & Díaz-rossello, J. (2016) Kangaroo mother care to reduce morbidity and mortality in low birthweight infants (Review). Cochrane Database of Systematic Reviews, 8, CD002771.
Dol, J., et al (2018) Knowledge acquisition after helping babies survive training in rural Tanzania. International Health, 11 (2), 136-142.
Dol, J., et al (2018) The impact of the Helping Babies Survive program on neonatal outcomes and health provider skills: a systematic review. JBI Database of Systematic Reviews and Implementation Reports, 16 (3), 701-737.
Dol, J., et al (2019) Parent-targeted postnatal educational interventions in low and middle income countries: a scoping review & critical analysis. International Journal of Nursing Studies, 94 (1), 60-73.
Dutta, A., Slevin, K.W., Barker, C. & Leahy-Madsen, E. (2015) Maternal, newborn and child health in Tanzania: costs and impact of the one. Plan II. Available at: https://www.healthpolicyproject.com/pubs/666_HPPBriefTanzaniaOnePlanR.pdf. (accessed 27 August 2019).
Gile, P.P., Buljac-Samardzic, M. & Van De Klundert, J. (2018) The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review. Human Resources for Health, 16 (1), 34.
Goma, F., et al (2014) Pilot-testing service-based planning for health care in rural Zambia. BMC Health Services Research, 14 (Suppl1), 1-8.
Government of Canada (2015) When Work and Caregiving Collide: How Employers Can Support Their Employees Who Are Caregivers. Ottawa, ON. Available at: http://publications.gc.ca/collections/collection_2015/edsc-esdc/Em12-8-2015-eng.pdf (accessed 4 March 2019).
Kiwanuka, A., Tarabani, S., Mbao, E.H. & Kisanga, F. (2017) Challenges facing mothers who practice kangaroo mother care in health facilities: a case of dar es Salaam. International Journal of Nursing and Health Science, 4 (5), 58-62.
Kohi, T., Mselle, L.T., Dol, J. & Aston, M. (2018) When, where and who? Accessing health facility delivery care from the perspective of mothers and fathers in Tanzania: a qualitative study. BMC Health Services Research, 18, 1-9.
Meleis, A.I., Caglia, J. & Langer, A. (2016) Women and health: women’s dual roles as both recipients and providers of healthcare. Journal of Women’s Health, 25 (4), 329-331.
Ministry of Health and Social Welfare (2015). The National Road Map Strategic Plan to Improve Reproductive, Maternal, Newborn, Child & Adolescent Health in Tanzania (2016-2020) One Plan II. Available at: http://ihi.eprints.org/3733/1/ONEPLANCEEMI.pdf
Mselle, L.T., et al (2017) The challenges of providing postpartum education in Dar es Salaam, Tanzania: narratives of nurse-midwives and obstetricians. Qualitative Health Research, 27 (2), 1792-1803.
Perlman, J.M., Msemo, G., Ersdal, H. & Ringia, P. (2017) Designing and implementing the Helping Babies Breathe program in Tanzania. Journal of Pediatric Intensive Care, 6 (1), 28-38.
Shemdoe, A., et al (2016) Explaining retention of healthcare workers in Tanzania: moving on, coming to ‘look, see and go’, or stay? Human Resources for Health, 14 (2), 1-13.
Shetty, A.K. (2016) Global maternal, newborn, and child health: Successes, challenges, and opportunities. Pediatric Clinics of North America, 63 (1), 1-18.
Shrestha, S., et al (2016) Development and evaluation of a newborn care education programme in primiparous mothers in Nepal. Midwifery, 42 (1), 21-28.
Taukobong, H.F.G., et al (2016) Does addressing gender inequalities and empowering women and girls improve health and development programme outcomes? Health Policy and Planning, 31 (10), 1492-1514.
The Lancet (2018) GBD 2017: a fragile world. The Lancet, 392 (10159), 1683.
Tomblin Murphy, G. (2005) Appendix: example of A conceptual model for HHR planning. In A Framework for Collaborative Pan-Canadian Health Human Resources Planning. Federal/Provincial/Territorial Advisory Committee on Health Delivery and Human Resources (ACHDHR), Ottawa, pp. 29-35. https://www.canada.ca/content/dam/hc-sc/migration/hc-sc/hcssss/alt_formats/hpb-dgps/pdf/pubs/hhr/2007-frame-cadre/2007-frame-cadre-eng.pdf (accessed 27 August 2019).
Tomblin Murphy, G., MacKenzie, A., Guy-Walker, J. & Walker, C. (2014) Needs-based human resources for health planning in Jamaica: using simulation modelling to inform policy options for pharmacists in the public sector. Human Resources for Health, 12 (67), 1-19.
Tomblin-Murphy, G., et al (2017) An integrated needs-based approach to health service and health workforce planning: application for pandemic influenza. Health Care Policy, 13 (1), 28-42.
UNICEF (n.d.) Maternal and Child Health. Available at: https://www.unicef.org/tanzania/what-we-do/health (accessed 25 June 2019).
UNICEF, & Government of the United Republic of Tanzania (2018) Health Budget Brief for Tanzania Mainland 2018. Dar es Salaam. Available at: https://www.unicef.org/esaro/UNICEF-Tanzania-2018-Health-Budget-Brief-Mainland.pdf (accessed 24 June 2019)
United Nations (2016) Sustainable Development Goal 3. Available at: https://sustainabledevelopment.un.org/sdg3 (accessed 4 March 2019)
World Health Organization (2018) World Health Statistics 2018: Monitoring Health for the SDGs, Sustainable Development Goals. Geneva. Available at: https://apps.who.int/iris/bitstream/handle/10665/272596/9789241565585-eng.pdf?ua=1 (accessed 4 March 2019).