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URC/CHS News Archives | Contact us | Home URC/CHS NewsURC’s frontline experts suggest local solutions to global human resource challengesDrs. Stephen N. Kinoti and Nigel Livesley, of the USAID Health Care Improvement Project (HCI), explore ways to address human resources for health (HRH) challenges at the service delivery level in From the Ground Up, published by the Elizabeth Glaser Pediatric AIDS Foundation. As Kinoti and Livesley report, interventions at the service delivery level are producing promising results. For example, HCI is showing health care providers and their managers how to improve health service delivery without increasing the number of health care workers. HCI helps care providers identify barriers to effective care and ways to overcome them. The project’s approach, these authors say, has led to more highly motivated staff and improved care outcomes. (See the HCI web site for more on project outcomes.) Kinoti and Livesley also report on task shifting, an intervention that may prove highly effective in overcoming HRH challenges. Under this approach, mid-level care providers are trained to perform duties conventionally assigned to doctors, enabling non-professional personnel to perform less-technical tasks, such as counseling and treatment adherence monitoring. While preliminary data show potential for success, “more studies are needed to clarify the impact of changes,” the authors caution. From the Ground Up features best practices and lessons learned from HIV/AIDS programs worldwide, with a special focus on sub-Saharan Africa. To obtain a copy, visit the Elizabeth Glaser Pediatric AIDS Foundation web site. For more information on HCI’s work to overcome HRH challenges, please contact Dr. Kinoti at skinoti@urc-chs.com.
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