Seriously Implementing Health Capacity Strengthening Programs in Africa; Comment on “Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique”

Document Type : Commentary

Author

International Public Health and Biostatistics, WHO Collaborating Center on Health Workforce Policy and Planning, Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal

Abstract

Faced with the challenges of healthcare reform, skills and new capabilities are needed to support the reform and it is of crucial importance in Africa where shortages affects the health system resilience. Edwards et al provides a good example of the challenge of implementing a mentoring program in one province in a sub-Saharan country. From this example, various aspects of strengthening the capacity of managers in healthcare are examined based on our experience in action-training in Africa, as mentoring shares many characteristics with action-training. What practical lessons can be drawn to promote the strengthening so that managers can better intervene in complex contexts? Deeper involvement of health authorities and more rigorous approaches are seriously desirable for the proper development of health capacity strengthening programs in Africa.

Keywords

Main Subjects

References

  1. World Health Organization (WHO). Strategy on Health Policy and Systems Research: Changing Mindsets. Geneva: WHO; 2012.
  2. Fonn S. Linking public health training and health systems development in sub-Saharan Africa: opportunities for improvement and collaboration. J Public Health Policy. 2011;32:S44-S51. doi:10.1057/jphp.2011.37
  3. Campbell J, Dussault G, Buchan J, et al. A Universal Truth: No Health Without a Workforce. Geneva: WHO; 2013.
  4. Edwards LJ, Moisés A, Nzaramba M, et al. Implementation of a Health Management Mentoring Program: Year-1 Evaluation of Its Impact on Health System Strengthening in Zambézia Province, Mozambique. Int J Health Policy Manag. 2015;4(6):353-361. doi:10.15171/ijhpm.2015.58
  5. Gagliardi AR, Perrier L, Webster F, et al. Exploring mentorship as a strategy to build capacity for knowledge translation research and practice: protocol for a qualitative study. Implement Sci. 2009;4:55. doi:10.1186/1748-5908-4-55 
  6. Wyss K. An approach to classifying human resources constraints to attaining health-related Millennium Development Goals. Hum Resour Health. 2004;2(1):11. 
  7. Lapão LV, Dussault G. From policy to reality: clinical managers' views of the organizational challenges of primary care reform in Portugal. Int J Health Plann Manage 2012;27(4):295-307. doi:10.1002/hpm.2111
  8. Strengthening the European dimension of Health Services Research. European Project Health Services Research Europe; 2013.
  9. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50. doi:10.1186/1748-5908-4-50
  10. Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review–a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10:21-34. doi:10.1258/1355819054308530
  11. World Health Organization (WHO). Integrated health services – what and why? http://www.who.int/healthsystems/service_delivery_techbrief1.pdf. Accessed May 7, 2015. Published 2008.
  12. World Health Organization (WHO). Increasing Access to Health Workers in Remote and Rural Areas Through Improved Retention: Global Policy Recommendations. Geneva: WHO; 2010.
  13. WHO/World Bank Ministerial-level Meeting on Universal Health Coverage. 18-19 February 2013; WHO headquarters, Geneva, Switzerland.
  14. Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376:1923-1958.
  15. Barnett J, Vasileiou K, Djemil F, Brooks L, Young T. Understanding innovators’ experiences of barriers and facilitators in implementation and diffusion of healthcare service innovations: a qualitative study. BMC Health Serv Res. 2011;11:342.
  16. Lapão LV, Dussault G. PACES: a national leadership program in support of primary-care reform in Portugal. Leadersh Health Serv. 2011;24:295-307.
  17. Rypkema SM, Santing RC. Cooperation Between NGO's and Health Authorities at District Level: The District Health System: a Medicus Mundi Mail Survey. Nijmegen: Medicus Mundi Internationalis; 1994.
  18. Conceição MC. Hospitais de primeira referência, distrito de saúde e estratégia dos cuidados de saúde primários em Moçambique [PhD theses]. Lisbon: IHMT, UNL; 2011.
  19. Bossyns P, Van Lerberghe W. The weakest link: competence and prestige as constraints to referral by isolated nurses in rural Niger. Hum Resour Health. 2004;2(1):1.
  20. Monteiro IP. Hospital, uma organização de profissionais. Análise Psicológica. 1999;2 (XVII):317-325.
  21. Meliones J. Saving money, saving lifes. Harv Bus Rev. 2000;78(6):57-62.
  22. Ramsey A, Fullop N, Edwards N. The evidence base for vertical integration in health care. Journal of Integrated Care. 2009;17(2):3-12. doi:10.1108/14769018200900009
  23. Mintzberg H. Developing leaders? developing countries? Dev Pract. 2006; 16(1):4-14.
  24. World Health Organization (WHO). Health topics - Primary health care. http://www.who.int/topics/primary_health_care/en/. WHO. Accessed May 20, 2015.

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History

  • Receive Date: 28 May 2015
  • Revise Date: 14 July 2015
  • Accept Date: 10 July 2015

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