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dc.contributor.authorBolan, Nancy
dc.contributor.authorCowgill, Karen D
dc.contributor.authorWalker, Karen
dc.contributor.authorKak, Lily
dc.contributor.authorShaver, Theresa
dc.contributor.authorMoxon, Sarah
dc.contributor.authorLincetto, Ornella
dc.date.accessioned2021-04-21T12:39:08Z
dc.date.available2021-04-21T12:39:08Z
dc.date.issued2021-03-31
dc.identifier.urihttp://hdl.handle.net/10713/15441
dc.description.abstractBackground: A critical shortage of health workers with needed maternal and newborn competencies remains a major challenge for the provision of quality care for mothers and newborns, particularly in low- and middle-income countries. Supply-side challenges related to human resources for health (HRH) worsen shortages and can negatively affect health worker performance and quality of care. This review scoped country-focused sources to identify and map evidence on HRH-related challenges to quality facility-based newborn care provision by nurses and midwives. Methods: Evidence for this review was collected iteratively, beginning with pertinent World Health Organization documents and extending to articles identified via database and manual reference searches and country reports. Evidence from country-focused sources from 2000 onward was extracted using a data extraction tool that was designed iteratively; thematic analysis was used to map the 10 categories of HRH challenges. Findings: A total of 332 peer-reviewed articles were screened, of which 22 met inclusion criteria. Fourteen additional sources were added from manual reference search and gray literature sources. Evidence has been mapped into 10 categories of HRH-related challenges: (1) lack of health worker data and monitoring; (2) poor health worker preservice education; (3) lack of HW access to evidence-based practice guidelines, continuing education, and continuing professional development; (4) insufficient and inequitable distribution of health workers and heavy workload; (5) poor retention, absenteeism, and rotation of experienced staff; (6) poor work environment, including low salary; (7) limited and poor supervision; (8) low morale, motivation, and attitude, and job dissatisfaction; (9) weaknesses of policy, regulations, management, leadership, governance, and funding; and (10) structural and contextual barriers. Conclusion: The mapping provides needed insight that informed new World Health Organization strategies and supporting efforts to address the challenges identified and strengthen human resources for neonatal care, with the ultimate goal of improving newborn care and outcomes.en_US
dc.description.urihttps://doi.org/10.9745/GHSP-D-20-00362en_US
dc.language.isoenen_US
dc.publisherGlobal Health: Science and Practice (GHSP)en_US
dc.relation.ispartofGlobal Health, Science and Practiceen_US
dc.rights© Bolan et al.en_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshHealh Personnelen_US
dc.subject.meshInfant, Newborn
dc.titleHuman Resources for Health-Related Challenges to Ensuring Quality Newborn Care in Low- and Middle-Income Countries: A Scoping Reviewen_US
dc.typeArticleen_US
dc.identifier.doi10.9745/GHSP-D-20-00362
dc.identifier.pmid33795367
dc.source.volume9
dc.source.issue1
dc.source.beginpage160
dc.source.endpage176
dc.source.countryUnited States


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