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Steven J Hoffman - One of the best experts on this subject based on the ideXlab platform.

  • empirical impact evaluation of the who global code of practice on the international recruitment of Health Personnel in australia canada uk and usa
    Globalization and Health, 2013
    Co-Authors: Jennifer Edge, Steven J Hoffman
    Abstract:

    Background The active recruitment of Health workers from developing countries to developed countries has become a major threat to global Health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for Health worker recruitment, its impact has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant Health workers.

  • empirical impact evaluation of the who global code of practice on the international recruitment of Health Personnel 2010 on government civil society and private sectors in australia canada united kingdom and united states of america
    2011
    Co-Authors: Jennifer Edge, Steven J Hoffman
    Abstract:

    The active recruitment of Health workers from developing countries to developed countries has become a major threat to global Health and an obstacle to achieving the human right to Health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for Health worker recruitment, its impact as a non-binding declaration has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant Health workers. Fourty-two key informants from across government, civil society and private sectors were surveyed to measure their awareness of the Code, knowledge of specific changes resulting from it, overall opinion on the effectiveness of non-binding codes, and suggestions to improve this Code’s implementation. Sixty percent of respondents believed their colleagues were not aware of the Code, and 93% reported that no specific changes had been observed in their work as a result of the Code. Eighty-six percent reported that the Code has not had any meaningful impact on policies, practices or regulations in their countries. This highlights a gap between awareness for the Code among stakeholders at global forums and the awareness and behaviour of national and sub-national actors. Advocacy and technical guidance for implementing the Code are needed to improve its impact on national decision-makers. At least in the context of Health worker migration, this study suggests that soft law by itself may not be effective in protecting the human right to Health unless it is complemented by other efforts.

  • empirical impact evaluation of the who global code of practice on the international recruitment of Health Personnel 2010 on government civil society and private sectors in australia canada united kingdom and united states of america
    2011
    Co-Authors: Jennifer Edge, Steven J Hoffman
    Abstract:

    The active recruitment of Health workers from developing countries to developed countries has become a major threat to global Health and an obstacle to achieving the human right to Health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for Health worker recruitment, its impact as a non-binding declaration has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant Health workers. Fourty-two key informants from across government, civil society and private sectors were surveyed to measure their awareness of the Code, knowledge of specific changes resulting from it, overall opinion on the effectiveness of non-binding codes, and suggestions to improve this Code’s implementation. Sixty percent of respondents believed their colleagues were not aware of the Code, and 93% reported that no specific changes had been observed in their work as a result of the Code. Eighty-six percent reported that the Code has not had any meaningful impact on policies, practices or regulations in their countries. This highlights a gap between awareness for the Code among stakeholders at global forums and the awareness and behaviour of national and sub-national actors. Advocacy and technical guidance for implementing the Code are needed to improve its impact on national decision-makers. At least in the context of Health worker migration, this study suggests that soft law by itself may not be effective in protecting the human right to Health unless it is complemented by other efforts.

Jennifer Edge - One of the best experts on this subject based on the ideXlab platform.

  • empirical impact evaluation of the who global code of practice on the international recruitment of Health Personnel in australia canada uk and usa
    Globalization and Health, 2013
    Co-Authors: Jennifer Edge, Steven J Hoffman
    Abstract:

    Background The active recruitment of Health workers from developing countries to developed countries has become a major threat to global Health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for Health worker recruitment, its impact has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant Health workers.

  • empirical impact evaluation of the who global code of practice on the international recruitment of Health Personnel 2010 on government civil society and private sectors in australia canada united kingdom and united states of america
    2011
    Co-Authors: Jennifer Edge, Steven J Hoffman
    Abstract:

    The active recruitment of Health workers from developing countries to developed countries has become a major threat to global Health and an obstacle to achieving the human right to Health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for Health worker recruitment, its impact as a non-binding declaration has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant Health workers. Fourty-two key informants from across government, civil society and private sectors were surveyed to measure their awareness of the Code, knowledge of specific changes resulting from it, overall opinion on the effectiveness of non-binding codes, and suggestions to improve this Code’s implementation. Sixty percent of respondents believed their colleagues were not aware of the Code, and 93% reported that no specific changes had been observed in their work as a result of the Code. Eighty-six percent reported that the Code has not had any meaningful impact on policies, practices or regulations in their countries. This highlights a gap between awareness for the Code among stakeholders at global forums and the awareness and behaviour of national and sub-national actors. Advocacy and technical guidance for implementing the Code are needed to improve its impact on national decision-makers. At least in the context of Health worker migration, this study suggests that soft law by itself may not be effective in protecting the human right to Health unless it is complemented by other efforts.

  • empirical impact evaluation of the who global code of practice on the international recruitment of Health Personnel 2010 on government civil society and private sectors in australia canada united kingdom and united states of america
    2011
    Co-Authors: Jennifer Edge, Steven J Hoffman
    Abstract:

    The active recruitment of Health workers from developing countries to developed countries has become a major threat to global Health and an obstacle to achieving the human right to Health. In an effort to manage this migration, the 63rd World Health Assembly adopted the World Health Organization (WHO) Global Code of Practice on the International Recruitment of Health Personnel in May 2010. While the Code has been lauded as the first globally-applicable regulatory framework for Health worker recruitment, its impact as a non-binding declaration has yet to be evaluated. We offer the first empirical evaluation of the Code’s impact on national and sub-national actors in Australia, Canada, United Kingdom and United States of America, which are the English-speaking developed countries with the greatest number of migrant Health workers. Fourty-two key informants from across government, civil society and private sectors were surveyed to measure their awareness of the Code, knowledge of specific changes resulting from it, overall opinion on the effectiveness of non-binding codes, and suggestions to improve this Code’s implementation. Sixty percent of respondents believed their colleagues were not aware of the Code, and 93% reported that no specific changes had been observed in their work as a result of the Code. Eighty-six percent reported that the Code has not had any meaningful impact on policies, practices or regulations in their countries. This highlights a gap between awareness for the Code among stakeholders at global forums and the awareness and behaviour of national and sub-national actors. Advocacy and technical guidance for implementing the Code are needed to improve its impact on national decision-makers. At least in the context of Health worker migration, this study suggests that soft law by itself may not be effective in protecting the human right to Health unless it is complemented by other efforts.

Lukwa, Akim Tafadzwa - One of the best experts on this subject based on the ideXlab platform.

  • Socioeconomic inequalities in skilled birth attendance in Zimbabwe: a comparative analysis
    Health Economics Unit, 2021
    Co-Authors: Lukwa, Akim Tafadzwa
    Abstract:

    This dissertation assessed socioeconomic inequalities in skilled birth attendance in Zimbabwe. High maternal mortality in low-income countries is a cause of concern globally. Skilled birth attendance prevents a substantial number of maternal deaths and it is critical for ensuring overall maternal Health. However, sub-Saharan Africa is characterized by challenges in accessing skilled birth attendance. The existence of Health inequalities has been demonstrated when simple comparisons are made by residence (rural-urban), education and wealth (poorrich) in developing nations. The study used data from the Zimbabwe Demographic and Health Surveys (ZDHS) of 2010/11 and 2015. The analysis focused on women of child-bearing age (15-49 years). Skilled birth attendance was determined by women assisted by Health Personnel with midwife training. Health Personnel was defined as a nurse, midwife or doctor. A binary logistic regression model was computed to understand the relationship between skilled birth attendance, demographic attributes and some explanatory variables. Standard concentration curves and Wagstaff normalized concentration indices were used to assess whether skilled birth attendance was dominant among the poor or rich in Zimbabwe. Overall skilled birth attendance prevalence increased for the periods under review. Regression results showed that antenatal care visits, residence status, place of delivery, women level of education, employment status and marital status are statistically significant predictors of skilled birth attendance. Wagstaff normalized concentration indices of aggregated use of skilled birth Personnel reflected that wealthy women were more likely to receive skilled birth attendance. The concentration curves for aggregated skilled birth attendance showed minimal existence of Health inequalities, as the concentration curves almost coincided with the line of equality. However, a disaggregated analysis by Health Personnel revealed the existence of Health inequalities. In summary, minimal socioeconomic inequalities exist if skilled birth attendance aggregated, but when assessed by different Health Personnel categories, widening socioeconomic inequalities are observed

Nils Daulaire - One of the best experts on this subject based on the ideXlab platform.

Patricia Nayna Schwerdtle - One of the best experts on this subject based on the ideXlab platform.

  • a scoping review of mentorship of Health Personnel to improve the quality of Health care in low and middle income countries
    Globalization and Health, 2017
    Co-Authors: Patricia Nayna Schwerdtle, Julia Morphet, Helen Hall
    Abstract:

    Most Low and Middle-Income Countries are facing a crisis in human resources for Health which compromises their ability to meet Health related targets outlined by the Sustainable Development Goals. The crisis is not limited to the availability of Health Personnel but also the quality of care and the training and development of the workforce. To address these challenges, evidence based education strategies are urgently required. Mentorship has been found to improve Health Personnel performance in High-Income Countries however, little is known about its role in Low and Middle-Income Countries. To address this gap in understanding, we conducted a scoping review of the current literature. CINAHL, EMBASE and OVID Medline were systematically searched along with grey literature for peer-reviewed research papers specific to the research question. A six-step scoping review framework was utilised to identify the relevant literature and summarise the pertinent findings. The initial search identified 592 records, and five papers, reporting on four studies, were retained for data charting and extraction. All four studies described a positive effect of mentorship on the quality of care outcomes. The results are collated according to features of the intervention including mentor training, mentor-mentee ratios, mentorship model, intervention intensity and key findings in terms of outcome measures. This review identifies a paucity of evidence of mentorship in this context however, current evidence supports the assertion that effective mentorship contributes to the improvement of certain quality of care outcomes. The features of successful mentorship interventions are outlined and the implications are discussed in the context of existing evidence.