Kenya’s emergency-hire nursing programme: a pilot evaluation of health service delivery in two districts
| Autor: | Rankesh M. Willy, Martha F. Rogers, Francis M. Kimani, Jennifer Sabatier, Michael Friedman, Agnes N. Waudo, Stephen M. Vindigni, Martin Osumba, Patrick Warutere, C Rakuom, Rose Kiriinya, Patricia L. Riley |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Program evaluation medicine.medical_specialty Public Administration Psychological intervention Nurses HIV Infections Nursing Emergency Nursing Human resources for health Health administration Emergency-hire programme Pregnancy Humans Medicine Pregnancy Complications Infectious Child Personnel Selection Health management information systems Obstetric nursing business.industry Research Public Health Environmental and Occupational Health Attendance Health services research Prenatal Care Primary care Delivery Obstetric Kenya Health indicator Human resource information systems Family medicine Workforce Female business Delivery of Health Care Program Evaluation Emergency nursing |
| Zdroj: | Human Resources for Health |
| ISSN: | 1478-4491 |
| DOI: | 10.1186/1478-4491-12-16 |
| Popis: | Objective: To assess the feasibility of utilizing a small-scale, low-cost, pilot evaluation in assessing the short-term impact of Kenya’s emergency-hire nursing programme (EHP) on the delivery of health services (outpatient visits and maternal-child health indicators) in two underserved health districts with high HIV/AIDS prevalence. Methods: Six primary outcomes were assessed through the collection of data from facility-level health management forms—total general outpatient visits, vaginal deliveries, caesarean sections, antenatal care (ANC) attendance, ANC clients tested for HIV, and deliveries to HIV-positive women. Data on outcome measures were assessed both pre-and post-emergency-hire nurse placement. Informal discussions were also conducted to obtain supporting qualitative data. Findings: The majority of EHP nurses were placed in Suba (15.5%) and Siaya (13%) districts. At the time of the intervention, we describe an increase in total general outpatient visits, vaginal deliveries and caesarean sections within both districts. Similar significant increases were seen with ANC attendance and deliveries to HIV-positive women. Despite increases in the quantity of health services immediately following nurse placement, these levels were often not sustained. We identify several factors that challenge the long-term sustainability of these staffing enhancements. Conclusions: There are multiple factors beyond increasing the supply of nurses that affect the delivery of health services. We believe this pilot evaluation sets the foundation for future, larger and more comprehensive studies further elaborating on the interface between interventions to alleviate nursing shortages and promote enhanced health service delivery. We also stress the importance of strong national and local relationships in conducting future studies. |
| Databáze: | OpenAIRE |
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