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Assessment of human resources for health programme implementation in 15 Latin American and Caribbean countries
Dal Poz, Mario Roberto; Sepulveda, Hernan Rodrigo; Costa Couto, Maria Helena; Godue, Charles; Padilla, Monica; Cameron, Rick; Vidaurre Franco, Thais de Andrade.
Afiliação
  • Dal Poz, Mario Roberto; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
  • Sepulveda, Hernan Rodrigo; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
  • Costa Couto, Maria Helena; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
  • Godue, Charles; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
  • Padilla, Monica; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
  • Cameron, Rick; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
  • Vidaurre Franco, Thais de Andrade; University of the State of Rio de Janeiro. Institute of Social Medicine. Rio de Janeiro. BR
Hum Resour Health ; 13(24): [1-9], abr. 2015. ilus, tab
Article em En | RHS | ID: biblio-878688
Biblioteca responsável: BR1.1
ABSTRACT

Background:

The health systems in the Americas region are characterized by fragmentation and segmentation, which constitute an important barrier to expanding coverage, achieving integrated primary health care, and reducing inefficiency and discontinuity of care. An assessment of the human resources for health (HRH) programmes that have been implemented at the country level was developed as part of the measurement of the 20 HRH regional goals for 2007­2015, adopted in 2007 by the Pan American Sanitary Conference (CSPA).

Methods:

The exercise was a combination of academic research and the development/application of an advocacy tool involving policy makers and stakeholders to influence the decision-making in the development, implementation, or change of HRH programmes while building evidence through a structured approach based on qualitative and quantitative information and the exchange and dissemination of best practices.

Results:

This paper covers the methodological challenges, as well as a summary of the main findings of the study, which included 15 countries Belize, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua and Panama in the Central America, Dominican Republic in the Caribbean, Chile, Colombia, Ecuador and Peru in the Andean sub region, and Argentina, Paraguay, and Uruguay in the South Cone. Despite the different contexts, the results showed that the programmes evaluated faced common challenges, such as lack of political support and financial unsustainability.

Conclusions:

The evaluation process allowed the exchange and dissemination of practices, interventions, and programmes currently running in the region. A shared lesson was the importance of careful planning of the implementation of programmes and interventions. The similarities in the problems and challenges of HRH among the participating countries highlighted the need for a cooperation programme on the evaluation and assessment of implementation strategies in the Americas region.(AU)
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Texto completo: 1 Coleções: 05-specialized Base de dados: RHS Assunto principal: Avaliação em Saúde / Planos e Programas de Saúde / Mão de Obra em Saúde Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research / Patient_preference Limite: Humans Idioma: En Revista: Hum Resour Health Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Coleções: 05-specialized Base de dados: RHS Assunto principal: Avaliação em Saúde / Planos e Programas de Saúde / Mão de Obra em Saúde Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research / Sysrev_observational_studies Aspecto: Implementation_research / Patient_preference Limite: Humans Idioma: En Revista: Hum Resour Health Ano de publicação: 2015 Tipo de documento: Article