Browse by type "Paper"
Records found: 50
A definition of a rural model of health service delivery: A ‘hub and spoke’ (service partner) model
The Infrastructure Renewal Project for Rural and Remote Areas aims to define a rural model of health service delivery for Queensland, outline service profiles for a selection of rural health service sites and engage architect consultants to audit and review the related infrastructure.
In the absence of a strategic statewide policy for rural health services (but in anticipation of this work) it is proposed that this paper would underpin the future rural and remote policy development by describing a ‘hub and spoke’ (service partner) model of service delivery for rural and remote areas. This paper identifies Queensland rural hub sites and their associated spoke sites. The ‘hub and spoke’ model of rural service delivery aims to assist in ameliorating some of the many issues faced by the rural sector through improvements to organisation, governance, management and leadership and the development of formalised service networks.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Health systems and models of service delivery |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Addressing the social determinants of health: the urban dimension and the role of local government
This report summarises the evidence on the determinants of health and the built environment with special reference to the role of local government across countries in the WHO European Region.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Determinants of health |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Barriers to Movement of Healthcare Professionals: A Case Study of India
Since this report is a case study of India, the objective is to identify barriers faced by Indian health professionals in select developed countries’ markets. In other words, the emphasis would be more on neo-liberal perspective. However, the thoughts and findings of this study would in no way undermine the seriousness of the problems being faced by the poor African countries, who have witnessed large scale immigration of their health care staffs to developed countries.
| About this resource | |
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| Author | Pranav Kumar & Simi T B |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Building Momentum: Global Progress Toward Reducing Maternal and Child Mortality
IHME launched its policy report, Building Momentum: Global Progress Toward Reducing Maternal and Child Mortality, at the Women Deliver conference in Washington, DC, on June 7, 2010. This detailed report includes data on mortality trends for more than 180 countries over two decades.
| About this resource | |
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| Author | Alan Lopez, Rafael Lozano and Christopher J.L. Murray |
| Type | Paper |
| Subject | Child health Maternal health |
| Tags | report |
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Building Trust, Taking Responsibility: Civil Society as Partners in Global Health Governance
Executive Summary
As humanity braces itself for its next encounter with a global pandemic far deadlier than SARS, it is in danger of choosing quick-fix solutions over long-term structural changes, with potentially catastrophic consequences. Influenza vaccines, border closures, and quarantines, while necessary, will do nothing to rid the world of the H5N1 virus, whose underlying causes exist elsewhere - the interface of unsound farming practices, unsustainable development, and crippling poverty.
Taking a more broad-based approach from the perspective of civil society, we argue that controlling the looming avian influenza (AI) epidemic requires us to tackle simultaneously the global public health crisis. Since the poor cannot control epidemics on their own and the international system cannot fill the shoes of local governments, the global community, acting collectively, must invest in public health infrastructure, sanitation, and responsible development in the global South. Making these policies sustainable, however, requires comprehensive changes to agricultural practices, consumption patterns, trade regulations, and our interaction with our fellow citizens and our environment. Most if not all of these are addressed in the Millennium Development Goals agreed to by all countries in the UN system. It also requires engaging civil society in the structures of global health governance on all levels.
Ultimately, mainstreaming developmental, human rights, security, and environmental considerations into influenza preparedness-planning calls for the “human security” model, which—by placing health, wealth, security, prosperity, and sustainable development into one inclusive framework—is the only way to generate consensus among all stakeholders on the controversial policies needed to lead our societies away from high-risk practices, and out of the shadow of the virus – and to reduce and prepare for future threats.
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| Author | Kathryn White and Maria Banda |
| Type | Paper |
| Subject | Regulation and governance |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Business and Global Health Governance
This paper provides an introduction to therelationship between the commercial sector and global health governance.
| About this resource | |
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| Author | Kent Buse and Kelley Lee |
| Type | Paper |
| Subject | Regulation and governance |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Closing the gap in a generation Health equity through action on the social determinants of health
Summary of the three principles of actions put forward by this paper:
1 Improve the conditions of daily life – the circumstances in which people are born, grow, live, work, and age.
2 Tackle the inequitable distribution of power, money, and resources – the structural drivers of those conditions of daily life – globally, nationally, and locally.
3 Measure the problem, evaluate action, expand the knowledge base, develop a workforce that is trained in the social determinants of health, and raise public awareness about the social determinants of health.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Determinants of health |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Closing the Health Inequalities Gap: An International Perspective
Abstract
This report presents an analysis of official documents on government policies to tackle inequalities in health from 13 developed countries. All countries recognize that health inequalities are caused by adverse socioeconomic and environmental circumstances. However they differ in their definitions of inequalities and in their approaches to tackling the problem. Sweden and Northern Ireland have structured their overall public health policy to tackle the underlying determinants of inequalities in health. England is the only country with a separate comprehensive policy. Most countries also have policies on poverty, social inclusion, and social justice. These are motivated by a concern for human rights and dignity and deal primarily with the underlying causes of health inequalities. While broadly setting the same overarching goal, policies on health inequalities show many different features. Policymakers face two challenges: to ensure that strategies to tackle the macroenvironmental factors feature in policy on inequalities in health, and to ensure that health becomes a prominent issue in social justice policy. Few countries have a coordinated approach to tackling inequalities in health.
| About this resource | |
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| Author | Iain K Crombie Linda Irvine Lawrence Elliott Hilary Wallace |
| Type | Paper |
| Subject | Poverty and inequality |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Communicative Competence of International Nurses and Patient Safety and Quality of Care
This coulmn is written with nurses who have migrated from Asia to work in the US in mind. It focueses on communication challenges which may be faced by international nurses and how these affect care.
| About this resource | |
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| Author | Yu Xu, PhD, RN, CTN, CNE |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Editorial: Multi-sectoral Approaches to Migration of Health Professionals
This paper looks into the pull and push factors influencing the migration of healthcare professionals, the impact of migration, current strategies for managing migration and recommendations for the future.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Ethical and Economic Perspectives on Global Health Interventions
Abstract
Interventions that improve childhood health directly improve the quality of life and, in addition, have multiplier effects, producing sustained population and economic gains in poor countries. We suggest how contemporary global institutions shaping the development, pricing and distribution of vaccines and drugs may be modified to deliver large improvements in health. To support a justice argument for such modification, we show how the current global economic order may contribute to perpetuating poverty and poor health in less-developed countries.
| About this resource | |
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| Author | Sonia Bhalotra, Thomas Pogge |
| Type | Paper |
| Subject | Global economy and health |
| Tags | policy policy paper |
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Ethical concerns in nurse migration
International nurse migration is natural and to be expected. Recently, however, those who have fostered nurse migration believe that it will solve nursing shortages in developed countries and offer nurse migrants better working conditions and an improved quality of life. Whether natural or manipulated, migration flow patterns largely occur from developing to developed countries. In this article, nurse migration is examined using primary health care (PHC) as an ethical framework. The unmanaged flow of nurse migrants from developing to developed countries is inconsistent with bhealth for allQ principles. Removing key health personnel from countries experiencing resource shortages is contrary to PHC equity. Often, nurse migrants are placed in vulnerable, inequitable work roles, and employing nurse migrants fails to address basic causes of nurse shortages in developed countries, such as dissatisfaction with work conditions and decreased funding for academic settings.
Nurse migration policies and procedures can be developed to satisfy PHC ethics criteria if they:
- leave developing countries enhanced rather than depleted
- contribute to country health outcomes consistent with essential care for all people
- are based on community participation
- address common nursing labor issues
- involve equitable and clear financial arrangements.
| About this resource | |
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| Author | BEVERLY J. MCELMURRY, EdD, FAAN,* KAREN SOLHEIM, PHD, RN,y RIEKO KISHI, BSN,z MARCIA A. COFFIA, RN, BSN,z WENDY WOITH, MS, RN,z AND POOLSUK JANEPANISH, RN, MNSz |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | nurse migration Primary health care ethics |
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European Research on Migration and Health
This paper reviews the different kinds of research that are required in order ti identify, analyse and remedy problems in the field of migrant health.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Population migration and health |
| Tags | International Organization for Migration IOM Background Paper |
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Global Action on Social Determinants of Health
This paper covers the content of a presentation made teh the WHO World Conference on the Social Determinants of Health. The authours was requested to provide a commentary on the discussion paper 'Closing the gap: policy into practice on social determinants of health'.
| About this resource | |
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| Author | Ronald Labonté |
| Type | Paper |
| Subject | Determinants of health |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Global Health Governance and Financing Mechanisms
Global Health Europe, together with World Vision International, have developed this resource based on World Health Summit sessions held in October 2011, in order to highlight key recommendations on global health governance and financing mechanisms made at this forum. Through a range of mechanisms, we are advocating for stronger multi-stakeholder and citizen engagement in policy processes for global health, and fairer and more sustainable health financing mechanisms for universal coverage.
| About this resource | |
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| Type | Paper |
| Subject | Global health governance |
| Tags | global health europe world vision |
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Global Health Governance as a contested space: competing discourses, interests and actors
Abstract:
The literature on Global Health Governance has developed rapidly over recent years with a large number of scholars from a variety of disciplinary backgrounds entering the field. Much of this work has been focussed either around the governance roles of specific institutions (IOs, GHPs, foundations etc) or the governance of particular health problems (most commonly infectious disease). Now seems to be a suitable point at which to take a step back and ask some more conceptual questions about how Global Health Governance works and what drives contemporary global responses to health problems.
This paper argues that Global Health Governance can best be understood as a process of contestation between a variety of different discourses, each of which takes a particular approach to health as a global issue, and each of which generates certain policy responses. It argues that the key contemporary discourses influencing Global Health Governance are biomedicine, human rights, economism and security, but that other (currently recessive) discourses also have an influence. These discourses are promoted by different global health actors and each has gained salience in particular issue areas. The paper argues that it is in the interplay of these discourses – a process in which both power and ideas play a role – that contemporary Global Health Governance is shaped.
| About this resource | |
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| Author | Owain Williams & Simon Rushton |
| Type | Paper |
| Subject | Regulation and governance |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Global Health Governance: Overview of the Role of International Law in Protecting and Promoting Global Public Health
This paper’s analysis unfolds in five parts. Part 1 examines the theoretical and practical need for international law in global governance systems. Part 2 provides a brief overview of the structure and dynamics of international law, which is an area of legal theory and practice that is often unfamiliar to public health experts and policy makers. Part 3 demonstrates how deeply embedded the value of public health is in public international law today. The protection and promotion of public health can be found in a wide variety of international legal regimes that cut across virtually every area of international relations. Part 4 analyzes different kinds of global governance mechanisms and strategies that have developed in international law on public health. In Part 5, the focus is on international law’slimitations as an instrument of GHG in order to communicate the message that international law is necessary but not sufficient to create effective GHG in today’s complex world.
| About this resource | |
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| Author | Professor David Fidler |
| Type | Paper |
| Subject | Regulation and governance |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Global justice and human rights: health and human rights in practice
ABSTRACT: The origin and justification of human rights, whether anchored in biological theory, natural law theory, or interests theory, as well as their cultural specificity and actual value as international legal instruments are subject to ongoing lively debates. As theoretical and rhetorical discourses challenge and enrich current understanding of the value of human rights and their relevance to democratic governance, they have found their way into public health in recent decades and play today an increasing role in the shaping of health policies, programs and practice. Human rights define the obligations of states to their people and towards each other, create grounds for governmental accountability and inspire recognition of, and action on, factors influencing people’s attainment of the highest possible standard of health. This article highlights the evolution that has brought health and human rights together in mutually reinforcing ways. It draws from the experience gained in the global response to HIV/AIDS, summarizes key dimensions of public health and of human rights and suggests a manner in which these dimensions intersect in a framework for analysis and action.
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| Author | Daniel Tarantola |
| Type | Paper |
| Subject | Social justice, human rights and health |
| Tags | health human rights discrimination global justice HIV/AIDS |
| Rights | |
Health Consequences of Population Changes in Asia: What Are the Issues?
This report is part of an ongoing process that will help the MetaCentre and scholars of the region better understand the important research questions which address health and population change in the Asian context. It developed from discussions that took place during a two-day workshop, entitled “Health Consequences of Population Changes in Asia: What are the Issues,” held in conjunction with the First IUSSP Southeast Asia Regional Conference, in Bangkok, Thailand, 13-4 June, 2002. The workshop was organized by the MetaCentre with support from the Wellcome Trust. The workshop brought together regional experts from a variety of disciplines to discuss the important issues related to population change and health and possible approaches toward addressing these issues.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Population growth Population migration and health Urbanisation |
| Tags | ASIAN METACENTRE RESEARCH PAPER SERIES no. 6 ASIAN METACENTRE RESEARCH PAPER SERIES |
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Health worker migration in Europe Policy issues and options
This paper examines the issue of health worker migration within the context of labour market dynamics and European Union (EU) accession. Its objective is to set out a framework for analysing some of the key issues that policy makers should consider when assessing if health worker migration is a problem, and if so, determining what options might be considered in addressing the issues.
| About this resource | |
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| Author | James Buchan |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Healthy Open Spaces
This information paper outlines the connections between health and wellbeing, and urban open spaces. In addition, it summarises the relationship between open space in relation to physical and mental health, and environmental, economic, social and cultural wellbeing. This paper aims to nform and support the work of local and regional authorities, urban planners and developers, public health practitioners and community groups as we plan for sustainable and healthy cities.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Urbanisation |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Impact of Modernization on Family and Mental Health in South Asia
This paper looks into the following determinants of change in family structure caused by modernization (within the context of the South Asian population):
1. Population changes
2. Migration
3. Demographic ageing and retirement
4. Impact of the HIV/AIDS pandemic on the family
5. Globalization
6. Effects of major trends on social functions of families
| About this resource | |
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| Author | R.C. Jiloha |
| Type | Paper |
| Subject | Urbanisation |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
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Income inequality and health status: a nursing issue
Abstract
Objective
To review the association between income inequality and health status, and consider an appropriate nursing response.
Primary Argument
Nursing has a rich heritage of advocating for a healthy society established on a foundation of social justice. The future legitimacy and success of public health nursing depends on recognising and appropriately addressing the social, economic and political determinants of health in the populations served. There is an incontrovertible association between population health status, absolute income levels and income inequality. Thus, along with other social determinants of health, income differentials within populations must be a fundamental consideration when planning and delivering nursing services. Ensuring that federal and state health policy explicitly addresses this key issue remains an important challenge for the nursing profession, the public health system and the Australian community.
Conclusions
Higher mortality and worse health status occur in societies with higher income inequality. The relationship between income inequality and health appears to be determined both by relative access to resources for health gain and relative social position. The association between greater income equality and improved health may be explained by improved social cohesion. As social factors are at the root of much of health inequality, this knowledge needs to invoke political action and advocacy from the nursing profession to promote the development of healthy public policy. Including indicators of income inequality when planning and monitoring nursing services will enable services to measure to what extent they are based on the principle of social justice.
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| Author | Peter Massey and David Durrheim |
| Type | Paper |
| Subject | Poverty and inequality |
| Tags | |
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Innovative Health Service Delivery Models for Low and Middle Income Countries
The goal of this report is to determine how private sector innovation in health service delivery can improve care for the poor. To do this, we have identified innovative organizations that have improved care for the poor, and we have characterized the 5 innovations in their health service delivery models, as discussed below. We then explore how these models might be harnessed by government and international funders to strengthen health systems.
| About this resource | |
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| Author | Onil Bhattacharyya Anita McGahan David Dunne Peter A. Singer Abdallah Daar |
| Type | Paper |
| Subject | Health systems and models of service delivery |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?
An environmental scan of peer-reviewed and grey literature was conducted to select examplars of innovation in organaiations who deliver a health service. These cases were examined and compared, with a focus on bussiness processes.
| About this resource | |
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| Author | Onil Bhattacharyya, Sara Khor , Anita McGahan , David Dunne , Abdallah S Daar , Peter A Singer |
| Type | Paper |
| Subject | Health systems and models of service delivery |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Intergovernmental Organisations Committee - First Report
We were appointed in November 2007 as a new ad hoc Select Committee of the House of Lords to review the effectiveness with which intergovernmental organisations (IGOs) are operating in specific fields and how the UK is making use of its membership of those organisations to ensure that their objectives are being met. For our first inquiry we have examined how IGOs are tackling the global spread of infectious diseases.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | New and emerging infectious diseases Regulation and governance |
| Tags | UK report |
| Rights | |
International migration and health
This paper takes into account the fact that as people begin to move in greater numbers, more rapidly and across wider ecological spaces, the opportunities for migration of all kinds to affect health in increasingly complex ways will become more evident. As it does, the biomedical and bio-psychosocial dimensions of migration will possibly pose new and more difficult challenges to those who move, those they leave behind and those who host them in receiving societies. The paper also considers some of the factors involved in this emerging equation, including the social and health conditions that help to determine the character of migration and post-migration settlement. It looks at some of the main policy dimensions and implications associated with the migration-health nexus and while it does not attempt to address internal or forced migration, it recognises that both these types of movement have grown massively over the course of the last half century, and in their own way are also creating new health challenges.
| About this resource | |
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| Author | Manuel Carballo and Mourtala Mboup |
| Type | Paper |
| Subject | Population migration and health |
| Tags | Policy Analysis and Research Programme of the Global Commission on International Migration Global Commission on International Migration |
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International Migration of Health Workers: Can Spain Follow the British Steps?
Abstract
The paper explores migrant workers careers in the health sector, comparing the Spanish case and the British case. International migration has become an important feature of globalized labour markets in health care. Recently, concerns over the need of ensuring staff and skill shortages in the health system are becoming a common issue in many European countries. Following this, the paper is focused on career uncertainty for migrant workers, qualification recognition processes, policy issues on the training of nurses and doctors in both countries selected as contrasting cases given the different length of immigration experience. We consider trends in migration, working conditions of migrants, migration policies and recruitment practices. By using a qualitative approach, the paper demonstrates that professional trajectories of migrant doctors and nurses are more uncertain, although there are important differences regarding the role of regulatory institutions, and union’s action.
| About this resource | |
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| Author | Guglielmo Meardi , Mariona Lozano Riera, Antonio Artiles Martín |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Key Determinants of Migration among Health Professionals in Ghana
Specifically, this study has sought to answer the following questions:
- What is the future outlook of the emigration of Ghanaian health professionals?
- Is it likely to grow or decline?
- What are the causes behind the emigration of healthcare professionals?
- On a personal level, why do these doctors and nurses leave Ghana?
- Does this express dissatisfaction with the situation in the home country, or the will to pursue aspirations or opportunities abroad?
- What are the consequences of the emigration of health professionals on training and other labour-related issues for the Ghanaian health sector?
- What has been done in the past to curb the situation and what are the policy options available now?
- What could be done more generally to minimize the risks and maximize the benefits involved, if any?
These questions delineate the line of enquiry followed in this paper. The rest of the report is organized as follows: section two discusses the research methodology and is followed by a third section analyzing the survey data. Section four presents the conclusions of the study.
| About this resource | |
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| Author | John Anarfi, Peter Quartey John Agyei |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | Ghana |
| Rights | |
Key Issues to Health Governance in Bangladesh
Abstract
Like other social sectors, health governance in Bangladesh is identified with poor and inefficient service delivery. Health care provision depends on efficiently combining financial resources, human resources, and supplies, and delivering services in a timely fashion distributed spatially throughout the country. To ensure good governance in this sector it is equally important that health services be delivered efficiently and health professionals are accountable to the public and government for their action. In Bangladesh, lack of voice and accountability; government ineffectiveness; low level of regulatory quality; weakness in establishing rule of law; lack of transparency and, corruption -- all are impediments to good governance in this sector. This study highlights these core issues and at the same time recommends some policy prescriptions to ensure good governance in this sector and thus a healthy nation.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Global health governance |
| Tags | case study |
| Rights | |
Knowledge, technology and nursing: The case of NHS Direct
Abstract
NHS Direct is a relatively new, nurse-based, 24-hour health advice line run as part of the UK’s National Health Service (NHS). The service delivers health advice remotely via the telephone. A central aspect of the service is the attempt to provide a standard level of health advice regardless of time, space or the background of the nurse. At the heart of this attempt is an innovative health software called CLINICAL ASSESSMENT SYSTEM (CAS). Using a number of qualitative methods, this article highlights how the interaction between the nursing staff and this technology is key to the service. The technology is based on management’s attempt to standardize and control the caller–nurse relationship. Thus the software can be seen as part of an abstract rationality, whereas how it is deployed by nurses is based on a practical rationality that places practice and experience ?rst and sees the technology and protocols as tools.
| About this resource | |
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| Author | Gerard Hanlon, Tim Strangleman, Jackie Goode, Donna Luff, Alicia O’Cathain and David Greatbatch |
| Type | Paper |
| Subject | Technology |
| Tags | autonomy forms of rationality NHS Direct NHS objectivity nursing |
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Making Gender a Global Health Priority: A Report of the CSIS Global Health Policy Center
This report proposes that a gender-focused approach to global health build on four cornerstones:
- maternal child health and family planning
- infectious diseases that disproportionately affect women
- gender-based violence
- food security.
These areas are clearly linked and underscore the importance of an integrated, comprehensive global health policy. To operationalize this approach, the report focuses on three key recommendations for the Obama administration:
- require a gender lens in program design and implementation,
- support capacity strengthening and resource mobilization, and
- coordinate among U.S. government agencies and promote U.S. global leadership.
| About this resource | |
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| Author | Janet Fleischman |
| Type | Paper |
| Subject | Gender and health |
| Tags | report |
| Rights | |
Migration and Human Resources for Health: From Awareness to Action
The specific objectives of the seminar this paper has been written about were:
- To provide participants with current information on the mobility of health care workers from a migration, health and labour perspective
- To review policy approaches to managing the mobility of health care workers
- To highlight the role of businesses and members of civil society such as professional organizations and members of diasporas in managing the mobility of health care workers
- To discuss innovative strategies to manage the mobility of health care workers
- To identify action points to carry the agenda forward.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Migration and Recruitment of Healthcare Professionals: Causes, Consequences and Policy Responses
This policy brief describes the worldwide labour shortages in health care as well as describing some general trends in the movement of healthcare workers and what influences these trends. The advantages and disadvantage of healthcare professionals migrating is considered and suggestions on policies which could reduce the disadvantage are presented.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Migration of Health Professionals in Six Countries: A Synthesis Report
It is hoped that this report will generate interest in further study of the issues relating to the migration of health professionals in Africa. The report provides useful insights and details that can assist policymakers in making informed decisions. In view of the important effects of the migration of health professionals on Africa’s largely rural populations, the report proposes comprehensive and integrated approaches that, if implemented, should be able to reduce the outward flow of professionals from the health sector.
| About this resource | |
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| Author | |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | report |
| Rights | |
Migration of Skilled Nurses from Bangladesh: An Exploratory Study
Key Questions
The broad objectives of the study are to assess the market and potential for Bangladeshi women to be employed overseas as nurses. The study has attempted to assess the trends in and potential demands for trained professional nurses in North America, Europe and the Gulf region. The specific research questions being addressed by the study are:
- Is there a global demand for nurses, and therefore potentially for Bangladeshi nurses, in North America, Europe and selected countries of the Gulf-region and South East Asia?
- Can Bangladesh export trained nurses to these countries as part of its skilled and safe manpower export strategy?
- What are the major institutional and strategic limitations that the Nursing Training Facilities (NTF) in Bangladesh face in order to produce high standard human resources in nursing, keeping in view both national and potential international demand?
| About this resource | |
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| Author | Salahuddin M Aminuzamman |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Nurse Migration: The Asian Perspective
This paper aims to capture the current situation of nurse migration from an Asian perspective. Asian countries are sources of nurses as well as hosts for foreign nurses. They also provide opportunities for foreign nurses to gain experience and knowledge to facilitate migration to other countries.
| About this resource | |
|---|---|
| Author | Ayaka Matsuno |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Population, Migration and Development in Asia, with Special Emphasis on The South Pacific: The Impact Of Migration on Population and the Millennium Development Goals
This paper will mostly consider the situation in Pacific island countries and major migration countries in South, East and South-East Asia, including China and India. While the relationship between population, migration and MDGs is difficult to assess in large and interdependent Asian countries, linkages appear more clearly in small Pacific countries where the impact of migration is much more important. Although lessons learnt form the Pacific may not be replicable in larger economies, it contributes to improving our knowledge of the effects of migration on population and MDGs.
| About this resource | |
|---|---|
| Author | Jean Louis Rallu |
| Type | Paper |
| Subject | Millennium Development Goals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
POVERTY, CLIMATE CHANGE AND HEALTH IN PACIFIC ISLAND COUNTRIES
This paper is the third in a small series1 that looks at current issues in health in Australia and the US and considers what the two countries can learn from each other about how to successfully tackle these issues. It is meant primarily as a resource for Australians, but hopefully will also be a useful summary for those in the US interested in this topic.
| About this resource | |
|---|---|
| Author | Dr Lesley Russell |
| Type | Paper |
| Subject | Climate change and sustainability |
| Tags | pacifc pacific island pacific islands policy policies |
| Rights | |
Poverty, Climate Change and Health in Pacific Island Countries
This paper does not aim to present policies and strategies that might be adopted by Australia and the US, separately and together, to address the environmental and health problems that confront Pacific Island countries. Rather, its purpose is to summarise the underlying issues and the available data. As such, it is hoped that this paper can serve as a useful resource in the course of the development of the needed policies and strategies, and will help generate informed discussion and debate towards these goals.
| About this resource | |
|---|---|
| Author | Dr Lesley Russell |
| Type | Paper |
| Subject | Poverty and inequality Climate change and sustainability |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
State Innovation Models: Early Experiences and Challenges of an Initiative to Advance Broad Health System Reform
ABSTRACT: The Centers for Medicare and Medicaid Services and!states are partnering to transform health care systems by creating and testing new models of care delivery and payment. Interviews with officials from states participating in the State Innovation Models (SIM Initiative) reveal that the readiness of providers and payers to adopt innovations varies, requiring different starting points, goals, and strategies. So far, effective strategies appear to include: building on past reform efforts redesigning health information technology to provide reliable, targeted data on care costs and quality and using standard performance measures and financial incentives to spur alignment of providers’ and payers’ goals. State governments also have policy levers to encourage efficient deployment of a diverse health care workforce. As federal officials review states’ innovation plans, set timetables, and provide technical assistance, they can also take steps to accommodate the budgetary, political, and time constraints that states are facing.
| About this resource | |
|---|---|
| Author | SHARON SILOW-CARROLL ANDJOANN LAMPHERE |
| Type | Paper |
| Subject | Health systems and models of service delivery |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
The health impacts of globalisation: a conceptual framework
Abstract
This paper describes a conceptual framework for the health implications of globalisation. The framework is developed by first identifying the main determinants of population health and the main features of the globalisation process. The resulting conceptual model explicitly visualises that globalisation affects the institutional, economic, social-cultural and ecological determinants of population health, and that the globalisation process mainly operates at the contextual level, while influencing health through its more distal and proximal determinants. The developed framework provides valuable insights in how to organise the complexity involved in studying the health effects resulting from globalisation. It could, therefore, give a meaningful contribution to further empirical research by serving as a 'think-model' and provides a basis for the development of future scenarios on health.
| About this resource | |
|---|---|
| Author | Maud MTE Huynen, Pim Martens and Henk BM Hilderink |
| Type | Paper |
| Subject | Theories of globalisation |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | Open Access |
The international mobility of health professionals: An evaluation and analysis based on the case of South Africa
In the specific case of South Africa, and with reference to several other countries, this report shows how important it can be, both at national level in countries of origin and at international level, to strengthen policy coherence in the spheres of migration and development aid, so as to ensure that the benefits arising from the international mobility of health professionals are shared in a way that is both fair and sustainable.
| About this resource | |
|---|---|
| Author | |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
The Migration of Health Professionals
In an attempt to append a minor contribution to the literature of health and migration, this study focuses on three important, yet related issues involved in the assessment of the effects of emigration of health professionals. First, in a model adopted from Clemens (2007), the link between health outcomes/ basic healthcare services can be statistically established. In this study, results are in general agreement with the contention that other factors aside from emigration may matter. Hence, emigration is not the only cause of degradation in healthcare delivery systems. Second, emigration is not a random event, rather, it is determined by certain factors present in destination and source/origin countries.
| About this resource | |
|---|---|
| Author | Lawrence B. Dacuycuy |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
The role of wages in the migration of health care professionals from developing countries
This paper uses data on wage differentials in the health care sector between source country and receiving country (adjusted for purchasing power parity) to test the hypothesis that larger wage differentials lead to a larger supply of health care migrants. Differences in other important factors affecting migration are discussed and, where available, data are presented.
| About this resource | |
|---|---|
| Author | Marko Vujicic, Pascal Zurn, Khassoum Diallo, Orvill Adams and Mario R Dal Poz |
| Type | Paper |
| Subject | Migration of health professionals |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
Threats to Global Health and Opportunities for Change: A New Global Health
ABSTRACT
The most recent phase of internationalization and globalization is characterized by the growing infl uence of non-governmental organizations that have had an impact on health. Key threats of strategic relevance for health, in addition to global warming, are the global divides in terms of demographic development and the burden of disease, social inequity, migration of populations, migration of health professionals, the inequitable terms of trade, and the consequences of the recent global monetary crisis. This paper addresses opportunities as set forth in the Millennium Development Goals, a revival of primary health care, and the necessary resetting of global aid in terms of international donor harmonization and national coordination, e.g., through a Sector Wide Approach (SWAp).
We recommend:
(1) A Global Code of Conduct for non-governmental organizations;
(2) A renewed major effort of the United Nations community to achieve the Millennium Development Goals as planned;
(3) Further development of the concept of SWAp’s to put the receiving governments into the “driver’s seat”. To this end, the achievement of the Paris/Accra criteria is essential, i.e.,
(4) To strengthen the linkage between governments and donors with a priority for primary health care services; and
(5) To compensate the “sending” countries for basic investments in the upbringing and education of migrating professionals.
| About this resource | |
|---|---|
| Author | Ulrich Laaser DTM&H, MPH, Leon Epstein MB ChB, MPH |
| Type | Paper |
| Subject | Millennium Development Goals Urbanisation |
| Tags | Global health global divides global opportunities international health cooperation millennium development goals |
| Rights | |
Urban Health in India (paper)
This paper puts forward a framework to analyse urban health. This framework conceptualises urban health as being influenced by and simultaneously influencing the characteristics of urbanisation. Urbanisation in India is seen as particularly interesting as its urban population is increasing as such a dramatic rate.
| About this resource | |
|---|---|
| Author | |
| Type | Paper |
| Subject | Urbanisation |
| Tags | india |
| Rights | |
Urbanization and caregiving: a framework for analysis and examples from southern and eastern Africa
This paper considers the role of caregiving on children's health and development with a special focus on identifying the constraints on effective caregiving in urban areas, and potential solutions.
| About this resource | |
|---|---|
| Author | Patrice L. Engle, Purnima Menon, James L. Garrett and Alison Slack |
| Type | Paper |
| Subject | Child health Urbanisation |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
WHO Commission on Social Determinants of Health
WHO Commission on Social Determinants of Health: Globalization, Global Governance and the Social Determinants of Health: A review of the linkages and agenda for action
| About this resource | |
|---|---|
| Author | |
| Type | Paper |
| Subject | Determinants of health |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |
World Health Law: Toward a New Conception of Global Health Governance for the 21st Century
The international community joined together during the late twentieth century to form a world trade system. Although imperfect, the world trade system contains adjudicable and enforceable norms designed to facilitate global economic activity. Human health is at least as important as trade in terms of its effects on the wellbeing of populations. Moreover, health hazards-biological, chemical, and radionuclear-have profound global implications. Whether these threats' origins are natural, accidental, or intentional, the harms, as well as the response, transcend national frontiers and warrant a transnational response. Despite their high importance, the International Health Regulations (IHR) are antiquated, limited in scope, and burdened by inflexible assumptions and entrenched power structures.' This essay examines problems of obsolescence, narrow reach, and rigidity associated with the IHR, and proposes a new conception for world health law in the 21st Century.
| About this resource | |
|---|---|
| Author | Lawrence O. Gostin |
| Type | Paper |
| Subject | Regulation and governance |
| Tags | https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466 |
| Rights | |