Show simple item record

dc.contributor.authorFujita, N.
dc.contributor.authorAbe, Kimiko
dc.contributor.authorRotem, A.
dc.contributor.authorTung, R.
dc.contributor.authorKeat, P.
dc.contributor.authorRobins, A.
dc.contributor.authorZwi, A. B.
dc.date.accessioned2018-06-29T22:03:19Z
dc.date.available2018-06-29T22:03:19Z
dc.date.issued2013-05
dc.identifierER3197
dc.identifier.citationFujita, N., Abe, K., Rotem, A., Tung, R., Keat, P., Robins, A. & Zwi, A. (2013) Addressing the human resources crisis: A case study of Cambodia's efforts to reduce maternal mortality (1980-2012), BMJ Open, vol. 3, , pp. 2685,
dc.identifier.issn20446055
dc.identifier.urihttp://dx.doi.org/10.1136/bmjopen-2013-002685
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3197
dc.description.abstractObjective: To identify factors that have contributed to the systematic development of the Cambodian human resources for health (HRH) system with a focus on midwifery services in response to high maternal mortality in fragile resource-constrained countries. Design: Qualitative case study. Review of the published and grey literature and in-depth interviews with key informants and stakeholders using an HRH system conceptual framework developed by the authors ('House Model'; Fujita et al, 2011). Interviews focused on the perceptions of respondents regarding their contributions to strengthening midwifery services and the other external influences which may have influenced the HRH system and reduction in the maternal mortality ratio (MMR). Setting: Three rounds of interviews were conducted with senior and mid-level managers of the Ministries of Health (MoH) and Education, educational institutes and development partners. Participants: A total of 49 interviewees, who were identified through a snowball sampling technique. Main outcome measures: Scaling up the availability of 24 h maternal health services at all health centres contributing to MMR reduction. Results: The incremental development of the Cambodian HRH system since 2005 focused on the production, deployment and retention of midwives in rural areas as part of a systematic strategy to reduce maternal mortality. The improved availability and access to midwifery services contributed to significant MMR reduction. Other contributing factors included improved mechanisms for decision-making and implementation; political commitment backed up with necessary resources; leadership from the top along with a growing capacity of mid-level managers; increased MoH capacity to plan and coordinate; and supportive development partners in the context of a conducive external environment. Conclusions: Lessons from this case study point to the importance of a systemic and comprehensive approach to health and HRH system strengthening and of ongoing capacity enhancement and leadership development to ensure effective planning, implementation and monitoring of HRH policies and strategies.
dc.format.extent2685
dc.relation.ispartofBMJ Open
dc.titleAddressing the human resources crisis: A case study of Cambodia's efforts to reduce maternal mortality (1980-2012)
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume3
dc.identifier.doihttp://10.1136/bmjopen-2013-002685
dc.description.ispublishedpub
dc.description.eprintid3197
rioxxterms.typearticle
qmu.authorAbe, Kimiko
dc.description.statuspub
dc.description.number5


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record