WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas

WHO guideline on health workforce development, attraction, recruitment and retention in rural and remote areas

Bibliographic Details
Main Author: World Health Organization (issuing body)
Corporate Author: World Health Organization, issuing body (issuing body)
Format: eBook
Language:Inglés
Published: Geneva : World Health Organization [2021]
Edition:1st ed
Subjects:
Rural health services.
See on Biblioteca Universitat Ramon Llull:https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009632233006719
Table of Contents:
  • Intro
  • Table 1.1 International calls to action on the health workforce
  • Table 1.2 Categories of interventions used to improve attraction, recruitment and retention of health workers in remote and rural areas (2010 guideline)
  • Table 1.3 Stakeholders impacting rural and remote health workforce policy
  • Table 2.1 Outputs and outcomes of interest
  • Table 2.2 Geographical distribution of single-country studies included in the original and updated systematic reviews by WHO region
  • Table 2.3 Health worker occupations represented in studies included in the systematic reviews
  • Table 4.1 Measuring the results of rural retention interventions
  • Table 4.2 Roles and responsibilities of stakeholders in the design and implementation of strategies to increase access to health workers in rural and remote areas (examples)
  • Table 4.3 Questions and indicators for the evaluation and monitoring of interventions to increase access to health workers in remote and rural areas through improved retention
  • Figure 2.1 PRISMA charts: original systematic review (left) and updated systematic review (right)
  • Figure 2.2 Studies of different health worker occupations
  • Figure 2.3 Factors related to decisions to relocate to, stay in, and leave a rural area
  • Acknowledgements
  • Glossary of terms
  • Executive summary
  • 1.0 Background
  • 1.1 Rationale
  • 1.2 Previous recommendations on increasing access to health workers in rural and remote areas
  • 1.3 Target audience
  • 1.3.1 End users of the guideline
  • 1.3.2 Stakeholders
  • 1.4 Objectives of this guideline
  • 2.0 Methods
  • 2.1 Scope
  • 2.1.1 Rural health workforce
  • 2.1.2 Rural and remote communities: geographical considerations and definitions
  • 2.1.3 Outcomes of interest
  • 2.2 Process for reviewing this guideline and methodology
  • 2.2.1 Contributors to the guideline.
  • 2.2.2 Sources of evidence for the guideline
  • 2.3 Results
  • 2.3.1 Systematic review of results
  • 2.3.2 Stakeholder perception survey results
  • 2.4 Formulation of the recommendations
  • 2.5 Formulation of a good practice statement for guidelines
  • 2.6 Guiding principles for the formulation of policies to improve access to health workers in rural and remote areas
  • 2.6.1 Sustainable development, universal health coverage, primary health care and decent work
  • 2.6.2 Gender, equity and rights
  • 2.6.3 Harmonization with national health plan
  • 2.6.4 Understanding the health workforce
  • 2.6.5 Strengthening human resources for health management
  • 2.6.6 Social accountability in health workforce education
  • 3.0 Good practice statement and recommendations
  • Good practice statement for the development, attraction, recruitment and retention of health workers in rural and remote areas
  • 3.1 Recommendation 1: Enrol students with a rural background in health worker education programmes
  • 3.1.1 Rationale for recommendation
  • 3.1.2 Implementation considerations
  • 3.2 Recommendation 2: Locate health worker education facilities closer to rural areas
  • 3.2.1 Rationale for recommendation
  • 3.2.2 Implementation considerations
  • 3.3 Recommendation 3: Bring students in health worker education programmes to rural and remote communities
  • 3.3.1 Rationale for recommendation
  • 3.3.2 Implementation considerations
  • 3.4 Recommendation 4: Align health worker education with rural health needs
  • 3.4.1 Rationale for recommendation
  • 3.4.2 Implementation considerations
  • 3.5 Recommendation 5: Facilitate continuing education for rural and remote health workers
  • 3.5.1 Rationale for recommendation
  • 3.5.2 Implementation considerations.
  • 3.6 Recommendation 6: Enable rural health workers to enhance their scopes of practice to better meet the needs of their communities
  • 3.7 Recommendation 7: Expand range of health worker occupations to meet rural health needs
  • 3.7.1 Rationale for recommendation
  • 3.7.2 Implementation considerations
  • 3.8 Recommendation 8: Ensure that compulsory service agreements respect the rights of health workers and are accompanied with appropriate support and incentives
  • 3.8.1 Rationale for recommendation
  • 3.8.2 Implementation considerations
  • 3.9 Recommendation 9: Tie education subsidies for health workers to agreements for return of service in rural areas and remote areas
  • 3.9.1 Rationale for recommendation
  • 3.9.2 Implementation considerations
  • 3.10 Recommendation 10: Provide a package of attractive incentives to influence health workers' decisions to relocate to or remain in a remote or rural area
  • 3.10.2 Implementation considerations
  • 3.11 Recommendation 11: Improve living conditions in rural and remote areas
  • 3.12 Recommendation 12: Ensure workplace safety in rural and remote health facilities
  • 3.12.1 Rationale for recommendation
  • 3.12.2 Implementation considerations
  • 3.13 Recommendation 13: Ensure decent work for health workers in rural and remote areas
  • 3.13.1 Rationale for recommendation
  • 3.13.2 Implementation considerations
  • 3.14 Recommendation 14: Foster the creation of health workforce support networks
  • 3.14.1 Rationale for recommendation
  • 3.14.2 Implementation considerations
  • 3.15 Recommendation 15: Develop and strengthen career pathways for rural health workers
  • 3.15.1 Rationale for recommendation
  • 3.15.2 Implementation considerations
  • 3.16 Recommendation 16: Facilitate knowledge exchange between health workers
  • 3.17 Recommendation 17: Raise the profile of rural health workers.
  • 3.17.1 Rationale for recommendation
  • 3.17.2 Implementation considerations
  • 4.0 Selecting and evaluating the bundle of interventions
  • 4.1 Relevance: which interventions best respond to national priorities, and to the expectations of health workers and rural communities?
  • 4.2 Acceptability: which interventions are politically and socioculturally acceptable and have the most stakeholder support?
  • 4.3 Feasibility: which interventions face the fewest barriers to implementation?
  • 4.4 Affordability: which interventions are cost effective and what is their fiscal impact?
  • 4.5 Effectiveness: have complementarities and potential unintended consequences between various interventions been considered?
  • 4.6 Impact: what indicators will be used to measure impact over time?
  • 4.7 Dissemination and implementation plans for this guideline
  • 4.7.1 Dissemination
  • 4.7.2 Monitoring and evaluation
  • 5.0 Research agenda
  • 5.1 Expanding the evidence base
  • 5.2 Mainstreaming rural access into health systems and health outcomes research
  • 5.3 Ensuring evaluations are rigorous and well designed
  • 6.0 Updating this guideline.

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