IHP news 470: Human Resources for Health

By on May 18, 2018

SS&M – How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework


Close-to-community (CTC) providers have been identified as a key cadre to progress universal health coverage and address inequities in health service provision due to their embedded position within communities. CTC providers both work within, and are subject to, the gender norms at community level but may also have the potential to alter them. This paper synthesises current evidence on gender and CTC providers and the services they deliver. This study uses a two-stage exploratory approach drawing upon qualitative research from the six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium. This research took place from 2013 to 2014. … … The resulting findings from both stages informed the development of a conceptual framework. We present the holistic conceptual framework to show how gender roles and relations shape CTC provider experience at the individual, community, and health system levels. The evidence presented highlights the importance of safety and mobility at the community level. At the individual level, influence of family and intra-household dynamics are of importance. Important at the health systems level, are career progression and remuneration. We present suggestions for how the role of a CTC provider can, with the right support, be an empowering experience. Key priorities for policymakers to promote gender equity in this cadre include: safety and well-being, remuneration, and career progression opportunities. Gender roles and relations shape CTC provider experiences across multiple levels of the health system. To strengthen the equity and efficiency of CTC programmes gender dynamics should be considered by policymakers and implementers during both the conceptualisation and implementation of CTC programmes.”

Reuters – Kenyan doctors angered by move to hire Cuban doctors


Kenya’s government is pushing ahead with a plan to hire 100 Cuban doctors despite opposition from a doctors’ union that says the money could be used to employ local physicians instead.”

“… Ouma Oluga, secretary general of Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU), told Reuters the decision is unethical because there are enough doctors locally. “There are 2,000 Kenyan doctors that require employment and 170 specialists … have not been deployed by the Ministry of health,” he said. “We do not understand why a government would be creating employment for another country and not their own.”…”

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