TAILIEUCHUNG - Human resources for maternal, newborn and child health: from measurement and planning to performance for improved health outcomes

The physical, social and intellectual development of children from conception to the end of adolescence requires an environment that is both protected and protective of their health. A growing number of dis- eases in children are linked to unsafe environments. Prenatal and early life exposures, including diet, are associated with child health and human development and predispose to late adult effects. Thus, the INMA project is based on three main rationales. First, exposure to environmental pollutants through air, water and food is worldwide. Children are espe- cially vulnerable to its effects as they are not just little adults, they are still growing, and their immune sys- tem and detoxification mechanisms are not fully. | Gupta et al. Human Resources for Health 2011 9 16 http content 9 1 16 HUMAN RESOURCES FOR HEALTH REVIEW Open Access Human resources for maternal newborn and child health from measurement and planning to performance for improved health outcomes I S-. S-. u- I I cm I k- .4- s 1 o I h I s I I -Ị 12A I r Z S c z s3 c K S s l I 1 S s Fz-s V4 h ỉ I I A KỲ KỲ s I A D nh s5 Ch n I c I V z l M r6 Neeru Gupta Blerta Maiiqi Adson rranpa Frank Nyonator Munammao A rale David sanders Hedia Belhadj7 and Bernadette Daelmans8 Abstract Background There is increasing attention globally and in countries to monitoring and addressing the health systems and human resources inputs processes and outputs that impede or facilitate progress towards achieving the Millennium Development Goals for maternal and child health. We reviewed the situation of human resources for health HRH in 68 low- and middle-income countries that together account for over 95 of all maternal and child deaths. Methods We collected and analysed cross-nationally comparable data on HRH availability distribution roles and functions from new and existing sources and information from country reviews of HRH interventions that are associated with positive impacts on health services delivery and population health outcomes. Results Findings from 68 countries demonstrate availability of doctors nurses and midwives is positively correlated with coverage of skilled birth attendance. Most 78 of the target countries face acute shortages of highly skilled health personnel and large variations persist within and across countries in workforce distribution skills mix and skills utilization. Too few countries appropriately plan for authorize and support nurses midwives and community health workers to deliver essential maternal newborn and child health-care interventions that could save lives. Conclusions Despite certain limitations of the data and findings we identify some key areas where governments .

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