Last data update: Sep 16, 2024. (Total: 47680 publications since 2009)
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Query Trace: Riley Patricia L [original query] |
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Advancing a midwifery perspective in health systems and human resources
Riley Patricia L . Afr J Midwifery Womens Health 2011 5 (4) 162-162 Prior to her untimely death earlier | this year, in her final editorial in | AJM, Professor Helen Igobeko Lugina | exhorted midwives to be proactive in ‘closing | the gap between research and action’ (Lugina, | 2011). In recognizing that many African | countries face weakened health systems that | include human resource shortages, Professor | Lugina laid out a visionary role that midwives be well versed in both the substance | and science of these issues and engage in | the related activities of policy and decisionmaking. Professor Lugina foresaw midwifery’s | role—if not its obligation—to participate in | the health care system discussion and advocate | for appropriate change. | As we recognize the loss of this ardent supporter of nursing, midwifery, and maternal, | newborn and child health (MNCH), there | is no better tribute than acquainting midwives with the latest science, policies, and | programmes in the complementary fields of | health systems (HS) and human resources for | health (HRH). Today’s global midwife practitioner needs to gain professional skills that go | beyond clinical proficiency in the provision of | health services, or even sound management | of local health care programmes and services. | Relevant engagement of Africa’s midwives also | involves understanding of the components | that comprise a health system and acquiring | the analytic capabilities for assessing, designing, and evaluating appropriate interventions. | Since nearly every country in Africa is experiencing a critical shortage of health care | providers, professional competency for midwifery leaders also requires technical abilities | in HRH to diagnose the underlying causes of | HRH attrition, outmigration, low retention, | and absenteeism and to apply evidence-based | solutions. Effecting positive change in these | areas also involves interdisciplinary collaboration and communication, both seen as essential skill sets for working with a diverse range | of national stakeholders in a variety of settings | (Joint Learning Initiative, 2004; Reich et al, | 2008; Institute of Medicine, 2010a). |
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