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With nearly half of the world's population living in a rural or remote area, meeting the health needs of rural populations, where over 80% of the world's extremely poor live, is imperative in achieving universal health coverage. Leaving no one behind means ensuring that health workers are available in rural and remote areas. Health, social and economic inequities remain cross-cutting challenges for rural populations. Rural populations tend to be poorer, have worse health outcomes, and experience higher rates of unemployment, underemployment and informal employment. It is estimated that about 51-67% of rural populations are without adequate access to essential health services , translating to about 2 billion people being left behind. In some countries, rural populations have access to numbers of health workers that are 10 times less than the numbers available to urban populations. The deficiency in numbers and mix of trained motivated health workers to provide the needed health services is a critical health system issue. This inequitable access to health workers and health services impacts health outcomes and increases socioeconomic disadvantages. Higher under-5, maternal and preventable mortality rates, increased morbidity, decreased life expectancy, and more costs to access distant care are seen across rural areas.
Accompanying CD-Rom has same title as book.
This guideline aims to improve the quality of essential, routine postnatal care for women and newborns with the ultimate goal of improving maternal and newborn health and well-being. It recognizes a "positive postnatal experience" as a significant end point for all women giving birth and their newborns, laying the platform for improved short- and long-term health and well-being. A positive postnatal experience is defined as one in which women, newborns, partners, parents, caregivers and families receive information, reassurance and support in a consistent manner from motivated health workers; where a resourced and flexible health system recognizes the needs of women and babies, and respects their cultural context. This is a consolidated guideline of new and existing recommendations on routine postnatal care for women and newborns receiving facility- or community-based postnatal care in any resource setting.
This document is the first in a series of four technical tools in three interconnected action areas, which aim to guide the implementation in countries for strengthening the national public health workforce to deliver essential public health functions. This handbook provides an overview; the other tools in the series focus on: defining the essential public health functions and services (action area 1); competency-based education (action area 2); and mapping and measurement of occupations (action area 3).
This handbook is an essential resource which brings into focus key advances, challenges and lessons learned in strengthening human resources for health (HRH) data and evidence as a strategic objective of implementing the Global Strategy on Human Resources for Health: Workforce 2030, the recommendations of the United Nations Secretary-General High-level Commission on Health Employment and Economic Growth, and in the achievement of the WHO Thirteenth General Programme of Work (2019–2023 (GPW 13) targets, for a measurable impact on population health and development. Divided into three parts, the handbook presents the complementarity between WHO Health Labour Market Analysis Guidebook and WHO handbook on national health workforce accounts (NHWA) system strengthening approach to improving the availability, quality, analysis, dissemination and use of health workforce data and evidence to inform decision-making and planning in countries. It also features the committed country efforts, catalysed by networks and partner investments, in strengthening HRH information systems and their growing success in implementing NHWA and other WHO normative tools. Contributed by the six technical working groups of the Global Health Workforce Network (GHWN) Data and Evidence hub, the handbook is aimed at HRH policy-makers and planners, to provide contemporary insight on data sources and information needs to address policy questions around health workforce development, and as part of the broader intersectoral agenda to strengthening health systems resilience.
Rural Healthcare was the first textbook of rural medicine in the UK. In this fully revised second edition, it continues to fulfil the requirement for a resource dedicated to the particular needs of those living and practising in rural areas. Offering an authoritative, informative, evidence-based, practical reference book, it is required reading for undergraduate and postgraduate students of rural healthcare, a foundation for rural healthcare curriculae and an inspirational read. It is invaluable for both intending and established rural primary healthcare workers, including general practitioners, nurses, midwives, paramedics, therapists, managers and administrators.
International migration and mobility of health workers is increasing in volume and complexity. If not adequately managed, migration of health workers from low and middle-income countries can exacerbate shortages and can weaken health systems in these countries and widen inequities. Among various pathways for movement of health workers, government-to-government agreements hold important potential to ensure that health workers and the health systems of participating countries benefit from health worker migration and mobility. This guidance is a tool for improving the capacity of state actors involved in the development, negotiation, implementation, monitoring and evaluation of agreements related to international health worker migration and mobility, keeping health system priorities at the fore, in alignment with the provisions of the WHO Global Code of Practice on the International Recruitment of Health Personnel.