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báo cáo sinh học:" Effective scale-up: avoiding the same old traps"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Effective scale-up: avoiding the same old traps | Human Resources for Health BioMed Central Commentary Effective scale-up avoiding the same old traps Pape A Gaye and David Nelson Address IntraHealth International Inc. 6340 Quadrangle Drive Suite 200 Chapel Hill NC 27517 USA Email Pape A Gaye - pgaye@intrahealth.org David Nelson - dnelson@intrahealth.org Corresponding author Open Access Published 14 January 2009 Received 29 January 2008 Human Resources for Health 2009 7 2 doi l0.ll86 l478-449l-7-2 Accepted I4 January 2009 This article is available from http www.human-resources-health.cOm content 7 l 2 2009 Gaye and Nelson licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Despite progress in developing more effective training methodologies training initiatives for health workers continue to experience common pitfalls that have beset the overall success and costeffectiveness of these programs for decades. These include lack of country-level coordination of health training inequitable access to training interrupted services and failure to reinforce skills and knowledge training by addressing other performance factors. These pitfalls are now seen as aggravating the current crisis in human resources for health and impeding the effective scale-up of training and the potential impact of promising strategies such as task shifting to address health worker shortages. Drawing on IntraHealth International s lessons learned in designing reproductive health and HIV AIDS training and performance improvement programmes this commentary discusses promising practices for strengthening human resources for health through more efficient and effective training and learning programmes that avoid the same old traps. These promising practices include the following Assessing performance gaps .