A staff support programme for rural hospitals in Nepal

Bulletin of the World Health Organization
Mark ZimmermanBruce Hayes

Abstract

District hospitals in Nepal struggle to provide essential services such as caesarean sections. Retention of health workers is critical to the delivery of long-term, quality health-care services. To promote retention and enhance performance in rural public hospitals, the Government of Nepal and the Nick Simons Institute progressively implemented a rural staff support programme in remote hospitals. After competitive selection for a compulsory-service scholarship and training, family practice doctors who could do basic surgery, orthopaedics and obstetrics were hired under a binding three-year contract in each participating hospital. Comfortable living quarters and an Internet connection were provided for the resident doctors; in-service training for all staff and capacity development for each hospital's management committee were provided. Nepal's mountainous landscape, poverty and inequitable rural/urban distribution of health workers pose barriers to adequate health care. Between 2011 and 2015 family practice doctors were maintained in all seven programme hospitals. All hospitals became providers of comprehensive emergency obstetric care and served more patients. Compared with hospitals not within the programme, deliveries increa...Continue Reading

References

Jul 26, 2008·The Australian Journal of Rural Health·Katrina ButterworthBhusan Neupane
May 13, 2010·Bulletin of the World Health Organization·Seble FrehywotHeather Ross
May 13, 2010·Bulletin of the World Health Organization·Sebastian PeñaOscar Arteaga
May 13, 2010·Bulletin of the World Health Organization·Manuel M DayritJean-Marc Braichet
Feb 5, 2013·Human Resources for Health·Rapeepong SuphanchaimatViroj Tangcharoensathien

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Citations

Apr 10, 2016·Midwifery·Simone Grilo Diniz
May 12, 2018·Human Resources for Health·Bikash GauchanSantosh Dhungana
Nov 17, 2020·Frontiers in Public Health·Agya MahatRobert B Gerzoff

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