Lay health worker attrition: important but often ignored
Lay health worker attrition: important but often ignored
复制标题
DOI：
10.2471/blt.11.087825
复制
发表时间：
2011-12-01
期刊：
影响因子：
--
通讯作者：
Sanders, David
中科院分区：
文献类型：
--
作者：
Nkonki, Lungiswa;Cliff, Julie;Sanders, David
非专业卫生工作者是实现全民保健的关键，因此，衡量工作人员自然减员并确定其决定因素应成为任何非专业卫生工作者方案的组成部分。关于非专业卫生工作者的已发表和未发表的研究主要集中在他们可以有效提供的干预措施类型上。由于这些方案的主要目标是改善健康结果，因此这是一项必要的工作。然而，高自然减员率会损害这些方案的效力。缺乏对非专业卫生工作者流失的研究。旨在回答以下三个关键问题的研究将有助于解决这一知识差距：方案中的自然减员幅度如何？自然减员的决定因素是什么？减少自然减员最有效的方法是什么？随着基于社区的干预措施和任务转移在联合国千年发展目标的重要议程上占据重要位置，迫切需要关注对非专业卫生工作者流失及其决定因素的研究。
Lay health workers are key to achieving universal health-care coverage, therefore measuring worker attrition and identifying its determinants should be an integral part of any lay health worker programme. Both published and unpublished research on lay health workers has largely focused on the types of interventions they can deliver effectively. This is an imperative since the main objective of these programmes is to improve health outcomes. However, high attrition rates can undermine the effectiveness of these programmes. There is a lack cf research on lay health worker attrition. Research that aims to answer the following three key questions would help address this knowledge gap: what is the magnitude of attrition in programmes? What are the determinants of attrition? What are the most successful ways of reducing attrition? With community-based interventions and task shifting high on the United Nations Millennium Development Goals' po(sic)icy agenda, research on lay health worker attrition and its determinants requires urgent attention.