Human resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Uganda

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dc.contributor.authorZakumumpa, Henry
dc.contributor.authorOladunni Taiwo, Modupe
dc.contributor.authorMuganzi, Alex
dc.contributor.authorSsengooba, Freddie
dc.date.accessioned2023-01-27T15:33:16Z
dc.date.available2023-01-27T15:33:16Z
dc.date.issued2016
dc.description.abstractHuman resources for health (HRH) constraints are a major barrier to the sustainability of antiretroviral therapy (ART) scale-up programs in Sub-Saharan Africa. Many prior approaches to HRH constraints have taken a top-down trend of generalized global strategies and policy guidelines. The objective of the study was to examine the human resources for health strategies adopted by front-line providers in Uganda to sustain ART delivery beyond the initial ART scale-up phase between 2004 and 2009. Methods: A two-phase mixed-methods approach was adopted. In the first phase, a survey of a nationally representative sample of health facilities (n = 195) across Uganda was conducted. The second phase involved in-depth interviews (n = 36) with ART clinic managers and staff of 6 of the 195 health facilities purposively selected from the first study phase. Quantitative data was analysed based on descriptive statistics, and qualitative data was analysed by coding and thematic analysis. Results: The identified strategies were categorized into five themes: (1) providing monetary and non-monetary incentives to health workers on busy ART clinic days; (2) workload reduction through spacing ART clinic appointments; (3) adopting training workshops in ART management as a motivation strategy for health workers; (4) adopting non-physician-centred staffing models; and (5) devising ART program leadership styles that enhanced health worker commitment. Conclusions: Facility-level strategies for responding to HRH constraints are feasible and can contribute to efforts to increase country ownership of HIV programs in resource-limited settings. Consideration of the human resources for health strategies identified in the study by ART program planners and managers could enhance the long-term sustainment of ART programs by providers in resource-limited settings.en_US
dc.identifier.citationZakumumpa, H., Taiwo, M. O., Muganzi, A., & Ssengooba, F. (2016). Human resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Uganda. Human resources for health, 14, 1-11. DOI 10.1186/s12960-016-0160-5en_US
dc.identifier.other10.1186/s12960-016-0160-5
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7345
dc.language.isoenen_US
dc.publisherHuman resources for healthen_US
dc.subjectHIVen_US
dc.subjectHealth systemsen_US
dc.subjectSustainabilityen_US
dc.subjectImplementation scienceen_US
dc.subjectHuman resources for healthen_US
dc.titleHuman resources for health strategies adopted by providers in resource-limited settings to sustain long-term delivery of ART: a mixed-methods study from Ugandaen_US
dc.typeArticleen_US
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