Marjolein Dieleman

Staff

Marjolein Dieleman, PhD, MPH, MSc is senior advisor Health Systems and Human Resources for Health (HRH) and director of KIT’s WHO collaborating center for Human Resources for Health

Marjolein has extensive experience in strategic human resource for health planning, policy and management, in institutional strengthening and in developing and applying adult learning approaches in training. Key areas include (participatory action) research on complex health systems, with a focus on governance and accountability, research and policy development on health workforce, and support in knowledge translation for policy and practice. She has a particular interest in theory-based approaches to evaluation and research.

Marjolein is deputy editor of the Human Resources for Health Journal. She also is a review panel member of the multi and trans-disciplinary Solution-Oriented Research for Development programme (SOR4D) of the Swiss National Science Foundation/Swiss Development Cooperation. Marjolein’s geographic focus is mainly in Sub-Saharan Africa, with a focus on Francophone Africa.

Publications

A spatial analysis of TB cases and abnormal X-rays detected through active case-finding in Karachi, Pakistan

Tuberculosis (TB) is the leading cause of avoidable deaths from an infectious disease globally and a large of number of people who develop TB each year remain undiagnosed. Active case-finding has been recommended by the World Health Organization to bridge the case-detection gap for TB in high burden countries.

Authors

O Onvlee, M Kok, M Dieleman, J Buchan, M Hamza

Year of Publication

2023

Nature
Human Resources for Health in Conflict Affected Settings: A Scoping Review of Primary Peer Reviewed Publications 2016–2022
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How to scale-up: a comparative case study of scaling up a district health management strengthening intervention in Ghana, Malawi and Uganda

The need to scale up public health interventions in low- and middle-income countries to ensure equitable and sustainable impact is widely acknowledged. However, there has been little understanding of how projects have sought to address the importance of scale-up in the design and implementation of their initiatives. This paper aims to gain insight into the facilitators of the scale-up of a district-level health management strengthening intervention in Ghana, Malawi and Uganda.

Authors

M Kok, M Dieleman, O Onvlee, S Bulthuis

Year of Publication

2023

BMC Health Services Research
How to scale-up: a comparative case study of scaling up a district health management strengthening intervention in Ghana, Malawi and Uganda
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How context influences the functionality of community-level health governance structures:

A case study of community health committees in Kenya

Community Health Committees (CHCs) are mechanisms through which communities participate in the governance and oversight of community health services. While there is renewed interest in strengthening community participation in the governance of community health services, there is limited evidence on how context influences community-level structures of governance and oversight.

Authors

M Kok, M Dieleman

Year of Publication

2023

The International Journal of Health Panning and Management
How context influences the functionality of community-level health governance structures: A case study of community health committees in Kenya
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Participation in primary health care through community-level health committees in sub-Saharan Africa: a qualitative synthesis

Health committees are key mechanisms for enabling participation of community members in decision-making on matters related to their health. This paper aims to establish an in-depth understanding of how community members participate in primary health care through health committees in sub-Saharan Africa

Authors

R Karuga, M Kok, M Luitjens, P Mbindyo, J.E.W. Broerse, M Dieleman

Year of Publication

2022

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Download Participation in primary health care through community-level health committees in sub-Saharan Africa
Assessing the scalability of a health management-strengthening intervention at the district level: a qualitative study in Ghana, Malawi and Uganda

The scale-up of successfully tested public health interventions is critical to achieving universal health coverage. To ensure optimal use of resources, assessment of the scalability of an intervention is recognized as a crucial step in the scale-up process. This study assessed the scalability of a tested health management-strengthening intervention (MSI) at the district level in Ghana, Malawi and Uganda.

Authors

S Bulthuis, M Kok, O Onvlee, T Martineau, J Raven, F Ssengooba, J Namakula, H Banda, P Akweongo, M Dieleman

Year of Publication

2022

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Download Assessing the scalability of a health Open Access management-strengthening intervention at the district level: a qualitative study in Ghana, Malawi and Uganda
Using a theory of change in monitoring, evaluating and steering scale-up of a district-level health management strengthening intervention in Ghana, Malawi, and Uganda – lessons from the PERFORM2Scale consortium

Since 2017, PERFORM2Scale, a research consortium with partners from seven countries in Africa and Europe, has steered the implementation and scale-up of a district-level health management strengthening intervention in Ghana, Malawi and Uganda. This article presents PERFORM2Scale’s theory of change (ToC) and reflections upon and adaptations of the ToC over time. The article aims to contribute to understanding the benefits and challenges of using a ToC-based approach for monitoring and evaluating the scale-up of health system strengthening interventions, because there is limited documentation of this in the literature.

Authors

S Bulthuis, M Kok, M Dieleman, O Onvlee, R Murphy, P Akweongo, J Namakula, H Banda, K Wyss, J Raven, T Martineau

Year of Publication

2022

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Download Using a theory of change in monitoring, evaluating and steering scale-up of a district-level health management strengthening intervention in Ghana, Malawi, and Uganda – lessons from the PERFORM2Scale consortium
Perform2Scale – Synthesis Report

The evaluation of the PERFORM project demonstrated that a management strengthening intervention was effective in enabling district-level, health management teams to improve health district management based on local evidence, solve workforce performance problems and improve service delivery. The Perform2Scale programme scaled-up this intervention in Malawi, Ghana and Uganda.

Authors

J Raven, M Aikins, H Banda, S Bulthuis, K Chikaphupha, M Dieleman, S Huff, M Kok, W Mansour, T O’Byrne, O Onvlee, F Ssengooba, K Wyss, T Martineau

Year of Publication

2022

Downloads
Download Perform_To_Scale_Synthesis report
How district health decision-making is shaped within decentralised contexts: A qualitative research in Ghana, Malawi and Uganda.

This study explores how district-level health system decision-making is shaped by power dynamics in different decentralised contexts in Ghana, Malawi and Uganda.

Authors

S.E Bulthuis, M.C Kok, S Amon, S.A Agyemang, X Nsabagasani, L Sanudi, J Raven, M Finn, J Gerold, O Tulloch, M.A Dieleman

Year of Publication

2021

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Download How district health decision making is shaped within decentralised contexts A qualitative research in Malawi Uganda and Ghana
Mental Health and Psychosocial Support – Brief

Authors

B Tolboom, L Juanola, M Dieleman, M van Duijl

Year of Publication

2020

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Download MHPSS_Brief_KIT-SIDA_2020
Mental Health and Psychosocial Support – Report

Authors

B Tolboom, L Juanola, M Dieleman, M van Duijl

Year of Publication

2020

Downloads
Download Mental Health and Psychosocial Support KIT/SIDA 2020
Factors influencing the scale-up of public health interventions in low- and middle-income countries: a qualitative systematic literature review

To achieve universal health coverage, the scale-up of high impact public health interventions is essential. However, scale-up is challenging and often not successful. Therefore, a systematic review was conducted to provide insights into the factors influencing the scale-up of public health interventions in low- and middle-income countries (LMICs).

Authors

Susan E. Bulthuis, Maryse C. Kok, Joanna Raven, Marjolein A. Dieleman

Year of Publication

2019

Links
Factors influencing the scale-up of public health interventions in low- and middle-income countries: a qualitative systematic literature review
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Coming Full Circle

This paper presents findings from a study which sought to understand why health workers working under the results-based financing (RBF) arrangements in Zimbabwe reported being satisfied with the improvements in working conditions and compensation, but paradoxically reported lower motivation levels compared to those not working under RBF arrangements.

Authors

Sumit Kane, Crecentia Gandidzanwa , Ronald Mutasa , Irene Moyo , Chenjerai Sisimayi , Patron Mafaune , Marjolein Dieleman

Year of Publication

2018

Links
Download the report
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Performance of community health workers

Situating their intermediary position within complex adaptive health systems

Health systems are social institutions, in which health worker performance is shaped by transactional processes between different actors. This analytical assessment unravels the complex web of factors that influence the performance of community health workers (CHWs) in low- and middle-income countries. It examines their unique intermediary position between the communities they serve and actors in the health sector, and the complexity of the health systems in which they operate. The assessment combines evidence from the international literature on CHW programmes with research outcomes from the 5-year REACHOUT consortium, undertaking implementation research to improve CHW performance in six contexts (two in Asia and four in Africa)

Authors

M. Kok, S. Theobald, H. Ormel, M. Dieleman, M. Taegtmeyer

Year of Publication

2017

Links
link to the report
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Strengthening the health workforce to implement public health interventions in the South-Eastern European Health Network: lessons learned from a technical meeting

Through the WHO European Region’s Health 2020 policy framework, countries agreed to work together on policy priorities for public health such as strengthening people-centred public health systems and public health capacity. Alongside the Health 2020 strategy, the seventh of the 10 essential public health operations devised by the WHO Regional Office for Europe focuses on assuring a sufficient and competent public health workforce.

Authors

Ingrid Zuleta, M. Dieleman, P. Zwanikken

Year of Publication

2017

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Download 59ccfe7df153e_Panorama-article-Policy_Practice_1
Social norms and family planning decisions in South Sudan

With a maternal mortality ratio of 789 per 100,000 live births, and a contraceptive prevalence rate of 4.7%, South Sudan has one of the worst reproductive health situations in the world. Understanding the social norms around sexuality and reproduction, across different ethnic groups, is key to developing and implementing locally appropriate public health responses.

Authors

S. Kane, M. Rial, A. Matere, M. Dieleman, J.E.W Broerse, M. Kok

Year of Publication

2016

Links
link to rapport
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Health surveillance assistants as intermediates between the community and health sector in Malawi: exploring how relationships influence performance

There is increasing global interest in how best to support the role of community health workers (CHWs) in building bridges between communities and the health sector. CHWs’ intermediary position means that interpersonal relationships are an important factor shaping CHW performance. This study aimed to obtain in-depth insight into the facilitators of and barriers to interpersonal relationships between health surveillance assistants (HSAs) and actors in the community and health sector in hard-to-reach settings in two districts in Malawi, in order to inform policy and practice on optimizing HSA performance.

Authors

M. Kok, I. Namakhoma, L. Nyirenda, K. Chikaphupha, J.E.W Broerse, M. Dieleman, M. Taegtmeyer, S. Theobald

Year of Publication

2016

Links
Link to rapport
Downloads
Gender relations and women’s reproductive health in South Sudan

In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births.

Authors

S. Kane, M. Rial, A. Matere, M. Dieleman, J.E.W Broerse, M. Kok

Year of Publication

2016

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Download Gender relations and women’s reproductive health
Optimising the benefits of community health workers’ unique position between communities and the health sector

Community health workers (CHWs) have a unique position between communities and the health sector. The strength of CHWs’ relationships with both sides influences their motivation and performance. This qualitative comparative study aimed at understanding similarities and differences in how relationships between CHWs, communities and the health sector were shaped in different Sub-Saharan African settings.

Authors

M Kok, H. Ormel, S. Kane, M. Dieleman

Year of Publication

2016

Links
Read this article in Global Public Health - An International Journal for Research, Policy and Practice
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Download Optimising the benefits of community health workers’ unique position between communities and the health sector: A comparative analysis of factors shaping relationships in four countries Download Key note speech CHW symposium Kampala, 23 February 2017
Social norms and family planning decisions in South Sudan

With a maternal mortality ratio of 789 per 100,000 live births, and a contraceptive prevalence rate of 4.7%, South Sudan has one of the worst reproductive health situations in the world. Understanding the social norms around sexuality and reproduction, across different ethnic groups, is key to developing and implementing locally appropriate public health responses.

Authors

S. Kane, M Kok, M. Dieleman, et al.

Year of Publication

2016

Links
Read this article
Downloads
Gender relations and women’s reproductive health in South Sudan

In South Sudan, women disproportionately bear the burden of morbidity and mortality related to sexual and reproductive health, with a maternal mortality ratio of 789 deaths per 100,000 live births

Authors

S. Kane, M. Dieleman, et al.

Year of Publication

2016

Downloads
Download GHA-9-33047
Health surveillance assistants as intermediates between the community and health sector in Malawi: exploring how relationships influence performance

Authors

M Kok, M. Dieleman

Year of Publication

2016

Links
Read this article
Costs and cost-effectiveness of community health workers: evidence from a literature review

This study sought to synthesize and critically review evidence on costs and cost-effectiveness of community health worker (CHW) programmes in low- and middle-income countries (LMICs) to inform policy dialogue around their role in health systems.

Authors

K. Vaughan, M Kok, S. Witter, M. Dieleman

Year of Publication

2015

Links
Read article
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A qualitative assessment of health extension workers’ relationships with the community and health sector in Ethiopia: opportunities for enhancing maternal health performance

Health extension workers (HEWs) in Ethiopia have a unique position, connecting communities to the health sector. This intermediary position requires strong interpersonal relationships with actors in both the community and health sector, in order to enhance HEW performance. This study aimed to understand how relationships between HEWs, the community and health sector were shaped, in order to inform policy on optimizing HEW performance in providing maternal health services.

Authors

M Kok, M. Dieleman, et al.

Year of Publication

2015

Links
Read article
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Social accountability for maternal health services in Muanda and Bolenge Health Zones, Democratic Republic of Congo: a situation analysis

The Democratic Republic of the Congo is one of the countries in Sub-Saharan Africa with the highest maternal mortality ratio estimated at 846 deaths per 100,000 live births. Innovative strategies such as social accountability are needed to improve both health service delivery and utilization. Indeed, social accountability is a form of citizen engagement defined as the ‘extent and capability of citizens to hold politicians, policy makers and providers accountable and make them responsive to their needs.’ This study explores existing social accountability mechanisms through which women’s concerns are expressed and responded to by health providers in local settings.

Authors

M. Dieleman

Year of Publication

2015

Links
Read article
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Download social-accountability-for-maternal-health
Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review

Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in lowand middle-income countries (LMICs). Many factors influence CHW performance. A systematic review was conducted to identify intervention design related factors influencing performance of CHWs. We systematically searched six databases for quantitative and qualitative studies that included CHWs working in promotional, preventive or curative primary health services in LMICs. One hundred and forty studies met the inclusion criteria, were quality assessed and double read to extract data relevant to the design of CHW programmes. A preliminary framework containing factors influencing CHW performance and characteristics of CHW performance (such as motivation and competencies) guided the literature search and review.

Authors

M Kok, M. Dieleman, S. Kane, H. Ormel, et al.

Year of Publication

2015

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Download 56bdb58dae786_HPP-CHW-design-in-LMIC-review
How does context influence performance of Community Health Workers in low and middle income countries? Evidence from the literature

Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. A systematic review with a narrative analysis was conducted to identify contextual factors influencing performance of CHWs.

Authors

M Kok, S. Kane, H. Ormel, K Koning, de, M. Dieleman

Year of Publication

2015

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Recruitment and retention of health professionals across Europe: A literature review and multiple case study research

Many European countries are faced with health workforce shortages and the need to develop effective recruitment and retention (R&R) strategies. Yet comparative studies on R&R in Europe are scarce. This paper provides an overview of the measures in place to improve the R&R of health professionals across Europe and offers further insight into the evidence base for R&R; the interaction between policy and organisational levels in driving R&R outcomes; the facilitators and barriers throughout these process; and good practices in the R&R of health professionals across Europe. The study adopted a multi-method approach combining an extensive literature review and multiple-case study research. 64 publications were included in the review and 34 R&R interventions from 20 European countries were included in the multiple-case study. We found a consistent lack of evidence about the effectiveness of R&R interventions. Most interventions are not explicitly part of a coherent package of measures but they tend to involve multiple actors from policy and organisational levels, sometimes in complex configurations. A list of good practices for R&R interventions was identified, including context-sensitivity when implementing and transferring interventions to different organisations and countries. While single R&R interventions on their own have little impact, bundles of interventions are more effective. Interventions backed by political and executive commitment benefit from a strong support base and involvement of relevant stakeholders.

Authors

M. Dieleman

Year of Publication

2015

Links
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Cost-effectiveness of community-based practitioner programmes in Ethiopia, Indonesia and Kenya

The aim of the present study is to assess the cost–effectiveness of community-based practitioner programmes with different design features across three countries – Ethiopia, Indonesia and Kenya – in which these initiatives have been implemented to scale.

Authors

Barbara McPake, Ijeoma Edoka, Sophie Witter, Karina Kielmann, Miriam Taegtmeyer, Marjolein Dieleman, Kelsey Vaughan, Elvis Gama, Maryse Kok, Daniel Datiko, Lillian Otiso, Rukhsana Ahmed, Neil Squires, Chutima Suraratdechah, Giorgio Cometto

Year of Publication

2015

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Download Cost–effectiveness of community-based practitioner programmes in Ethiopia, Indonesia and Kenya
Costs and cost-effectiveness of community health workers: evidence from a literature review.

This study sought to synthesize and critically review evidence on costs and cost-effectiveness of community health worker (CHW) programmes in low- and middle-income countries (LMICs) to inform policy dialogue around their role in health systems.

Authors

M. Kok, K. Vaughan, S. Witter, M. Dieleman

Year of Publication

2015

Links
Link to rapport
Downloads
A qualitative assessment of health extension workers’ relationships with the community and health sector in Ethiopia: opportunities for enhancing maternal health performance

Health extension workers (HEWs) in Ethiopia have a unique position, connecting communities to the health sector. This intermediary position requires strong interpersonal relationships with actors in both the community and health sector, in order to enhance HEW performance. This study aimed to understand how relationships between HEWs, the community and health sector were shaped, in order to inform policy on optimizing HEW performance in providing maternal health services.

Authors

M. Kok, K.Z. Aschenaki, D.G. Datiko, J.E.W Broerse, M. Dieleman, M. Taegtmeyer, O. Tulloch

Year of Publication

2015

Links
Link to rapport
Downloads
A systematic review of outcome and impact of Master’s in health and health care

Authors

P. Zwanikken, D. Samaranayake, N. Akwataghibe, A. Scherpbier, M. Dieleman

Year of Publication

2013

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Download 5515271d2b4f0_Zwanikken2013-systreview
Planification pour une couverture universelle : Les ressources humaines en santé maternelle, néonatale et infantile au Burkina Faso

en 2013-2025

Le Ministère de la Santé de Burkina Faso et ses partenaires techniques et financiers se sont engagés à mettre en œuvre le Plan National de Développement Sanitaire (PNDS) 2011-2020 avec le but de contribuer à l’amélioration de la performance du système de santé et à la prestation de soins de santé de qualité. Les objectifs principaux de ce plan sont surtout axés sur la santé des mères, des enfants et nouveau-nés. Dans le cadre de Muskoka, le Burkina Faso a bénéficié d’un appui pour l’analyse des ressources humaines en santé maternelle, néonatale et infantile, la projection et la formulation des stratégies pour répondre aux principaux défis et combler les lacunes de ce personnel. Cet appui cadre bien avec l’orientation stratégique du PNDS concernant le développement des ressources humaines pour la santé pour lequel un Plan de développement des ressources humaines pour la santé 2013-20 (PDRHS) a été développé. Un plan d’action triennal est en train d’être développé pour dynamiser la mise en œuvre du PDRHS. Les résultats de l’’appui dans le cadre du Muskoka seront intégrées dans le plan national de ressources humaines pour la santé. Ce rapport présente les interventions stratégiques proposées pour améliorer la disponibilité, accessibilité, acceptabilité et qualité des ressources humaines, de la santé maternelle, néonatale et infantile au Burkina Faso et les résultats de ce processus seront intégrés dans le plan d’action triennal. L’analyse a été commissionnée par le Ministère de la Santé du Burkina Faso avec l’appui financière du Gouvernement de la République Française à travers les Fonds Français Muskoka en faveur des Objectifs Millénaires de Développement 4 (réduction de la mortalité infantile) et 5 (amélioration de la santé maternelle).

Authors

Selma Scheewe , Marjolein Dieleman , Jean -Jacques Millogo, Adame Traore

Year of Publication

2013

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Download Burkina-rapport-techniqueVF
Measuring workload for tuberculosis service provision at primary care level: a methodology.

We developed and piloted a methodology to establish TB related work load at primary care level for clinical and laboratory staff. Workload is influenced by activities to be implemented, time to perform them, their frequency and patient load. Of particular importance is the patient pathway for diagnosis and treatment and the frequency of clinic visits. Using observation with checklists, clocking, interviews and review of registers, allows assessing the contribution of different factors on the workload.

Authors

L. Blok, S. van den Hof, S.G. Mfinanga, A. Kahwa, E. Ngadaya, L. Oey, M. Dieleman

Year of Publication

2012

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Client perspectives on the responsiveness of HIV services.

“At the health centres, you are asked many questions like: ‘Have you given birth, what is your age, whom do you live with, are you in your menses…?” a respondent said. “But in the chemist, you are injected without questions,” another said. And yet another respondent said: “In chemists it is business.” “You only say what you came for, are told to lie down and injected without questions in the chemists,” another respondent said.

Authors

A. van der Kwaak, K. 't Hooft, M. Dieleman, E. Kwagala

Year of Publication

2012

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Download 1969_Exchange_2012_1.1
Realist review and synthesis of retention studies for health workers in rural and remote areas

Policy-makers in every country are faced with the significant challenge of meeting the health needs of their populations, including the especially vulnerable communities in remote and rural areas. In order to ensure the equitable delivery of health services in these areas, skilled and motivated health workers need to be in the right place at the right time.

Authors

M. Dieleman, S. Kane, P. Zwanikken, B. Gerretsen

Year of Publication

2011

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Realist review and synthesis of retention studies for health workers in rural and remote areas

Authors

M. Dieleman, S. Kane, P. Zwanikken, B Gerretsen

Year of Publication

2011

Links
WHO
Downloads
PDF version
Improving the implementation of health workforce policies through governance: a review of case studies

Authors

M. Dieleman, D. Shaw, P. Zwanikken

Year of Publication

2011

Links
View article on HRH website
Increasing access to health workers in underserved areas: a conceptual framework for measuring results

Authors

L. Huicho, M. Dieleman, et al

Year of Publication

2010

Links
Go to article
A realist synthesis of randomised control trials involving use of community health workers for delivering child health interventions in low and middle income countries

A key constraint to saturating coverage of interventions for reducing the burden of childhood illnesses in Low and Middle Income Countries (LMIC) is the lack of human resources. Community health workers (CHW) are potentially important actors in bridging this gap. Evidence exists on effectiveness of CHW in management of some childhood illnesses (IMCI). However, we need to know how and when this comes to be. We examine evidence from randomized control trials (RCT) on CHW interventions in IMCI in LMIC from a realist perspective with the aim to see if they can yield insight into the working of the interventions, when examined from a different perspective.

Authors

S. Kane, B Gerretsen, M. Dieleman, et al.

Year of Publication

2010

Links
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Responsible governance for human resources for health

Authors

A. Canavan, M. Dieleman, T. Hilhorst, C. Hodgkin

Year of Publication

2010

Links
HRH conference 15-16 March 2010
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PDF version
Triggering meaningful change

Authors

M. Dieleman

Year of Publication

2010

Downloads
PDF version
Policies and practices of countries that are experiencing a crisis in human resources for health: tracking survey

Authors

A. van den Broek, F. Gedik, M. Dal Poz, M. Dieleman

Year of Publication

2010

Links
Download the tracking survey from the WHO website
Downloads
Download Policies and practices
A realist synthesis of randomised control trials involving use of community health workers for delivering child health interventions in low and middle income countries.”

Authors

S.S Kane, B. Gerretsen, R. Scherpbier, M. Dal Poz, M. Dieleman

Year of Publication

2010
Human resource management interventions to improve health workers’ performance in low and middle income countries: a realist review

Authors

M. Dieleman, B Gerretsen, G. J. van der Wilt

Year of Publication

2009

Links
Health Research Policy and Systems
Triggering meaningful change

Authors

M. Dieleman

Year of Publication

2009

Downloads
PDF version
Human resource management interventions to improve health workers’ performance in low and middle income countries: a realist review

Authors

M. Dieleman, B. Gerretsen, G.J van der Wilt

Year of Publication

2009
Quest for quality

Authors

S. Adjei, E. Maniple, T.B. Dokotala, I. Mpoza K., P.M. Pamba, E. Pearl, M. Dieleman, T. Hilhorst

Year of Publication

2009

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PDF version
Staffing remote rural areas in middle- and low-income countries

Many countries in middle- and low-income countries today suffer from severe staff shortages and/or maldistribution of health personnel which has been aggravated more recently by the disintegration of health systems in low-income countries and by the global policy environment. One of the most damaging effects of severely weakened and under-resourced health systems is the difficulty they face in producing, recruiting, and retaining health professionals, particularly in remote areas.

Authors

U. Lehmann, M. Dieleman, T. Martineau

Year of Publication

2008

Links
View article on BMC Health Services Research
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Download Staffing remote rural areas in middle- and low-income countries: A literature review of attraction and retention
‘We are also dying like any other people, we are also people’: perceptions of the impact of HIV/AIDS on health workers in two districts in Zambia

Authors

Anke van der Kwaak, M. Dieleman, G. Biemba, S. Mphuka, K. Sichinga-Sichali, D. Sissolak, G. van der Wilt

Year of Publication

2007

Links
Health Policy and Planning
Downloads
Download Perceptions of the impact HIvAids on health workers
‘I believe that the staff have reduced their closeness to patients’

Authors

M. Dieleman, V. Bwete, E. Maniple, M.I. Bakker, G. Namaganda , J. Odaga, G. J. van der Wilt

Year of Publication

2007

Links
View article
Improving health worker performance: in search of promising practices

Authors

M. Dieleman, J.W. Harnmeijer

Year of Publication

2006

Links
World Health Organization
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PDF version
The match between motivation and performance management of health sector workers in Mali

A motivated and qualified workforce is crucial to increase the productivity and quality of health services in order to contribute to achieving health services targets. Priority programmes have a stake in a skilled and motivated workforce, as they are implemented primarily by a health facility’s existing health staff. Motivation in the work context is defined as “an individual’s degree of willingness to exert and maintain an effort towards organisational goals”. The challenge for managers is how to create this kind of motivation. Research has shown that workers and their managers often perceive motivation differently. In addition, little is known about the motivational factors that are important for health workers in resource-poor settings.

Authors

M. Dieleman, J. Toonen, H. Toure, T. Martineau

Year of Publication

2006

Links
Human Resources for Health
Downloads
Download 881_match-between-motivation-Mali
Workers for priorities in health

Disease- or health-determinant specific programmes are important components of any health agenda. Such programmes respond to specific health threats, whether perceived or real. They are set up because the control of these threats requires a focused approach and interventions. In Low-Income Countries (LICs), however, most of these programmes fall short of their ambition because, for full implementation, human resources for health (HRH) are not, or cannot, be made available (in quantity or in quality) where they are needed most.

Authors

G. Elzinga, M. Dieleman, G. Dussault, M. Chowdurhy

Year of Publication

2005

Links
Joint Learning Initiative
Downloads
Download 717_Workers-for-Priorities
Specific programs and human resources: addressing a key implementation constraint

This paper explores human resources constraints in health service delivery, especially with regards to specific disease control and provides an inventory of strategies that can be used to overcome constraints. This paper is the edited version of the report on the meeting of the Working Group “Priority Diseases” which is one of the seven working groups of the Joint Learning Initiative currently exploring strategies to address the human resources constraints in health services delivery

Authors

M. Dieleman

Year of Publication

2004

Links
Global Health Trust / JLI Workers for Priorities in Health
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Download 609_Specific-programs
Identifying factors for job motivation of rural health workers in North Viet Nam

Many Ministries of Health are trying to improve the functioning of their health care system by introducing changes in resource allocation, better management and changes in the role of the government, such as more responsibility at lower levels through decentralisation. A prerequisite of a well-functioning system is a well-motivated workforce. The Ministry of Health in Viet Nam gives great importance to the development of a public health network, in order to provide good quality health care services. As most people live in rural areas, an extensive public health network is required in rural areas so as to provide appropriate care close to the people. This implies the need to keep sufficient qualified and motivated human resources in the rural areas.

Authors

M. Dieleman, P. Viet Cuong, L. Vu Anh, T. Martineau

Year of Publication

2003

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Download 468_Identifying-factors
Retention of human resources for health in Eastern Europe

Authors

A. van den Broek, C. Jansen, M. Dieleman

Links
Download Policy brief: Attracting and retaining health workers in the Member States of the South-eastern Europe Health Network Download workshop report
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Study protocol: a realist synthesis of the effect of social accountability interventions on health service providers’ and policymakers’ responsiveness

Authors

E. Lodenstein, M. Dieleman, B. Gerretsen, J. Broerse
Performances of sexuality counselling: A framework for provider-client encounters

2010

Authors

A. van der Kwaak, K. Ferris, J. van Kats, M. Dieleman
Too afraid to go: Social fears as reasons for non-use of maternal health services in South Sudan

South Sudan has one of the worst health and maternal health situations in the world. Across South Sudan, while maternal health services at the primary care level are not well developed, even where they exist, many women do not use them. Developing location specific understanding of what hinders women from using services is key to developing and implementing locally appropriate public health interventions.

Authors

S. Kane, M. Kok, M. Rial, A. Matere, M. Dieleman, J.E.W Broerse

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Which intervention design factors influence performance of community health workers in low and middle income countries?

A systematic review

Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in lowand middle-income countries (LMICs). Many factors influence CHW performance. A systematic review was conducted to identify intervention design related factors influencing performance of CHWs. We systematically searched six databases for quantitative and qualitative studies that included CHWs working in promotional, preventive or curative primary health services in LMICs. One hundred and forty studies met the inclusion criteria, were quality assessed and double read to extract data relevant to the design of CHW programmes. A preliminary framework containing factors influencing CHW performance and characteristics of CHW performance (such as motivation and competencies) guided the literature search and review

Authors

M. Kok, M. Dieleman, M. Taegtmeyer, J. Broerse, S. Kane, H. Ormel, M. Tijm, K. de Koning

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How does context influence performance of Community Health Workers in low and middle income countries? Evidence from the literature

Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. A systematic review with a narrative analysis was conducted to identify contextual factors influencing performance of CHWs.

Authors

M. Kok, S. Kane, O. Tulloch, H. Ormel, S. Theobald, M. Dieleman, M. Taegtmeyer, J.E.W Broerse, K. de Koning

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Link to rapport
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Other publications

Recruitment and retention of health professionals across Europe: A literature review and multiple case study research

Authors: M. Kroezen, G. Dussault, I. Craveiro, M. Dieleman, C. Jansen, J. Buchan, L. Barriball, A.M. Rafferty, J. Bremner, W. Sermeus

Year of Publication: 2015

Social accountability for maternal health services in Muanda and Bolenge Health Zones, Democratic Republic of Congo: a situation analysis

Authors: E.M. Mafuta, M.A. Dieleman, L.M. Hogema, P.N. Khomba, F.M. Zioko, P.K. Kayembe, T. de Cock Buning, T.N.M. Mambu

Year of Publication: 2015

Realizing universal health coverage for maternal health services in the Republic of Guinea: the use of HRH projections to design health labour market interventions

Authors: C. Jansen, L. Codjia, G. Cometto, M. Dieleman

Year of Publication: 2014

Public Policy, Health System and Community Action to Illness as Platforms for Response to NCDs in Tanzania: a narrative review

Authors: E. Metta, B. Msambichaka, M.M Mwangome, D.J Nyato, M. Dieleman, H. Hinke Haisma, P.R Paul Klatser, E. Geubbels

Year of Publication: 2014

Assessing health workers revenues and coping strategies in Nigeria – a mixed methods study

Authors: N. Akwataghibe, D. Samaranayake, C. Lemiere; M. Dieleman

Year of Publication: 2013

Is the existing knowledge of health workers regarding eye care in children sufficient to meet needs?

Authors: E. Kishiki, M. Hogeweg, M. Dieleman, S. Lewallen, P. Courtright

Year of Publication: 2012

Rational planning for Human Resources in TB control at primary care: a methodology to assessactual workload

Authors: L. Blok, S. van den Hof, S.G. Mfinanga, A. Kahwa, E. Ngadaya, L. Liesbeth Oey, M. Dieleman

Year of Publication: 2012

Editorial of the special issue on Human Resources for Health and Governance

Authors: M. Dieleman, T. Hilhorst

Year of Publication: 2011

Increasing access to health workers in underserved areas: a conceptual framework for measuring results

Authors: L. Huicho, M. Dieleman, J. Campbell, L. Codjia, D. Balabanova, G. Dussault, C. Dolea

Year of Publication: 2010

Staffing remote rural areas in middle- and low-income countries: a literature review of attraction and retention.

Authors: U. Lehmann, M. Dieleman, T. Martineau

Year of Publication: 2008

I believe that the staff have reduced their closeness to patients’: an exploratory study on the impact of HIV/AIDS on staff in four rural hospitals in Uganda

Authors: M. Dieleman, V. Bwete, E. Maniple, M. Bakker, G. Namaganda, J. Odaga, G. J van der Wilt

Year of Publication: 2007

Identifying factors for job motivation of rural health workers in North Viet Nam

Authors: M. Dieleman, P.V. Cuong, L.V Anh, T. Martineau

Year of Publication: 2003

Emerging practices of faith-based organisations addressing human resources for health.

In: Olivier J and Wodon Q The comparative nature of faith-inspired health care provision in Sub-Saharan Africa: strengthening the evidence for faith-inspired health engagement in Africa, volume 2

Authors: M. Dieleman, T. Hilhorst, J. Utrera

Year of Publication: 2012

Quest for Quality, Interventions to Improve Human Resources for Health among Faith-Based Organisations

Authors: S. Adjei, E. Maniple, T.B. Dokotala, I. Mpoza, P.M. Pamba, E. Pearl, M. Dieleman (ed.), T. Hilhorst (ed.)

Year of Publication: 2009

Improving health worker performance: in search of promising practices

Authors: M. Dieleman

Year of Publication: 2006

Specific programs and human resources: addressing a key implementation constraint

Authors: M. Dieleman

Year of Publication: 2004

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KIT Royal Tropical Institute is an independent centre of expertise and education for sustainable development. We assist governments, NGOs and private corporations around the world to build inclusive and sustainable societies, while measuring their impact.

Guided by the Sustainable Development Goals (SDGs) of the United Nations, our work focuses on health, gender, economic development and intercultural cooperation.

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