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Adhering to these themes on the whole creates the potential for increased productivity, which in turn reduces negative impact of inappropriate human resource provision.
The results of the assessment showed that the district is clearly performing well in terms of HIV testing within antenatal care and this has been achieved through adequate human resource provision in terms of lay counsellors and a philosophy of making HIV testing a routine component of antenatal care.
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Against this backdrop, some have gone so far as to suggest that a badly managed introduction of ART "could do more harm than good" [ 14], and that the shortage of skilled personnel and inequities in human resource provisioning in the public sector might worsen, especially in the primary health care (PHC) system and particularly in poorer and rural districts.
It is important to highlight that in addition to required physical and human resources, provision of quality care requires leadership and addressing challenges to professional accountability and governance.
From a large list of potential indicators collated from existing information -- rather than requiring new data collection -- we selected a limited set of 16 variables covering three major domains: infrastructure and human resources, provision of services, and financial resources for health.
The national universities questions sought details on national universities with faculties of health sciences, whether these faculties conducted research, and if they had MoUs with MoH and if the MoUs were for the development of human resources, provision of technical support to MoH, or undertaking of research for MoH.
Health system practice factors included health service functionality, human resources provisions, level of decision-making, costs of health services, and the governance and coordination structure.
There were several factors affecting CHW or programme performance related to the health system practice: health service functionality (including supplies), human resources provisions, the level of decision-making, the costs of health services, and the governance and coordination structure (Table 1).
The challenges are apparent in terms of access and referral process, poor management of complicated cases due to inadequate human resource and provision of medicine and supplies.
EESC capacity was lacking in all areas investigated – infrastructure, human resources, service provision, and equipment and supplies.
Severe disparities in infrastructure, human resources, service provision, and essential equipment and supplies demonstrate the significant gaps in capacity of hospitals to deliver EESC and effectively address the increasing surgical burden of disease and injury in Cameroon.
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