Evidence map›Paper›PMID 39696577›Full record

ArticleHuman resources for health2024

Building health systems resilience in Central Asia through nursing and midwifery: evidence to inform policy action.

Alba Llop-Gironés, Gulnaz Kachkynovna Azhymambetova, Aizat Kubanysbekovna Asanova, Yusufi Salomuddin, Malohat Hikmatulloevna Boynazarova, Firdavs Orifovich Raupov, Nazira Usenovna Zholzhanova, Naila Beksautovna Ruzdenova, Gulnora Sheraliyevna Tojiboyeva, Rikhsi Kamilovna Salikhodjayeva and 1 more

Abstract read
In one paragraph

Article in Human resources for health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alba Llop-GironésWHO European Region, Copenhagen, Denmark.
Gulnaz Kachkynovna AzhymambetovaDepartment of Organization of Medical Care and Drug Policy, Ministry of Health of the Kyrgyz Republic, Bishkek, Kyrgyzstan.
Aizat Kubanysbekovna AsanovaAssociation of Nursing Specialists of the Kyrgyz Republic, Bishkek, Kyrgyzstan.
Yusufi SalomuddinMinistry of Health of the Republic of Tajikistan, Dushanbe, Tajikistan.
Malohat Hikmatulloevna BoynazarovaMinistry of Health of the Republic of Tajikistan, Dushanbe, Tajikistan.
Firdavs Orifovich RaupovMinistry of Health of the Republic of Tajikistan, Dushanbe, Tajikistan.
Nazira Usenovna ZholzhanovaDepartment of Science and Human Resources, Ministry of Healthcare of the Republic of Kazakhstan, Astana, Kazakhstan.
Naila Beksautovna RuzdenovaUnion of Medical Colleges of Kazakhstan, Almaty, Kazakhstan.
Gulnora Sheraliyevna TojiboyevaDepartment of Nursing With Higher Education of the Center for Development of Professional Qualification of Medical Workers, Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan.
Rikhsi Kamilovna SalikhodjayevaDepartment of Nursing With Higher Education of the Center for Development of Professional Qualification of Medical Workers, Ministry of Health of the Republic of Uzbekistan, Tashkent, Uzbekistan.
Margrieta LanginsWHO European Region, Copenhagen, Denmark. langinsm@who.int.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recent announcement of the next WHO State of the World's Nursing and Midwifery Reports calls for a review of the state of nursing and midwifery worldwide. In the WHO European region, a broad set of health system reforms have been introduced in Central Asian countries (CACs), namely, the Republic of Kazakhstan, the Kyrgyz Republic, the Republic of Tajikistan, Turkmenistan and the Republic of Uzbekistan. These reforms have become the focus of a series of sub-regional policy dialogs between CACs, led by government chief nursing and midwifery officers, to accelerate the implementation of a package of policies to strengthen the capacity of nurses and midwives and build health system resilience. This study reviews the current state of nursing and midwifery capacity and documents future actions that can be taken in CACs. CASE PRESENTATION: A systematic approach was used to describe trends, capacity and gaps in CACs' education, practice, regulation, leadership, and working conditions of nurses and midwives. Currently, CACs face challenges in increasing the level, quality and evidence-base of nursing and midwifery education, require efforts to expand the role of nurses, with emphasis on PHC and particular attention is required to decent working conditions, including fair income and security in the workplace. The GCNMOs have demonstrated experience in the oversight of both workforces and require support for effective work in making policies. To build health systems resilience in CACs through nursing and midwifery, a strategic package of evidence-informed actions that addresses education, practice, regulation, leadership, and working conditions of nurses and midwives is suggested for the period up to 2030.

conclusionsCurrent educational reforms and curricular development, combined with innovations in clinical practice and working environment can be pursued to foster better access to quality of care, enhance workplace satisfaction and improve recruitment and retention of nurses and midwives. However, to fully achieve this, CACs will require increased institutional capacity; strengthened data for nursing and midwifery planning in the context of health workforce policy and health priorities, and financial and non-financial investment in the nursing and midwifery workforce.

Indexed as

Health PolicyMidwiferyAsia, CentralCapacity BuildingDelivery of Health CareEducation, NursingFemaleHealth Care ReformHumansLeadershipNurse's RolePregnancyCareEducationHealth policyHealth workforce governanceHealth workforce planningLeadershipMidwiferyNursingWorking conditions

Identifiers

PMID39696577
PMCPMC11654295

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.