RESEARCH
RESEARCH
Overarching research question:
ROLES AND TECHNOLOGY:
Learn how skill-mix including role substitution, delegation, supplementation, assisted by technologies, may best support FRH service delivery
STEWARDSHIP AND LEARNING:
Learn how to improve FRH performance, particularly around service delivery, management of the workforce and use of technologies
RETENTION & PERFORMANCE
Learn how to improve retention, well-being and performance of the individuals making up the FRH workforce
FACILITY READINESS:
Learn what human and material resources FRH have, what services are they currently providing
PATIENT RESPONSIVENESS, WAIT TIMES, REFERRALS:
Learn how FRHs currently respond to patient needs
HCW WELLBEING:
Learn what influences wellbeing and performance of individuals in the FRH workforce
Role of FRH in the integrated primary health care system
Effects of hardship areas and climate change
Effects of and on gender, equality and inclusion
What essential hospital services are FRH expected to provide across low-and middle-income countries (LMIC)?
How do policies define service expectations, FRH workforce requirements and integration with primary and higher levels of care in partner countries (South Africa, Kenya, and Uganda)?
What are considered ‘hardship areas’ and what incentives may be needed to support access to a skilled FRH workforce in these hardship areas?
In a set of sentinel hospitals across partner countries (South Africa, Kenya, and Uganda) what services are FRH actually delivering?
Which technologies to support role and service redesign have most potential to influence quality of care in FRH?
Which technological innovations are present or being introduced in the FRH of partner countries?
Where, why, and how are technologies influencing the role of and service redesign in FRH and quality of care?
How do we harness appropriate technologies to improve the access, quality, and efficiency of FRH in Africa?
What forms of role redesign are working (or not) to help deliver quality FRH care?
Where, why, and how do these changes to roles including task-sharing work?
In sentinel hospitals, which health workers with what roles are delivering services and what are the outcomes?
What are the experiences of the different health professionals in FRH and how do management factors, gender and differences in location influence workforce behaviours, well-being, and service delivery?
How does learning at the research-policy-practice interface happen, influence stewardship, and help customise the evidence generated to inform thinking on FRH within and across countries?
First Referral Hospitals in Low and Middle Income Countries: The need for a renewed focus Rosanna Jeffries Mazhar et al., 2023
First Referral Hospitals in Low-Resource Settings: A narrative review of expectations for clinical service provision Tamara Mulenga Willows et al.