title: Regulatory Advances in 11 Sub-Saharan Countries in Year 3 of the African Health Profession Regulatory Collaborative for Nurses and Midwives (ARC).
abstract: Sub-Saharan Africa carries the greatest burden of the HIV pandemic. Enhancing the supply and use of human resources through policy and regulatory reform is a key action needed to improve the quality of HIV services in this region. In year 3 of the African Health Profession Regulatory Collaborative for Nurses and Midwives (ARC), a President's Emergency Plan for AIDS Relief initiative, 11 country teams of nursing and midwifery leaders ("Quads") received small grants to carry out regulatory improvement projects. Four countries advanced a full stage on the Regulatory Function Framework (RFF), a staged capability maturity model used to evaluate progress in key regulatory functions. While the remaining countries did not advance a full stage on the RFF, important gains were noted. The year-3 evaluation highlighted limitations of the ARC evaluation strategy to capture nuanced progress and provided insight into how the RFF might be adapted for future use.
authors.forename: Michelle
authors.initials: M
authors.lastname: Dynes
authors.forename: Laura
authors.initials: L
authors.lastname: Tison
authors.forename: Carla
authors.initials: C
authors.lastname: Johnson
authors.forename: Andre
authors.initials: A
authors.lastname: Verani
authors.forename: Alexandra
authors.initials: A
authors.lastname: Zuber
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Riley
mesh_terms: D017954:Africa South of the Sahara; D003299:Cooperative Behavior; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control*; D006281:Health Occupations; D006291:Health Policy; D006801:Humans; D008880:Midwifery / Q000379:methods* / Q000592:standards*; D009729:Nursing / Q000379:methods* / Q000592:standards*; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D011795:Surveys and Questionnaires
keywords: Africa; HIV; human resources for health; midwifery; nursing; regulation