As World Health Day (Apr. 7) was rapidly approaching, public attention that week was being directed to the widespread shortage of health workers. The theme for World Health Day 2006, 'Working together for health', was chosen to add momentum to efforts at resolving the crisis -- something that is nowhere more evident than in Mozambique.
Human Resources
Migration of health workers is a hotly debated issue. It has contributed to shortages of medical staff in many regions of Africa, causing additional strain on already overstretched health systems. This article adresses the issue by discussing key arguments presented in several different published papers on the topic.
In recognition of the microbial and societal complexities underlying infectious disease control, this report emphasizes that mounting an effective response to infectious disease threats will require multidisciplinary efforts involving all sectors of the clinical medicine, public health, and veterinary medicine communities. Such a multidisciplinary approach must rest squarely on a well-prepared work-force within each of these communities. However, "the number of qualified individuals in the workforce required for microbial threat preparedness is dangerously low....".
Last year, Medact launched two new papers on the 'skills drain' of health professionals from the developing world, examining the economic, governance and human rights issues that surround this controversial issue. It proposes restitution as a solution and undertakes a comprehensive human rights check.
Pharmacists in hospitals and institutions have dismissed as inaccurate and lacking in detail measures proposed to improve working conditions and stop medical staff quitting SA.
Kenya should ignore donor restrictions and employ health workers needed urgently countrywide, an assistant minister has said. The country needs 10,000 health workers to offer improved services, Health assistant minister Enock Kibunguchy said.
In Tanzania access to urban and rural primary health care is relatively widespread, yet there is evidence of considerable bypassing of services; questions have been raised about how to improve functionality. The aim of this study was to explore the experiences of health workers working in the primary health care facilities in Kilimanjaro Region, Tanzania, in terms of their motivation to work, satisfaction and frustration, and to identify areas for sustainable improvement to the services they provide. The primary issues arising pertain to complexities of multitasking in an environment of staff shortages, a desire for more structured and supportive supervision from managers, and improved transparency in career development opportunities. Further, suggestions were made for inter-facility exchanges, particularly on commonly referred cases. The discussion highlights the context of some of the problems identified in the results and suggests that some of the preferences presented by the health workers be discussed at policy level with a view to adding value to most services with minimum additional resources.
Kenyatta National Hospital, which has over the years solely depended on government budgetary allocations, is now making a huge effort to be self-sufficient. At the same time, KNH chairman, Prof Alfred Mutema, disclosed that the board plans to raise the annual basic salaries for its workers by 15 per cent subject to approval by the Government.
Gauteng Health MEC, Dr Gwen Ramokgopa, has outlined plans to improve the working conditions of health professionals in the province. Presenting the plan to the finance committee of the Gauteng Legislature, Dr Ramokgopa said the department would undertake a series of measures to recruit and retain health professionals in the public health system.
In a bid to overcome the crippling staff shortages facing public hospitals, the health department has proposed doubling the annual supply of doctors, and increasing the yearly supply of new nurses and pharmacists 50%. The proposals are contained in the health department's latest draft of its National Human Resources Plan, released recently by Health Minister Manto Tshabalala-Msimang.