With a shortage of health care workers and increasing demand to provide ART, existing ART delivery models may not be adequate and many have argued the need to rethink standard delivery models. Researchers and practitioners have argued that we should consider context-specific delivery models that rely much less on medical doctors in situations where they are in short supply. This feature discusess this matter in detail.
Human Resources
Focus on human resources for health in scaling up ART Delivery
Eldis Health Systems Reporter - HIV/AIDS Feature
Health-care workers must be given a fairer deal
World Health Organisation
The World Health Organization (WHO) warns that failure to address problems confronting health workers may push some health systems to the brink of collapse. It describes the grave implications of neglecting health workers' rights in terms of remuneration and working conditions.
Medical brain drain puts Southern Africa in a quandary
Inter Press Service News Agency: Nduru M
The figures tell it all. In South Africa, 37 percent of the country's doctors and seven percent of its nurses have migrated to Australia, Canada, Finland, France, Germany, Portugal, Britain and the United States. These statistics, compiled by the Organisation for Economic Co-operation and Development (OECD) and the World Health Organisation (WHO), reflect the magnitude of the health worker "brain drain" in Southern Africa.
Nurses leave, health care in Africa suffers
The Philadelphia Inquirer: Bengali S
The promise of higher salaries and better working conditions lures about 20,000 African nurses and other health-care workers annually to richer countries. The brain drain makes it even harder for African countries to treat diseases such as AIDS, tuberculosis and malaria, which kill millions each year, experts say. But with the United States facing its own nursing shortage, some on Capitol Hill want to make it easier for foreign nurses to immigrate to America. The article describes policies that have facilitated this change.
Retaining health workers in Zimbabwe
Zimbabwe Association of Doctors for Human Rights
The Zimbabwe Association of Doctors for Human Rights (ZADHR) statement on World Health Day recognized that realization of the highest attainable standard of physical and mental health remains a daily struggle for all health workers in Zimbabwe. The Zimbabwean health delivery sector is presently in a severe state with a massive exodus of qualified health workers, resulting from many factors, amongst them poor remuneration and lack of basic medical equipment necessary for health workers to satisfactorily carry out their work.
Further details: /newsletter/id/31476
SA's medical brain drain at crisis point
Cape Argus/IOL: Govender S
Health Minister Manto Tshabalala-Msimang early in April began World Health Day celebrations with the launch of the new Human Resources (HR) Health Plan, which is meant to help combat the rapidly increasing migration of doctors. The section in the HR plan for health dealing with the migration of health personnel showed that 23 407 South African-born health professionals were now working in Australia, Canada, New Zealand, the United Kingdom and the United States alone.
South African government launches health resources plan
I-Africa
Proposals on increasing the number of health workers in South Africa and new rules on the hiring of foreign workers in this field form part of the National Human Resource Plan for Health launched early in April on World Health Day. According to the plan, on the Department of Health's website, proposed staff increases include increasing the current newly-qualified 1200 medical practitioners per year to 2400 by 2014, staff nurses from 5000 to 8000 by 2008 and pharmacists from 400 to 600.
Southern Africa: Working together for health
Pambazuka News
It is ironic to be talking of working together for health in southern Africa - a region faced with chronic shortages of health workers as a result of massive brain drain, inadequate drugs, inadequate and chronic shortage of infrastructure and equipment. Working together for health was this year’s theme for World Health Day, commemorated on the 7th of April. Yet the authors further discuss the disheartening fact that little was said in southern Africa for World Health Day.
The global migration of nurses: importing skills, exporting shortages
id21health
Research by the World Health Organisation explores the international migration of nurses and the implications for five countries: Australia, Ireland, Norway, the UK and the USA. The flow of nurses to these countries has risen during the 1990s, and, in some cases, recruitment is from developing countries. In this article the researchers propose a number of policy options to manage nurse migration and make a number of recommendations for improving workforce data systems.
WHO's 2006 World health report a disappointment
Lancet: Samarasekera, U
While the World Health Organization's focus on human resources for health in its 2006 World Health Report (WHR) is welcome, the lack of detailed data in the report is disappointing, states an editorial in this week's issue of The Lancet. The author explains how ".....[it] shows just how much of a gap exists between current knowledge and what is necessary to inform policymaking."