Health Workers

Nursing Education Partnership Initiative Tackles the Global Nursing Shortage

Kate TulenkoAround the world nurses are often the front line of the formal medical system, providing care to underserved areas and filling in where and when doctors are in short supply. Yet it has been estimated that sub-Saharan Africa needs 600,000 additional nurses just to meet the Millennium Development Goals.

The Nursing Education Partnership Initiative (NEPI)—the US Government’s unified program to address the underproduction of nursing professionals in developing countries—convened its partners for the first time in a meeting in June in Washington, DC. NEPI’s goal is to assist in the nursing component of the US Government’s commitment to training 140,000 additional health workers in developing countries by 2015.

NEPI is led by PEPFAR with government partners USAID and the Department of Health and Human Services. Other partners include CapacityPlus led by IntraHealth International, Columbia University, the World Health Organization, and the Clinton Health Access Initiative. Read more »

Finally, a Major Step Forward in Protecting Health Workers and Facilities

This post was originally published on the IntraHealth International blog.

Despite firLeonard Rubensteinm standards rooted in the Geneva Conventions to protect health facilities, health workers, and the patients served during armed conflict, and to enable health professionals to act consistently with their ethical obligations, assaults on and interference with health functions are all too common in war. Aside from the human toll they take, these attacks often compromise the ability to deliver care to populations in great need, impede efforts to reconstruct health systems after war, and lead to the flight of health workers whose presence in a time of great social stress is essential.

The international community has taken few steps to provide guidance to promote compliance with the law, or to assess and report on violations in a uniform and comprehensive manner. Sound methodologies for data collection about these assaults have not been developed. The lack of systematic reporting and documentation of these violations contributes to continued disregard for an established and internationally recognized legal framework of protection. Mechanisms to encourage compliance with these international norms are needed as a first step in preserving critical health services in conflict settings. Read more »

Exploring the Frontier: A Firsthand Perspective on Health Workforce Challenges in South America

Remote regions of the world often face the most challenges accessing health services and health workers. In the frontier areas on the border of Bolivia and Peru, these difficulties are anticipated to intensify with the completion of the transoceanic highway. Intended to link South American ports on the Pacific and the Atlantic oceans, the highway will open this rural frontier to increased commerce, traffic and migration, as well as an increased demand for health services. Consequently, with the opening of the highway, incidence of HIV/AIDS, tuberculosis, and other communicable diseases will likely increase. 

CapacityPlus recently conducted a study to learn more about the health workforce providing HIV/AIDS services in this region. Anne Wilson led the team that collected data in Madre de Dios, the Peruvian zone on the borders of Brazil and Bolivia, and, along with the other three team members, facilitated a dissemination workshop that presented findings and recommendations. Anne’s resume is full of high-level HRH experience, including serving as director of the Capacity Project. Read more »

Managing a Health Workforce Crisis: Lessons from the Global Context

Maurice Middleberg

“Happy families are all alike,” goes the famous opener to Leo Tolstoy’s Anna Karenina. But are countries with a critical shortage of health workers all alike, in terms of their health outcomes?

While in Nairobi for Kenya’s first national conference on human resources for health, I talked about how we tend to lump the so-called “health workforce crisis” countries together and assume that their health worker shortages correspond to similarly poor health outcomes.

As it turns out, some countries have managed their health workforce shortage more effectively than others. Read more »

The Life of Health Students and Professionals in Developing Countries: A Snapshot

Mesrak BelatchewThere are 57 countries that fail to meet the World Health Organization’s recommended minimum threshold of 2.3 health workers per 1,000 people. Everyone agrees on the fact that the health workforce crisis is beyond the numbers. The increased migration of health workers and the lack of trained health providers in rural and remote areas are manifestations of the inherent lack of capacity of the health and education systems in developing countries to adequately recruit, train, and support their health workers.

Typically, students that join health science institutions have strong records of academic achievement. Their personal aspirations coupled with the high expectations of their families, teachers, and their communities increase their desire to achieve more. They dream of getting more education and training to enable them to help others. Read more »

A Successful Initiative for Health Workforce Development in Ethiopia

Sarah DwyerMental health is not always on the forefront of people’s minds when they think about global health and the critical shortage of trained health workers. But the need is there.

In Ethiopia, Dr. Markos Tesfaye recalls a “huge mental health professional deficit.” He is head of the department of psychiatry in the College of Public Health and Medical Sciences at Jimma University. In 2007, he says, “there were only 28 psychiatrists in the country for a population of about 80 million.” Complicating matters, he recalls, “psychiatry nurses who had advanced diploma-level education were shifting to do their degree in general nursing because of lack of opportunities to advance their career in the field of mental health.” Read more »

Hundreds of HR Management Professionals Network and Learn in Nairobi

Doris MwareyIt was a great opportunity for me to sit among hundreds of human resources professionals from Kenya and the East Africa region during the recent 16th National human resources management forum organized by the Kenya Institute of Human Resource Management (IHRM) in Nairobi. The forum was graced with highly experienced and resourceful facilitators from different sectors and it was very exciting to learn from their experiences, successes, and challenges.

A key highlight for me was hearing the direction that most successful institutions are now taking in managing their human resources—focusing more on the strategic function of human resources management (HRM) over the administrative components. They are placing an emphasis on talent management as a way to have the upper edge in a competitive environment, while acknowledging effective talent management processes begin with careful selection and deployment practices, or “getting it right from the start.” Read more »

Celebrating World AIDS Day: Getting to Zero

Amanda PuckettEvery December 1st, I pull out a small red ribbon and attach it to my sweater to commemorate World AIDS Day. To me, this is a very important day to raise awareness about the HIV/AIDS epidemic and reflect on both where we have made achievements in battling the epidemic and where we really need to persevere to do better. This year through 2015, World AIDS Day has a special theme: "Getting to zero: Zero new HIV infections. Zero discrimination. Zero AIDS-related deaths."

People with HIV are living longer

Though gains have been made in reducing the number of new HIV infections, there is still a significant portion of our global population living with AIDS. According to UNAIDS, an estimated 34 million people were living with HIV in 2010, an increase of 17% from 2001. These numbers tell several stories. Read more »

Family Planning and Access to Health Workers

This post was originally published on the IntraHealth International blog.

Maurice Middleberg

Amid the worldwide health worker shortage, some low-income countries are managing to show impressive levels of modern contraceptive use. How does access to skilled health workers affect family planning use, and what are some countries doing differently?

Fifty-seven countries have a critical shortage of health workers, and progress on the ground remains much slower than any of us would like to see—evidence from the Global Health Workforce Alliance suggests that only about half the national workforce plans are actually being implemented. Not one of these 57 health workforce “crisis” countries identified by the World Health Organization in 2006 has achieved the recommended minimum threshold of 2.3 doctors, nurses, and midwives per 1,000 people. Read more »

Health Worker Strikes: What Can the Global Health Community Do to Help?

Rebecca RhodesHave you noticed the large number of health worker strikes happening all over the world—in Sudan, Israel, Ghana, Nigeria, Kenya, Spain, Montenegro, the Canary Islands, Australia, Argentina, and other places? As I read the news the past few weeks, I started thinking about the impact these strikes have on the people in need of care as well as the intrinsic right of any worker to fight for fair treatment, wages, and working conditions.

Strikes aren’t always a simple matter of salary, but in most recent examples I’ve read about, money was the core cause. While we can’t pretend that strikes by health workers don’t put innocent lives at risk, health care providers are still entitled to the same rights as other workers. Many health workers have poorly paid jobs with inadequate resources, the threat of violence, and a high risk of infection from HIV or other infectious diseases. The health and well-being of any country’s people depends on these workers, so it is difficult to understand why countries would risk a strike rather than do everything they can to provide adequate salaries, or in some cases even a basic living wage. Read more »

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