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Health Workers’ Role in Health Service Integration

Mesrak BelatchewIn the past decade, the global health field has seen a number of interventions that tried to integrate health services for various purposes. Integrating family planning and HIV services have helped countries make use of the resources available for the latter to expand the scope and coverage of services. TB and HIV service integration is another example of synergy to strengthen both programs. The advantage of integration for consumers is clear: patients get comprehensive services, whether in the community or at health facilities.

Focusing on health workers
Through the years, we have learned that it’s vital to strengthen the existing health system as a whole. In integrating health services, these initiatives bring a welcome focus on the key role of health workers who provide services across the system. Read more »

A Midwife Crisis

“If we want to stop these women and babies dying, we need to invest in skilled care,” declared Flavia Bustreo, assistant director-general of family and community health at the World Health Organization. Bustreo’s declaration came on the heels of the release of the WHO’s State of the World’s Midwifery 2011: Delivering Health, Saving Lives. In an effort to facilitate the strengthening of midwifery education and service delivery, the report features data collected from 58 developed and developing countries and makes recommendations on how to improve access to midwives.  
 
Midwifery challenges
The term “midwife” literally means “being with the woman.” Midwifery care is essential in improving maternal health, reducing the likelihood of a woman’s death during childbirth, and reducing newborn deaths. The State of the World’s Midwifery report notes that 358,000 women and 3.6 million newborns die each year from complications in the neonatal, delivery, and postnatal periods. The report clearly cites that these deaths are largely preventable. Read more »

Addressing the Global Burden of NCDs: Health Workers Needed

Mesrak BelatchewIn the past few decades, the incidence and prevalence of noncommunicable diseases (NCDs) has continued to grow. The more we learn about the magnitude of NCDs, especially in developing countries, the more it’s clear that we need to focus on health workers as the center of our efforts to manage NCDs effectively.

The first Global Ministerial Conference on Healthy Lifestyles and Noncommunicable Disease Control, held in April 2011 in Moscow, drew much-needed attention to the global burden of NCDs. The conference report showed that cardiovascular diseases, diabetes, cancer, and chronic respiratory diseases are the leading causes of morbidity, disability, and mortality in the world. NCDs cause over 60% of global deaths, 80% of which occur in developing countries. In addition NCDs are projected to contribute to 75% of global deaths by 2030, significantly impacting all levels of health services, health care costs, and the health workforce, as well as national productivity. The June 2011 Global Health Council annual conference provided further exposure for global and country-based research findings, program interventions, lessons learned, and the way forward in addressing NCDs. Read more »

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