Health Workers

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 »

The Seven-Billionth Person: A Global Health Workforce Perspective

This post was originally published on the IntraHealth International blog.

Sara Pacqué-MargolisOn October 31st the world welcomed Danica in the Philippines, Nargis in India, and numerous other babies who symbolize the seven-billionth person on our planet. It’s a timely moment to shine some light on the implications of population growth for the health and well-being of all our children and the generations to come.

Here’s the crux: the global shortage of health workers translates to an estimated billion people with no access to essential health services, according to a 2010 World Health Organization (WHO) report. So exactly how many health workers do we need to address this problem? The WHO has determined that 2.3 doctors, nurses, and midwives per 1,000 people is the minimum threshold needed to cover the population with essential health services. This is commonly referred to as the health worker density ratio.

Now here’s where the issue of population growth comes in. Planning and policy efforts to improve the health worker density ratio have focused on increasing the ratio’s numerator (health workers). Makes sense, right? But they’ve largely ignored the ratio’s denominator (population size). Read more »

Advocating Open Access: Information Has the Power to Save Lives

This post was originally published on the IntraHealth International blog.

To mark tCorinne Farrellhe beginning of Open Access Week, a global event now in its fifth year, which promotes open access as a new norm in scholarship and research, we started thinking about the concept of “open.” Google defines it as:

Allowing access, passage, or a view through an empty space; not closed or blocked up: ‘the door was wide open.’

IntraHealth has long championed the importance of health workers and managers having open access to information, particularly in developing countries. Open access is a natural extension of that work. As we blogged last spring, readily available and accessible information can help health workers save lives. Read more »

Creating Partnerships in Support of Health Workers in Uganda

Charles MatsikoIn Uganda, CapacityPlus works in collaboration with the Uganda Capacity Program and key country-level colleagues to strengthen the health workforce. This is an excerpt from an original post on the IntraHealth International blog.

I could begin every blog talking about the many countries, like Uganda, that find it challenging to build and maintain the kind of health workforce needed to deliver high-quality health services, particularly when faced with inadequate funding for human resources for health. These challenges can lead to health worker dissatisfaction, attrition, and absenteeism and are exacerbated by not enough of the right skill sets among health workers or by poor geographic distribution of those skills. But what I want to focus on today is what countries are actually doing to respond to these challenges, employ more staff, improve the workplace, and create strong leadership and management in the health sector. 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 »

Microfinance Institutions for Better Health: How Can They Benefit Health Workers?

Mesrak BelatchewIn my work with CapacityPlus to strengthen the global health workforce, I explore ways to improve the support system for health workers in developing countries. The Global Health Council conference session on “Wealth and health: Leveraging microfinance for better health outcomes,” which was organized by SHOPS (Strengthening Health Outcomes through the Private Sector), made me reflect on how microfinance might be used to support health workers.

The session highlighted different ways of engaging microfinance institutions for addressing community health needs. For instance, in Nigeria, the community health insurance is enrolling increasing number of participants in the benefit scheme. Such interventions have demonstrated improvement in accessibility of health services with affordable premiums. These and other initiatives could play a key role in modifying the purpose of microfinance institutions, which are traditionally designed to provide loan options and support the poor segments of the population to access small businesses and sustain life. Read more »

Thoughts on Motivating Health Workers

Maurice MiddlebergThis post was originally published on the IntraHealth International blog.

At the recent Global Health Council Conference, I had the great pleasure of moderating an IntraHealth/CapacityPlus-sponsored event on health worker motivation featuring two extraordinary people: Daniel Pink, the author of the best-selling Drive: The Surprising Truth About What Motivates Us, and Dr. Barbara Stilwell, director of technical leadership at IntraHealth.

Health leaders and managers wrestle constantly with the challenge of motivating health workers. Health workers must be retained, productive, and caring if the huge deficits in access to health workers are to be addressed. Pink and Stilwell brought to bear their very considerable expertise on this question. Read more »

Discrimination in Law: Putting Female Health Workers at Risk

Max SeunikThe temperature is stifling, red-tinged dust seems to coat every surface, and the whir of many fans fills the air with a rhythmic pulsing. I am seated on a bench in a small community center in Kati, Mali, observing a training meeting for all of the relais (health care volunteers) from the surrounding villages, sponsored by CapacityPlus.

The room is packed with women wearing bright and colourful boubous. Some are cradling babies, others are scribbling down notes—but they are all intensely attentive.

Relais are the backbone of Mali’s health care system. They are most important in remote underserved villages that lack health infrastructure, where they provide advice on prenatal and postnatal care. The training session focused on a picture book developed by the Malian government and a host of NGO partners.

The innovative guide has everything from images of a woman dragging her daughter to be excised under the word “NON” in a bold red to an illustration of a couple and their baby sleeping under a mosquito net. Read more »

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