Preservice

Emergency Care Comes into Focus in Ghana

Carol Bales and Gracey VaughnDr. Eno Biney is an emergency medicine specialist at the Komfo Anokye Teaching Hospital in Kumasi, the second-largest city in Ghana. She’s part of a new cohort of health workers that are changing the way emergency care happens in the country.

See Dr. Eno Biney on the cover of Impact magazine. This issue is all about health workers.

“I chose to specialize in emergency medicine because I realized that it was one of the most lacking specialties in our country,” Eno says. “There wasn’t any form of organized emergency treatment of patients.”

Instead, Ghanaians injured in accidents or suffering from medical, surgical, or obstetric emergencies were rushed to feebly equipped emergency care centers that didn’t have specially trained health workers or triaging systems in place. During her medical training, Eno saw the resulting delays in diagnosis and treatment—and lost lives. Read more »

Tracking Graduates from Kilimanjaro Christian Medical University College: Progress, Benefits, and Challenges

An exultant white building surrounded by lush gardens, the Kilimanjaro Christian Medical University College (KCMUCo) gazes at Mount Kilimanjaro, known as “Mama Kili,” with each sunrise. Located in Moshi, Tanzania, the school has been training physicians for over a decade. The first 15 medical doctors graduated in 2002.

While it is still a young institution, KCMUCo has been working hard to address the unmet health care needs of sub-Saharan Africa by increasing the number of health workers and retaining them in Tanzania. Through the support of the Medical Education Partnership Initiative (MEPI), the school is focusing on scaling up training, with the number of annual graduates rising to 150 to date. KCMUCo has also updated its programs of study to ensure that medical students are acquiring relevant competencies to provide care for rural and underserved populations. Read more »

Health Professional School Leaders Are Critical in National Health Planning and Policies for Emerging Epidemics

Health professional school leaders must be seen as a vital health sector resource, and used accordingly.

Richard SeifmanThere have been over 4,000 known Ebola cases in Liberia, Sierra Leone, Guinea, and Senegal, resulting in 2,000 deaths. Of this number over 300 health workers have become sick and roughly half have died. There has been a significant immediate funding response from the international community including an initial $21 million investment in protective gear, chlorine bleach, and food aid, and deployment of CDC and USAID personnel, with additional USAID funding totaling $100 million. Further, there are commitments from the World Bank ($230 million) and the African Development Bank ($60 million).

These financial commitments are critical, but as Stephen Morrison of the Global Health Policy Center, Center for Strategic and International Studies, wrote recently, “On the ground, several thousand additional workers capable of implementing emergency disaster programs are needed, and will require protection and expedited training and deployment. These critical elements are needed urgently today, but where will they come from?” Read more »

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