This Week's News 5 August 2011



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This Week's News

5 August 2011

Weekly news clippings service featuring articles on the Global Health Workforce Alliance and selection of articles from around the world on the issue of the health workforce crisis





GHWA and Partners ¦ Medical Journals ¦ Africa & Middle East ¦ Asia & Pacific ¦ North America ¦ Europe ¦ Latin America & Caribbean


This compilation is for your information only and should not be redistributed



GHWA and Partners

Date

Headline


Publication

01.08.11

Health and Education at top priority of Government: PM 


Associated Press of Pakistan

01.08.11

Strengthening Zimbabwe’s Social Services Workforce to Help Orphans and Vulnerable Children



Capacity Plus

.07.11

Health Workers’ Role in Health Service Integration



Capacity Plus

29.07.11

Wajir - Bearing the Brunt of the Drought in Northern Kenya



AMREF

03.08.11

What more might the BMJ do in Africa? (20) Promoting health research in Africa



HIFA2015

Medical Journals


Date

Headline


Publication

30.07.11

UN High-Level Meeting on Non-Communicable Diseases: addressing four questions



The Lancet, UK

12.07.11

Individualized Cost-Effectiveness Analysis

PLoS Medicine


04.08.11

The effect of mobile phone text-message reminders on Kenyan health workers' adherence to malaria treatment guidelines: a cluster randomised trial



The Lancet, UK

03.08.11

Human Rights Report Details Violence Against Health Care Workers in Bahrain 



JAMA

27.07.11

RCGP helps drive reform of primary care in India 



GP Online, UK

Africa & Middle East


Date

Headline


Publication

27.07.11

Interns' Strike Underscores Major Shortcomings



The New Vision, Uganda

03.08.11

Hospitals 'crying out' for retired nurses 


Times Live, SA

28.07.11

UNICEF rescues clinics 


The Zimbabwean

01.08.11

Rural Medics to Get Scholarships


New Vision, Uganda

28.07.11

HORN OF AFRICA: Drought and HIV - a dangerous combination


UN IRIN

02.08.11

Kenya: Clinics Struggle to Keep Patients Not Yet Eligible for ARVs


IRIN PlusNews

05.08.11

Shortage of doctors is beyond critical


Mail and Guardian, SA

Asia & Pacific


Date

Headline


Publication

01.08.11

BANGLADESH: Treatment gap for mental health problems



UN IRIN

02.08.11

Govt mulls raising retirement age of specialist docs


The Times of India

30.07.11

Country needs trained midwives and nurses’



Dawn, Pakistan

30.07.11

`Basic health units lack basic facilities`



Dawn, Pakistan

03.08.11

Healthcare at crossroads: One facility, too many patients



The Express Tribune, Pakistan

31.07.11

City college to train, supply paramedics to hospitals



Hindustan Times

01.08.11

Shortage of doctors in some parts of Australia reaching ‘critical’ 



Australiaforum, AU


North America


Date

Headline


Publication

29.07.11

Maternal Deaths Focus Harsh Light on Uganda

The New York Times

27.07.11

Reversing the Brain Drain: Expanding Medical Opportunities in Rwanda 



The New York Times

29.07.11

Colleges and Universities Respond to Healthcare Shortage 



US News and World Report

04.08.11

Health care industry outlook could avert talent shortages



Michigan Live

30.07.11

The Ailing Health of a Growing Nation 



The Wall Street Journal

02.08.11

ERs Move to Speed Care; Not Everyone Needs a Bed



The Wall Street Journal

28.07.11

Report: rural Mo. has fewer doctors per capita



Forbes

01.08.11

Provincial borders still barriers to doctors 



CBC News, CA

Europe


Date

Headline


Publication

03.08.11

Initiative seeks to halt country doctor drain

The Local, Germany



04.08.11

Moscow's worst clinics identified



The Moscow News

31.07.11

Twelve maternity units shut since election leaves labour wards in crisis



Mirror, UK

04.08.11

Child brides face 'silent health emergency'-experts

Trustlaw/Reuters


04.08.11

"La pénurie des médecins généralistes va s'accentuer"



RTBF, Belgium

02.08.11

NHS needs a cure, not just more cuts (Editorial)



Belfast Telegraph

Latin America & Caribbean


Date

Headline


Publication

03.08.11

Con urgencia se necesitan hospitales nuevos”: Tuky



La Prensa, Honduras



28.07.11

Médicos atienden emergencias entre armas, golpes y amenazas



El Nacional, Venezuela

30.07.11

Anestesiólogos insisten en contar con una ley que regule la profesión



ABC Color, Paraguay

03.08.11

Preocupa falta de personal para los nuevos hospitales



Diario de Cuyo, Argentina

02.08.11

Déficit de médicos 



El Universo, Ecuador

05.08.11

Médicos anuncian "colapso" de la pediatría intensiva y neonatal



La República, Uruguay

01.08.11

Discriminación limita acceso de nativos a atención médica



ABC Color, Paraguay


GHWA and Partners

2



Health and Education at top priority of Government: PM

Associated Press of Pakistan



01/08/2011
ISLAMABAD, Aug 1 (APP): Prime Minister Syed Yusuf Raza Gilani Monday said health and education are top priorities of the government. Talking to Mubashar Riaz Shaikh, Executive Director of Global Health Workforce Alliance at WHO HQs, Geneva who called on him at PM’s House this morning, the Prime Minister said although the education and health subjects have been transferred to the provinces but the Federal Government will remain engaged with the provinces to improve facilities in these areas in the country. He appreciated the cooperation of World Health Organization for women and child health programmes.He also appreciated the role of WHO in vaccination and training of doctors and nurses programmes.
The Prime Minister acknowledged the contribution of Shaikh in launching Lady Health Workers Programme during Mohtarma Benazir Bhutto Shaheed’s government in Pakistan which has earned international recognition.
The Prime Minister approved his candidature for the position of WHO’s Regional Director, Eastern Mediterranean Region Organization (EMRO).
He expressed his confidence that Mubashar Riaz Shaikh will continue to serve the humanity with the same passion and zeal.
Mubashar Riaz Shaikh thanked the Prime Minister for reposing confidence and the government’s recommendation of his candidature.
Prime Minister Gilani, referring to the issues of extremism and terrorism said these were hampering national growth. He said it goes to the credit of the government that it evolved a sense of ownership amongst the masses and the political leadership stood united to cleanse the society of such elements.
Prime Minister Gilani said no one in the country dared support extremist or the terrorist elements openly anymore, as the civil society was totally against it and is aware that over 35,000 people have laid down their lives to safeguard their country.
He said illiteracy and emotions were fuelling extremism and said these need to be checked through providing education and employment opportunities.
He said law enforcement agencies were jointly working, in coordination with the provincial governments, to pre-empt and counter the threat. He said 2.9 million IDPs of Swat and Malakand were repatriated to their homes in 90 days and were compensated through smart card. He however regretted that this was never highlighted in the media.
The Prime Minister urged the media to always hold supreme the national interest and to rise above differences and minor issues to create tolerance and a will to work for the betterment of the country.
He said it has never been his objective that his government completes its five-year term. He said he has always said that the Parliament needs to complete its term as it would create hope amongst the masses that the democratic parliamentary system was functional and the political setup was working with full responsibility.
Prime Minister Gilani also stressed the need of encouraging extra-curricular activities and said it could play a vital role in generating healthy activities in the country.
He said as soon as the government frees itself from operations against extremists, it would focus on bringing about uniformity in the rules and regulations relating to FATA and PATA.
The around 40 participants, mostly educationists, and a few hosts of television shows were in general critical of the several education systems running parallel in the country and urged measures to bring about a uniformity.
They opined that poor standards of current syllabus at government schools were not designed to turn out students who can meet the future challenges, as it contains historical distortions, hatred and discrimination.
There was general consensus on teacher-training, improvement of service structure, induction of trained and at least graduate level teachers, teaching in regional languages, encouragement of non-formal sector, distance learning, short literacy courses, and above all making education affordable.
Mehtab Akber Rashdi said two segments have been created in the country; of those who have the means and study in private educational institutions, and those who study at government schools, and said steps need to be taken to provide opportunities to those who do not have enough resources.
Prof. Elvin Adwin pointed that in some areas violence and extremism were treated as personality traits and said “we need heroes who are the heroes of intellect.”
Yasin Masoom Zai said higher education in the country had achieved a level of dynamism and innovation that can help students compete the world. He however pointed that the universities in the public sector needed the support of the government so that opportunities are available for those who cannot afford the high costs involved.
Sadrudin Pardhan said youth in the country has tremendous potential that needed to be given a positive direction.
Irfan Awan stressed encouragement of non-formal education and a second opportunity to those who missed the initial chance to study, so as to sway them away from extremism and terrorism.
Dr Salma stressed the need of accountability to check poor performance of teachers besides making education interesting to cut school dropout rates. She suggested that private schools be asked to have a quote of 10 percent for students from poor backgrounds.
Nargis Zaidi said around 2-4 million students were out of the educational system and measures were needed to bring them back to school. She suggested that MNAs be asked to spend 60 per cent of their funds for education, while distant education be encouraged through the State-run television.

3

Strengthening Zimbabwe’s Social Services Workforce to Help Orphans and Vulnerable Children

Capacity Plus

01/08/2011
While HIV prevalence in Zimbabwe has declined, there remains an estimated 1.6 million children made vulnerable by HIV/AIDS, according to the National Action Plan for Orphans and Vulnerable Children (OVC) 2011-2015. Their resulting needs are not fully met by the country’s limited workforce for child welfare and protection.
The Government of Zimbabwe and its implementing partners are seeking to address the challenges and priorities of the social services workforce. The majority of child welfare and protection services are coordinated and delivered through a mix of formal social work providers employed by the Ministry of Labor and Social Services, other government agencies (health, education, justice, etc.) and nonformal providers through a network of nongovernment and community-based organizations.
Issues affecting workforce capacity include out-migration, limited funding, reduced numbers of qualified social workers in post, poor working conditions, and perceived high workloads. Additional challenges include limited planning and coordination between agencies and stakeholders, and the lack of systems and data on the availability, distribution, and effectiveness of the workforce at all levels of service delivery.
From July 11-20, CapacityPlus’s Paul Marsden collaborated with government agencies, implementing partners, stakeholders, and service providers to explore how best to support Zimbabwe’s efforts to strengthen the social services workforce. Marsden engaged these groups in a rapid workforce assessment and gap analysis, proposing workforce strengthening options and potential interventions to increase access and availability of quality child welfare, support, and protection services—particularly to the most vulnerable and at-risk children—and to help rebuild the social welfare workforce capacity needed to coordinate and implement these services effectively.
Related items:


  • Webinar Fosters Knowledge-Sharing to Strengthen the Social Services Workforce

  • Strengthening Nigeria's Social Welfare Workforce to Aid Orphans and Vulnerable Children

  • CapacityPlus Contributes to Social Welfare Workforce Conference in South Africa



4

Health Workers’ Role in Health Service Integration
Capacity Plus

July 2011


by Mesrak Belatchew
In 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.


When the move to integrated programming came along, health workers were provided with integrated refresher trainings on how they could deliver multiple services during a single encounter with clients and patients. Lessons learned from integrated management of childhood illness (IMCI), for example, show that health workers are enabled to provide comprehensive services, appropriate referrals, and record-keeping when they work in integrated health service systems. In addition health workers are more empowered when provided with the capacity to provide comprehensive health services for their patients. Ethiopia’s experience with health extension workers (HEWs) reaffirmed the importance of integrated training of health workers by positioning these cadres to respond to the health needs of the communities.
The need for coordination

Apart from service provision, integrated programs require extensive coordination among the various supporting partners. Health workers’ productivity can be compromised when they get pulled into multiple training courses for separate programs and initiatives. Their workload also needs to be evaluated. It is also important to identify the expectations placed on the health workers compared with their actual ability to provide integrated services. Health workers’ turnover may challenge the success of health programs, irrespective of the extent of their integration. However, integrated health programs can withstand such challenges better than vertical programs, since each health worker is enabled to provide a wide range of services.


Working together

In the spirit of synergy, global health partners need to coordinate more effectively and share resources, experiences, and promising practices. To this end, CapacityPlus recently collaborated with the USAID Health Care Improvement Project (HCI) on the new CHW Central by providing related health workforce resources. CHW Central serves as a forum to link and engage experts and practitioners of community health programs, strengthening the support for community health workers in countries. It allows CapacityPlus to share latest developments and promising practices in HR management systems for community health programs and facilitate policy interventions to enhance CHW productivity. CapacityPlus continues to forge partnerships and collaborations globally and in countries to support integrated interventions that will enable health workers to continue to save lives.


Related items:


  • Asking Smart Questions: Where Are Health Workers within Service Integration?

  • Retaining Community Health Workers in Ethiopia

  • Community Health Workers: Meeting the Unmet Need for Family Planning in West and Central Africa

5



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