“Around the world, frontline health workers are often the first link to lifesaving care and supplies, and in some cases they are the only link for families and communities in rural and impoverished areas,” Oying Rimon, a senior program officer in family health at the Bill & Melinda Gates Foundation,…
Health Workforce & Capacity
GlobalPost reports on Cuba’s medical outreach to Africa, writing, “A generation ago, Fidel Castro sent Cuban soldiers to intervene in African civil conflicts and fight the Cold War against U.S. proxies. Now, Cuba’s doctors are fanning out across the continent as the island expands its role in administering medical services to some of the world’s most ailing countries.” The news service continues, “Some 5,500 Cubans are already working in 35 of Africa’s 54 countries, Cuban Foreign Ministry official Marcos Rodriguez told reporters this week at a press conference in Havana,” noting, “Of those, 3,000 are health professionals, and 2,000 are doctors, he said.”
“As many as 200 million children across the world fail to reach their full potential because their early brain development is held back by poverty, disease and malnutrition, global health experts said on Thursday,” Reuters reports (Kelland, 9/13). The Canadian government-funded Grand Challenges Canada on Thursday “announced $11.8 million CAD [$12 million] in funding over two years for 11 bold ideas from innovators in the developing world, to address health conditions causing diminished cognitive potential and stunting,” according to a Grand Challenges Canada press release (9/13). The projects, which will be implemented in developing countries such as Thailand, Pakistan, Bangladesh, and Colombia, “include plans to encourage so-called ‘kangaroo mother care,’ where low-weight newborns are held skin to skin rather than put into incubators, and ways of combating maternal depression to boost interaction between mothers and babies,” Reuters notes (9/13).
The Center for Strategic and International Studies (CSIS) on Thursday hosted a panel discussion focusing on the policy implications of findings published by the Lancet in a special series on HIV/AIDS and men who have sex with men (MSM), the Center for Global Health Policy’s “Science Speaks” blog reports (Barton, 9/7). Chris Beyrer, a professor of international health at the Johns Hopkins Bloomberg School of Public Health and a contributor to the Lancet series, explained two factors are affecting the expansion of the HIV epidemic among MSM worldwide, according to Inter Press Service. First, HIV “is far more efficiently transmitted through the gut, hence leading to a far higher transmission probability in anal sex, for either a man or a woman — around 18 times more likely than through vaginal transmission,” the news service writes. Second, “because gay men can switch sexual roles in a way that is impossible among heterosexual couples — acting as both the acquisition and transmission partner — the efficiency of transmission among MSM networks appears to be far higher than previously understood,” IPS adds, noting, “These two factors, the new research suggests, account for a full 98 percent of the difference between HIV epidemics among MSM and heterosexual populations.”
“Morocco has made great strides in improving maternal health in recent years, decreasing its maternal mortality ratio by over 60 percent since 1990,” but “a wide maternal health gap” exists between women in urban and rural areas, where deliveries generally are attended by an experienced yet untrained family member, Women’s eNews reports. In 2010, according to a 2011 report from the U.N. Population Fund, the maternal mortality rate in urban areas was 73 deaths per 100,000 live births, compared with 148 deaths per 100,000 live births in rural areas, the news service notes. “[W]hen a [rural] woman runs into serious trouble … access to life-saving care is a two-hour walk away, on a rough mountainous path sometimes blocked by snow,” the news service writes, adding Abdelghani Drhimeur, head of communications at the Ministry of Health in Rabat, said, “Seventy percent of mothers who die do so on the way to the hospital.” Women’s eNews examines several organizations’ efforts to educate women about sanitation, hygiene, nutrition, and technical midwifery skills (Bhatia, 9/24).
“An infant’s first moments and the twenty-eight days that follow are the most precarious, and her risk of death is never higher,” but “[s]imple and inexpensive techniques, … such as drying her, clearing her airway, keeping her warm or using a simple ventilation device to stimulate her breathing, can help,” and frontline health workers “deliver these lifesaving techniques,” Sharon D’Agostino, vice president of worldwide corporate contributions and community relations for Johnson & Johnson, and Winifred Mwebesa of Save the Children write in the Huffington Post’s “Global Motherhood” blog. They discuss the “Helping Babies Breathe” education initiative that trains health workers on skills such as resuscitation. The authors continue, “Frontline health workers are our global health heroes but, according to World Health Organization, we do not have nearly enough of them, especially in Africa, where there may be fewer than two trained doctors for every 1,000 people.”
The following blog posts were published in recognition of World Humanitarian Day, which was observed on Sunday, August 19.
On World Humanitarian Day, recognized August 19, “United Nations Secretary-General Ban Ki-moon has highlighted the power of individual actions to spark global changes, and praised the work of humanitarian workers who provide assistance to vulnerable people around the world,” the U.N. News Centre reports (8/17). In a press release, “UNICEF called on all parties in conflicts around the world to allow humanitarian workers safe, unimpeded access to reach children and women in need” (8/19). “World Humanitarian Day gives us the opportunity to show our appreciation to the thousands of workers … who are working every day in difficult circumstances,” the WHO writes in an article on its webpage, noting, “Health is one of several critical dimensions of humanitarian response, and the sustainable recovery of people under hardship” (August 2012).
In a post in the Guardian’s “Comment is Free” blog, Kristalina Georgieva, the European Commissioner for International Cooperation, Humanitarian Aid and Crisis Response, writes that World Humanitarian Day, observed August 19, “is a day to pay tribute to all humanitarian personnel who have lost their lives in the line of duty and to all those who continue to take risks to relieve the suffering of the less fortunate.” She continues, “Humanitarian work is one of the world’s most dangerous professions. Kidnappings, shootings and death threats are all part of the job description in places such as Sudan, Syria, Somalia and others blighted by conflict,” adding, “Those who work in this rocky terrain are increasingly exposed to risk while maintaining a lifeline to the victims of wars and disasters.”
Inter Press Service reports on the successful efforts of Tanzania’s Kigoma Region “to train assistant medical officers to conduct life-saving c-sections at its rural health centers,” allowing pregnant women with complications to deliver at more local facilities instead of having to travel to regional or district hospitals. Tanzania’s maternal mortality rate is high, at 578 deaths for every 100,000 live births, IPS notes. “[A]t one point the Kigoma Region had the highest rate in the country, at 933 per 100,000 live births in the early 1980s,” but “maternal mortality in this region [now] is considered to be lower than in the rest of the country,” according to the news service.