In the Huffington Post’s “Global Motherhood” blog, Smisha Agarwal, co-founder and India country director of Global Health Bridge, examines the global migration of health workers, highlighting a book titled “Insourced,” in which Kate Tulenko, senior director for health systems innovation at IntraHealth International, “argues that the U.S. drains health care workers from poor countries.” Agarwal writes, “A quarter of physicians in the U.S. are imported mostly from developing countries; a quarter of which come from India, where the deficit of health care workers is amongst the largest in the world.” She continues, “Billions of dollars of health care aid from the U.S. may help with improving infrastructure, but there is no replacement for the lost health care providers.”
Health Workforce & Capacity
Since the outbreak of what became known as SARS, or severe acute respiratory syndrome, 10 years ago, scientists have been quick to identify and contain new viruses, which they attribute to improved communication among researchers and from the general public, NPR’s “Shots” blog reports. In addition to the Internet and social media, the International Health Regulations, which went into effect in 2007, “require countries to report disease outbreaks right away to the World Health Organization,” according to the blog. “Better communications aside, the world has another big advantage over the SARS era,” as the genetic sequencing of new pathogens can be determined quickly, rather than over a period of months, the blog writes, noting, “Knowing the genetic sequence gives researchers a lot of clues about where the virus may have come from” and “also has enabled them to devise a quick and reliable diagnostic test, plus a confirmatory test, so doctors can tell if an acutely ill patient is infected with the new virus or something else” (Knox, 10/3).
Experts Worried Political Commitment, Health Services Delivery Still Lacking Despite Efforts To Improve Family Planning In Uganda
“Family planning advocates in Uganda have scored some major financial and policy wins this year, but experts remain concerned that inadequate political commitment and poor health services will continue to impede women’s and girls’ access to contraceptives,” IRIN reports. With one of the fastest growing populations in the world, Uganda’s “President Yoweri Museveni announced that his government would increase its annual expenditure on family planning supplies from $3.3 million to $5 million for the next five years” and he “pledged to mobilize an additional $5 million from the country’s donors,” the news service writes. In addition, the “Ministry of Health has laid out a roadmap for providing universal access to family planning, involving the integration of family planning into other health services,” the news service notes.
Doctors in Kenya on Wednesday were striking for the 17th day to protest poor conditions in some of the nation’s public hospitals, where “[e]mergency rooms … frequently don’t have gloves or medicine, and power outages sometimes force doctors to use the light from their phones to complete a procedure,” the Associated Press reports. Last week, “Kenya’s government fired 1,000 of the 2,000 striking doctors … despite a shortfall of skilled medical practitioners,” the news service writes, noting Kenya has one doctor for every 6,250 people and the WHO recommendation is one for every 100 people. “Attempts to hold talks this week with officials from the Ministry for Medical Services failed, prompting the doctors to flood social media with tell-all stories about deplorable conditions in public hospitals,” the AP states.
In an opinion piece in the Huffington Post’s “Global Motherhood” blog, David Olson, a global health communications consultant who worked as a communications adviser to the Reproductive Health and Rights Alliance in Kenya earlier this year, describes how “abortion rights [in the country] have been liberalized in certain cases in a Constitution approved in a public referendum two years ago.” He continues, “The new constitution says clearly that ‘the life of a person begins at conception’ and ‘abortion is not permitted unless…'” Olson writes, “And that innocuous ‘unless’ is what keeps the abortion issue alive in Kenya, almost two years after the constitutional referendum: ‘…unless, in the opinion of a trained health professional, there is need for emergency treatment, or the life or health of the mother is in danger, or if permitted by any other written law.'”
Aissata Sall Yade, a communications assistant for the Senegal Urban Reproductive Health Initiative, part of IntraHealth International, writes in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog about Aissatou Dia Fall, a head midwife at Senegal’s Gallo Dia Health Center in Yeumbeul, and her efforts to improve access to health care for women in the community. She has reached out to different organizations for monetary assistance for her clients, Yade notes, adding, “Strategies like Aissatou Dia Fall’s will help improve Senegal’s national contraceptive prevalence rate, which is currently only 12 percent. It will also help reduce one of the world’s highest maternal mortality rates (410 deaths per 100,000 live births) and reduce the fertility rate (an average of five children per woman)” (10/17).
“The United Nations estimates the civil war raging in Syria has left more than 2.5 million people in dire need of food, water, drugs and medical supplies,” VOA News reports. “After 18 months of fighting, thousands are dead and thousands more wounded,” and, “[i]f past wars are any indication, the health and well-being of Syrians will likely be affected long after the last guns are fired,” the news service writes. WHO spokesperson Tarik Jasarevic “says many hospitals and health centers in [the capital] Homs have been badly damaged by shelling” and “[o]nly six of 12 public hospitals remain open, and eight out of 32 private hospitals are still in operation — at greatly reduced capacity,” VOA adds.
“Scientists have come up with a test for the virus that causes AIDS that is 10 times more sensitive and a fraction of the cost of existing methods, offering the promise of better diagnosis and treatment in the developing world,” Reuters reports. “The test uses nanotechnology to give a result that can be seen with the naked eye by turning a sample red or blue, according to research from scientists at Imperial College in London published in the journal Nature Nanotechnology,” the news agency writes (Wickham, 10/28). “The test can be configured to a unique signature of a disease or virus — such as a protein found on the surface of HIV,” and if the marker is present, a chemical reaction causes a blue result and a red result if the marker is not present, according to BBC News. “Early testing showed the presence of markers of HIV and prostate cancer could be detected,” BBC News notes, adding, “However, trials on a much larger scale will be needed before it could be used clinically” (Gallagher, 10/28).
In this post on IntraHealth’s “Global Health Blog,” Pape Gaye, president and CEO of IntraHealth, discusses the organization’s commitment to providing quality training to Kenyan health care workers made at this year’s Clinton Global Initiative meeting. “We and our partners will use information technologies designed or adapted in Kenya to create and distribute training programs to Kenyan health workers. We are especially focusing on health workers who provide much-needed services in the remote Kenyan regions of Kitui and Kisumu,” Gaye writes. Noting that “one billion people in this world who may never come in contact with a health provider in their entire lives,” he continues, “I hope that by making the information and the training available where it’s needed the most, we are giving a chance to these people, a chance to get in contact with and receive services from a health worker” (10/9).
“Today about 12 percent of the health work force [in the U.S.] is foreign-born and trained, including a quarter of all physicians,” Kate Tulenko, senior director of health system innovation at IntraHealth International, writes in a New York Times opinion piece, adding, “That’s bad for American workers, but even worse for the foreign workers’ home countries, including some of the world’s poorest and sickest, which could use these professionals at home.” She says expensive schooling and strict credential requirements, which some foreign-trained workers do not have to meet, are keeping U.S. health workers from entering the workforce.