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.”
Health Workforce & Capacity
The number of confirmed or suspected cases of Ebola in Uganda has risen to 36, according to a WHO spokesperson, who added the disease remains confined to the rural Kibaale district, NPR’s health blog “Shots” reports. “A team, led by the CDC, WHO and Uganda’s Ministry of Health, are now on the scene to determine the scope of the outbreak and then control it,” according to the blog (Doucleff, 7/31). CNN’s “The Chart” blog reports that 14 people have died of the disease, which has a 25 to 90 percent fatality rate in African outbreaks, according to a WHO fact sheet (7/31).
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.
“The U.K. government has activated a Â£2 million [$3.16 million] emergency plan to help tackle a cholera epidemic sweeping through Sierra Leone,” the Press Association reports, adding, “The Department for International Development (DfID) says it is using a network that includes private businesses and specialist aid organizations to deliver emergency medical, water and sanitation assistance to affected people in the west African state” (8/25). “It is the first time [DfID] has activated its Rapid Response Facility,” the Guardian notes, adding, “The network was established in March and allows the U.K. government ‘to commit to rapid humanitarian funding’ within 72 hours in response to disasters and rapidly escalating humanitarian emergencies,” (Adetunji, 8/25).
BBC News reports on a $15 million college in northern Nigeria’s Jigawa state that is working to train nurses and midwives. The first class of the three-year program is expected to graduate in September, and “[t]he hope is these new nurses and midwives will stay in Jigawa’s villages once their training is complete, rather than drifting to towns and cities where the work is usually better paid,” BBC notes, adding, “The college represents a start in addressing what has been a gaping lack of resources.” Four years ago, there were 14 midwives trying to serve “the state’s population of 4.5 million people” and “cover more than 600 small health centers,” BBC continues. However, a British-funded project called Paths 2, which aims “to reduce the state’s high level of preventable deaths among pregnant women,” has helped facilitate the creation of training programs for local health care workers, the news service notes (Dreaper, 8/2).
In this post in the New York Times’ “Opinionator” blog, journalist Sarika Bansal reports on a gap in surgical care in developing countries, writing, “It is conservatively estimated that 56 million people in sub-Saharan Africa — over twice the number living with HIV/AIDS — need a surgery today,” but, “across the developing world, surgical care often does not reach those who need it.” She says that a lack of access to surgical facilities and equipment, as well as a lack of trained health care workers, especially in rural areas, contributes to the problem. “Instead of finding ways to lure surgeons to rural areas” to fill this gap, many African countries, including Zambia, Tanzania, Malawi, Mozambique and Ethiopia, “have started experimenting with ‘task shifting’ — that is, training non-physicians to do the basic work of surgeons,” she notes. She highlights a medical licentiate program in Zambia that “trains clinical officers in basic surgeries like hernia repairs, bowel obstruction surgery, hysterectomies and more,” as well as “the donor-funded FlySpec (Flying Specialist) program, which charters planes to conduct orthopedic surgeries in remote parts of the country” (8/8).
“In teaching nurses and midwives in the developing world to care for their patients, a core tenet is that respectful care is quality care,” Catherine Carr, senior maternal health advisor for the Jhpiego/MCHIP-Maternal and Child Health Integrated Program, writes in this post in Huffington Post’s “Global Motherhood” blog. “Around the globe, health-care workers are being trained in respectful, humanized care, because all patients, regardless of economic status or geographic location, deserve to be treated with reverence and consideration,” she continues, adding, “Unfortunately, there is still a huge gap between the maternal care a pregnant woman should receive and what she actually experiences.”
“Ethiopia is preparing for a flood of medical doctors within ‘three to four years,’ an influx meant to save a public health system that has been losing doctors and specialists to internal and external migration,” IRIN reports. “‘We are now implementing strategies that intend to increase the current below-World Health Organization [WHO] standard number of medical doctors and retaining them in public hospitals,’ Tedros Adhanom, Ethiopia’s minister of health, told IRIN,” the news service writes. “‘We have now reached an enrollment rate of more than 3,100,’ [Adhanom] said,” adding, “The rate of enrollment in the country’s medical schools has increased tenfold from 2005, when it was below 300,” according to the news service.
“Syrians are in urgent need of life-saving medicines following an escalation in fighting, which also threatens further food shortages, U.N. agencies warned on Tuesday,” Agence France-Presse reports (8/7). “Drugs for tuberculosis, hepatitis, hypertension, diabetes and cancer are urgently needed, as well as hemodialysis for kidney diseases, according to the WHO,” Reuters notes (8/7). “‘The recent escalation of clashes had resulted in substantial damages to the pharmaceutical plants located in rural Aleppo, Homs and Rural Damascus, where 90 percent of the country’s plants were located,’ a WHO spokesperson, Tarik Jasarevic, told reporters in Geneva today,” the U.N. News Centre writes. “Prior to the violence which has wracked the Middle Eastern country, Syria produced 90 percent of its medicines and drugs locally,” the news service notes (8/7).
Health workers with Medical Teams International, a medical non-governmental organization, “say they are overwhelmed” by high demand at five health clinics in two southwestern Ugandan refugee centers, PlusNews reports. The refugees, “many of whom came from conflict-prone areas of the Democratic Republic of Congo (DRC),” and local residents are in need of HIV and tuberculosis (TB) prevention information, and care and treatment services, according to the news service. “Uganda suffers from a chronic shortage of health workers — less than half of the vacant health positions are filled — but the recent influx of refugees fleeing violence in neighboring DRC has put even more pressure on [the region's] health services,” PlusNews writes. Physicians, who see 30 to 50 patients daily and often work double shifts, say gaps in the supplies of antiretroviral (ARV) and TB drugs poses concern, as does trying to follow-up with patients who may not return for visits, the news service notes (3/29).