Community health workers (CHWs) “are seen to be a key part of a functioning primary health system,” especially in African nations, Jeffrey Sachs, director of the Earth Institute at Columbia University, writes in a post on Huffington Post’s “Impact” blog. “This system should include a clinic within short walking distance, with supplies, a skilled birth attendant and other staff, electricity, and safe water; an ambulance for emergency transport; an emergency ‘911’ number; a policy of free care at the point of service (so as not to turn away the indigent); and trained and remunerated CHWs, taught also to treat diseases and save lives in the community,” he says.
Health Workforce & Capacity
Noting that the “fifth Millennium Development Goal target for 90 percent of births in low- and middle-income countries to have a skilled birth attendant (SBA) by 2015 will not be met,” researchers from University College London estimate “that there will be between 130 and 180 million non-SBA births in South Asia and sub-Saharan Africa from 2011 to 2015 (90 percent of these in rural areas)” in this BioMed Central Pregnancy & Childbirth article. They conclude, “Efforts to improve access to skilled attendance should be accompanied by interventions to improve the safety of non-attended deliveries” (1/17).
In this post in the Huffington Post’s “Impact” blog, Jeffrey Sachs, director of the Earth Institute at Columbia University, examines the role of community health workers (CHWs), “increasingly on the frontlines of disease control in rural Africa,” in providing Africa’s rural population with access to life-saving health care. He writes, “When [my colleagues and I at the Earth Institute] began the work in the Millennium Villages in 2006, Africa’s community health workers were generally unpaid, untrained, unsupervised volunteers with no diagnostic or therapeutic capabilities. … Now the CHWs are seen to be a key part of a functioning primary health system.”
In the National Geographic News blog “Mobile Message,” “a series of posts from FrontlineSMS about how mobile phones and appropriate technologies are being used throughout the world to improve, enrich, and empower billions of lives,” Laura Stachel, an obstetrician-gynecologist and the co-founder and executive director of WE CARE Solar, writes about the “‘Solar Suitcase,’ a portable, rugged, complete solar electric kit packed with solar panels, a charge controller, batteries, medical LED lights, phone chargers, headlamps, and a fetal monitor.” She says the suitcases improve lighting so surgeries can be performed 24 hours a day; allow nurses to contact on-call physicians in the case of emergency through a mobile phone; and, with alterations, power blood bank refrigerators (Banks, 1/12).
In this post in the Public Health Institute’s (PHI) “Dialogue4Health” blog, Jeff Meer, director of PHI’s Washington-based advocacy on global health, reports on the Frontline Health Workers Coalition, launched Wednesday, which is “developing support for new investments in the global health workforce, particularly those working at the community level who are the first and often the only link to health care for millions of people.” He outlines the Coalition’s targets and quotes a number of officials indicating “that the Obama Administration and the U.S. Congress are coming to adopt the same view” (1/11).
In the Huffington Post’s “Impact” blog, Carolyn Miles, president and CEO of Save the Children, writes about the Frontline Health Workers Coalition’s call on the U.S. government to train 250,000 new frontline health workers in developing countries, stating, “At a time when every dollar counts more than ever, the new Frontline Health Workers Coalition believes this focus is the most cost-effective way to save mothers’ and children’s lives around the world, address global health threats, and help advance strategic U.S. interests in a secure and prosperous world.”
Frontline Health Workers Coalition Launches Initiative To Add 1M Health Care Workers In Developing Countries
The Frontline Health Workers Coalition — which consists of 16 major non-governmental organizations (NGOs) including the Bill & Melinda Gates Foundation, Family Care International, the International Association of Physicians in AIDS Care, and RESULTS — has launched “a new initiative to add one million health care workers in developing countries,” VOA News reports, adding that the “Coalition says training more community-level workers is the most cost effective way to save lives, speed progress on global health threats and promote U.S. economic and strategic interests” (DeCapua, 1/11). “The Coalition, which launched today with the release of a new report (.pdf) focusing on the need for frontline health workers, is calling on the U.S. administration to train and support an additional 250,000 new frontline health workers — and to better support the capacity and impact of existing workers where the need is greatest,” a Coalition press release (.pdf) states (1/11).
Rwanda is expanding its medical male circumcision program this year, “as the country attempts to reach its goal of medically circumcising 50 percent of men by June 2013 as part of HIV prevention efforts,” PlusNews reports. “The free male circumcision program began in October 2011, and officials at the Ministry of Health say demand is growing,” according to the news service. However, with only 15 percent of men circumcised and a shortage of qualified health care workers, “the goal is unlikely to be met unless lower cadre health workers are involved in the campaign,” PlusNews writes.
The January issue of the WHO Bulletin features an editorial on non-communicable diseases and post-conflict countries; a public health round-up; an article on Arab health professionals; a research paper on caesarean section rates in China; and a series of round table articles on the Global Fund and the interaction of public and private interests (January 2011).
“Medical schools in poor countries continue to produce doctors that they will eventually lose to more lucrative careers in cities or other countries,” but some of these countries “are already showing bold efforts to meet the challenge” of retaining health care workers, Manuel Dayrit, director of the WHO Department of Human Resources for Health, writes in a SciDev.Net opinion piece. Dayrit discusses programs in Ethiopia, Sudan, and the Philippines that use community-based education and local service contracts to retain health care workers in areas where they are needed.