“Ten months after the West African country [of Cote d’Ivoire] started to emerge from a presidential election crisis during which almost all hospitals and clinics had to shut down for a good six months because they had been vandalized, looted and occupied, the new government under President Alassane Ouattara is trying to make public health care a priority,” including implementing “[a] new national health regulation, which came into effect on Mar. 1, that offers free health services to pregnant women, children under five years and people suffering from malaria,” Inter Press Service reports. “But in a country recovering from 12 years of political instability since a military coup in December 1999 that was followed by 10 years of [former President Laurent] Gbagbo’s autocratic rule, rebuilding a crumbling public health care system takes time,” IPS writes, adding, “Hospitals have been suffering from lack of skilled staff, basic equipment and technology for years.”
Health Workforce & Capacity
“Poor hospital care poses a risk to the lives of many patients in the developing world,” according to a study published in the British Medical Journal (BMJ) on Tuesday, BBC News reports (McGrath, 3/13). For the study, which was supported by the WHO, researchers from the New York City Health and Hospital Corporation “looked at patients from 26 hospitals altogether across eight countries” — Egypt, Jordan, Kenya, Morocco, Tunisia, Sudan, South Africa and Yemen — and “found that harm to patients caused by their health care rather than their disease is a major public health problem and consistent with previous reports from the developed world,” according to a BMJ press release.
Michael Clemens, a senior fellow at the Center for Global Development (CGD), addresses a recent New York Times article on “medical brain drain” in this CGD “Global Development: Views From The Center” blog post, saying the article’s approval of “a horrific proposal to put recruiters of health workers on trial in The Hague for crimes against humanity … is breathtakingly misguided.” He continues, “Recruiters do not ‘steal’ people. They give information to people about jobs those people are qualified for. The professional ambitions of those people have equal value to yours and mine, and those ambitions cannot be realized without information.” Clemens says “coercively blocking the unconditional right of a health worker to emigrate — such as by declaring her to be owned by a government and prosecuting her recruiter at The Hague — is a crime against humanity,” and cites several other articles he has written on the subject (3/12).
Peace Corps, PEPFAR, Global Health Service Corps Launch Public-Private Partnership To Place Medical Professionals Overseas
The Peace Corps, PEPFAR and the Global Health Service Corps on Tuesday will announce a public-private partnership program to place U.S. health workers overseas to help address medical professional shortages, CQ HealthBeat reports (Bristol, 3/12). “The Global Health Service Partnership (GHSP) will address health professional shortages by investing in capacity and building support for existing medical and nursing education programs in less-developed countries,” a joint press release (.pdf) states, adding, “The new program is expected to begin in Tanzania, Malawi and Uganda in July 2013.”
About 2,000 Kenyan health workers attended a demonstration outside the Ministry of Health on Friday, the Associated Press/Seattle Times reports, noting, “Some 40,000 health workers nationwide went on strike on March 1 to protest low pay and poor working conditions.” According to the news service, “[t]he government announced Thursday that it fired 25,000 workers who defied an order to return to work” (3/9). “Anyang Nyong’o, minister for medical services, said on Thursday that the sacked workers would be required to re-apply if they are to be considered for reappointment,” MWC News notes (3/9).
“With its health-care system increasingly eclipsed by rivals, India has a plan to nearly double public spending on health over the next five years,” a goal that would “lift annual spending on health to 2.5 percent of the country’s economic output, from 1.4 percent,” the Washington Post reports. The scheme is “aimed at giving free medicine to all Indians at government facilities, setting up free ambulances in rural areas, doubling the number of trained health workers, and lifting millions of young children and women out of chronic malnutrition and preventable deaths,” the newspaper writes.
“[T]he United States, with its high salaries and technological innovation, is … the world’s most powerful magnet for doctors, attracting more every year than Britain, Canada and Australia — the next most popular destinations for migrating doctors — combined,” the New York Times Magazine reports in a story on how the promise of a better salary and working conditions is drawing newly trained doctors away from their countries to the U.S.
“The Syrian government will allow the United Nations to assess the basic medical needs of Syrians in four areas where opposition forces have clashed with government troops and to also carry out a preliminary humanitarian needs assessment, officials said Friday,” the Associated Press/Huffington Post reports. WHO spokesperson “Tarik Jasarevic says a ‘very preliminary and basic survey’ overseen by his agency and the U.N. Population Fund will be carried out next week with the cooperation of Syria’s health ministry,” the news service writes.
The “improvement and extension of health care in Africa is … being constrained by gaps in financing,” according to a new report (.pdf) by the Economist Intelligence Unit (EIU) based on research commissioned by Janssen Pharmaceutica, a Belgian subsidiary of Johnson & Johnson, the Financial Times’ “beyondbrics” blog reports (Wheatley, 3/1). The report, titled “The Future of Healthcare in Africa,” “discusses the continent’s traditional health care issues, such as communicable diseases or financing health care in economically difficult circumstances” and “also addresses less well-known topics, such as the threat of obesity and heart disease, the use of mobile technology, development of more preventive care, and more,” according to the Janssen website (3/1). The report “identif[ies] the key trends shaping African health care systems” and uses them “to develop [five] scenarios that depict the possible health landscape on the continent in 2022,” a Janssen press release (.pdf) states (3/1).
“A typhoid outbreak that began in Harare last year is steadily spreading across Zimbabwe with more than 3,000 cases reported although only one death due to the disease has been reported so far, health officials have said,” ZimOnline reports (Marimudza, 2/29). “We have reported 203 new typhoid cases this week only … So we actually have an outbreak that is raging,” Ministry of Health Epidemiology and Disease Control Director Portia Manangazira told VOA News, according to the news service (Gonda/Chifera, 2/28). Speaking to the Parliamentary Portfolio Committee on Health and Child Welfare on Tuesday, Manangazira “said the ministry did not have adequate supply of drugs for patients,” NewsDay notes (Chidavaenzi, 2/29).