“Construction has begun on Ethiopia’s National Public Health Training Center, the first of its kind to be established in the country at a cost of $4 million,” Malaysian News Agency Bernama reports, noting, “The U.S. President’s Emergency Fund for AIDS Relief (PEPFAR) committed to the cost of the project, while the Atlanta-based Centers for Disease Control (CDC) will manage the construction of the ground and three facilities which are expected to be completed by April 2014” (10/23). “It will be the first national training center for health, according to the press statement from the United States Embassy in Ethiopia,” according to New Business Ethiopia, which adds, “The new national public health training center will be a state-of-the-art facility that will act as a training and support hub for Ethiopia’s national public health monitoring, research, and laboratory network” (10/23).
Health Workforce & Capacity
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).
PlusNews examines challenges and concerns over an announcement by the Zimbabwean government that it plans to train nurses to prescribe and administer antiretroviral drugs (ARVs) to people living with HIV in the country. “Previously, nurses were allowed only to administer the drugs after a doctor had prescribed them,” the news service writes, adding, “Now, changes made in the job descriptions of nurses by the Nurses’ Council of Zimbabwe will see them prescribing the medication.” Owen Mugurungi, director of the HIV/AIDS and TB unit in the Ministry of Health and Child Welfare, said, “I need to point out that it’s not enough that a professional council allow nurses to administer drugs; this should be followed up with measures to capacitate nurses to do this work correctly,” according to PlusNews. The news agency looks at how the possibility of work overload for nurses, a government hiring freeze on nurses, and ARV availability could affect the country’s plan to reach 85 percent of the population in need of HIV treatment by the end of this year (10/16).
U.S. Global AIDS Coordinator Ambassador Eric Goosby is “expected to announce a new initiative between the U.S. government, the Rwandan Ministry of Health and 14 American medical schools at a press conference Monday in Kigali, Rwanda,” the New York Times reports. “The Human Resources for Health program will send 100 faculty members from eight medical colleges, five nursing and midwifery schools, and one health management school to Kigali where they will train health professionals and medical students, according to a statement from the Clinton Global Initiative,” the newspaper writes. “The two governments, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the universities have committed $152 million to the seven-year program,” the newspaper notes (Lau, 10/14).
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).
“Women working as female health care volunteers [FHCVs] often provide a vital service for the poorest in mountainous Nepal, and have contributed to a steady improvement in maternal and neonatal survival rates,” IRIN reports. In Nepal, 52,000 FHCVs work nationwide, often in remote regions, to refer women and children to health centers and help raise money for their trips, according to the news service. Many experts believe the FHCVs have played a key role in reducing Nepal’s maternal mortality ratio and increasing the proportion of births attended by a skilled birth attendant or that take place in a health facility, IRIN notes. “The FCHV program was launched in 1988 in 19 districts in the mid-west (Nepal’s poorest region), with the purpose of improving maternal and neonatal care, according to the Health Ministry,” IRIN writes, adding, “Despite being regarded as key to the state’s public health program, the government provides them with virtually no support” (10/5).
Polio Vaccination Campaign In Darfur Shows Immunizations Possible In 'Emergency And Conflict Settings'
In an Inter Press Service opinion piece, Siddharth Chatterjee, chief diplomat and head of strategic partnerships at the International Federation of Red Cross and Red Crescent Societies, and Sam Agbo, an independent public health adviser in the U.K., write about the unstable situation in Darfur, Sudan, in 2004, and how “UNICEF and WHO in Sudan along with important NGO partners started planning with local authorities on how best to immunize all children in Darfur.” They outline the major challenges, including staff safety, and discuss how multi-agency teams were able to vaccinate 10,000 children in two immunization rounds. Chatterjee and Agbo add, “The polio immunization campaign was the driver for a wider process of improving and ramping up assistance to communities and this made the campaign attractive to mothers to bring their children to the immunization hubs that were established.”
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 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.”