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).
Health Workforce & Capacity
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.”
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.
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).
“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.
“Supplies — the essential medicines and medical equipment frontline health workers need to successfully do their jobs — are a vital part of the solution to saving the lives of mothers and newborns,” Catharine Taylor, a maternal health expert with PATH, writes in the Huffington Post’s “Global Motherhood” blog, adding, “And yet, they are frequently overlooked in the ongoing conversation about how to improve maternal health in the developing world.” She continues, “All the skilled health care workers in the world can’t deliver the care women need if a clinic’s stock is empty and the next round of supplies is weeks away. Reliable availability of maternal health medicines and supplies will ultimately strengthen health care systems and make frontline health workers more effective.”