Toronto’s Star reports on how problems within India’s health care system — such as absent doctors and nurses, a lack of necessary equipment, corruption and one of the lowest health budgets in the world — has led to the mistrust of the public system and has paved the way for private medicine in the country. According to the newspaper, “In a recent Massachusetts Institute of Technology survey in India, 79 percent said they opted for private doctors or traditional healers rather than government-run hospitals,” and that “they spent an average seven percent of their monthly income on health care.”
Health Workforce & Capacity
Global Health Service Corps Essential To Improve African Health Systems, Achieve ‘AIDS-Free Generation’
“A notable feature of Secretary [of State Hillary Rodham] Clinton’s ‘AIDS-free generation’ initiative is to strengthen health care systems in sub-Saharan Africa, … a view echoed by many eminent voices in the global health community,” Anand Reddi of the University of Colorado Medical School writes in a post on Huffington Post’s “Impact” blog. “To address the African health care workforce shortage, I encourage Secretary Clinton to adopt the principles of the” Global Health Service Corps (GHSC), which would be composed of U.S. health professionals who could “provide medical education and technical assistance to enhance the health care workforces in low-income countries,” Reddi says. In addition, the GHSC would focus on “infrastructure development, knowledge transfer, and capacity building,” Reddi writes.
“Ugandan men have been seeking medical male circumcision in droves since the government launched a national policy in 2010, but the health system is not equipped to handle the caseload, slowing down the potential HIV prevention benefits of the campaign,” PlusNews reports. A recent WHO report found that “just 9,052 circumcisions were carried out in Uganda in 2010, against more than four million men who would need to be circumcised for the country to reach its 80 percent target,” a goal that, if reached within five years, could potentially avert close to 340,000 new HIV infections, according to WHO estimates, the news service notes.
With disease burden shifting from infectious diseases to non-communicable diseases (NCDs) over the coming years, “African health scientists need more funding and support to overcome the barriers and deal with a changing health situation on the continent,” Olive Shisana, chief executive officer of the South African Human Sciences Research Council, said during a keynote address at last week’s World Health Summit in Berlin, Germany, SciDev.Net reports. “Many of these diseases can be prevented by putting scientific research and health technologies to work, said Shisana, adding that this ‘epidemiological transition is an opportunity for us to build capacity and to collaborate to tackle these diseases together for the benefit of the globe,'” the news service writes.
“The shortage of health workers in Uganda is a ‘crisis,’ says the Minister of Health, and activists say expectant mothers are bearing the brunt of the country’s staffing deficiency,” IRIN reports. “Just 56 percent of Uganda’s available health positions are filled,” the news service writes, adding, “A parliamentary committee’s recent attempt to redirect 75 billion Ugandan shillings — about US$27.5 million — out of a national budget of more than 10 trillion shillings ($3.6 billion) towards hiring enough health workers was rebuffed in September.”
The Ministry of Health of South Sudan and UNFPA, working through the Capacity Placement of International United Nations Volunteer Midwives Project, has deployed 18 midwives throughout South Sudan since December 2010, when the program began, the Sudan Tribune reports. South Sudan, where 2,054 per 100,000 women die during labor, according to figures from the health ministry, has fewer than 100 midwives for a population of more than eight million people, Minister of Health Michael Milli Hussein said, the newspaper notes. Midwives and others involved in the project are meeting in Juba this week to discuss progress and goals, the Tribune writes (10/25).
Pharmaceutical firm Eli Lilly and Co. is expected to announce on Tuesday it “is pledging $30 million to help fight multidrug-resistant tuberculosis [MDR-TB] in developing countries, a disease that kills more than 150,000 people a year,” according to the Indianapolis Star. The funds, part of the company’s eight-year-old, $165 million Lilly MDR-TB Partnership, will help to “provide training for nurses, doctors and community volunteers; conduct studies on how to combat the disease; and provide access to medicines,” the newspaper notes. The campaign will focus on China, India, Russia and South Africa, “the four countries with the highest burden of MDR-TB, Lilly said,” the Indianapolis Star writes (10/25).
In a study published in this week’s PLoS Medicine, “Francesca Celletti from the WHO, Geneva, Switzerland, and colleagues argue that a transformation in the scale-up of medical education in low- and middle-income countries is needed,” according to a PLoS press release (10/18). The authors write in the study, “In order to transform population…
GlobalPost’s “Global Pulse” blog examines how Kenya is working to decrease the number of preventable deaths under a “recently launched … campaign called ‘Let’s Live,’ which sets a target of reducing preventable deaths in Kenya by 50 percent by December 2012.” Achieving that goal “would be an historic feat. But the country could seriously decrease numbers of preventable deaths if it used currently available health tools, such as the rotavirus vaccine,” the blog writes (Donnelly, 10/18).
IRIN examines maternal and child health in “conflict-afflicted eastern Myanmar, [where] until recently obstetric care was often crude, unsterile and dangerous for both mother and child, health experts say.” To address high rates of maternal and infant mortality in the region, “in 2005 several CBOs, the Center for Public Health and Human Rights at Johns Hopkins University, and the Global Health Access Program launched the Mobile Obstetric Medics (MOM) project — dramatically boosting access to care,” IRIN writes.