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Africa's health shortage

The Boston Globe

Published: July 27, 2006

Throughout much of Africa, the shortage of trained medical personnel

is hurting the effort to prevent and treat HIV/AIDS, not to mention

other diseases, including malaria and tuberculosis, that are endemic

in parts of the continent. Nongovernmental organizations had hoped

that leaders of the G-8 nations would agree to commit major new

resources to this problem at their recent meeting in Russia, but

they failed to do so. This should not prevent the United States from

taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

Throughout much of Africa, the shortage of trained medical

personnel is hurting the effort to prevent and treat HIV/AIDS, not

to mention other diseases, including malaria and tuberculosis, that

are endemic in parts of the continent. Nongovernmental organizations

had hoped that leaders of the G-8 nations would agree to commit

major new resources to this problem at their recent meeting in

Russia, but they failed to do so. This should not prevent the United

States from taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

Throughout much of Africa, the shortage of trained medical

personnel is hurting the effort to prevent and treat HIV/AIDS, not

to mention other diseases, including malaria and tuberculosis, that

are endemic in parts of the continent. Nongovernmental organizations

had hoped that leaders of the G-8 nations would agree to commit

major new resources to this problem at their recent meeting in

Russia, but they failed to do so. This should not prevent the United

States from taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

Throughout much of Africa, the shortage of trained medical

personnel is hurting the effort to prevent and treat HIV/AIDS, not

to mention other diseases, including malaria and tuberculosis, that

are endemic in parts of the continent. Nongovernmental organizations

had hoped that leaders of the G-8 nations would agree to commit

major new resources to this problem at their recent meeting in

Russia, but they failed to do so. This should not prevent the United

States from taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

http://www.iht.com/articles/2006/07/27/opinion/edafrica.php

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Africa's health shortage

The Boston Globe

Published: July 27, 2006

Throughout much of Africa, the shortage of trained medical personnel

is hurting the effort to prevent and treat HIV/AIDS, not to mention

other diseases, including malaria and tuberculosis, that are endemic

in parts of the continent. Nongovernmental organizations had hoped

that leaders of the G-8 nations would agree to commit major new

resources to this problem at their recent meeting in Russia, but

they failed to do so. This should not prevent the United States from

taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

Throughout much of Africa, the shortage of trained medical

personnel is hurting the effort to prevent and treat HIV/AIDS, not

to mention other diseases, including malaria and tuberculosis, that

are endemic in parts of the continent. Nongovernmental organizations

had hoped that leaders of the G-8 nations would agree to commit

major new resources to this problem at their recent meeting in

Russia, but they failed to do so. This should not prevent the United

States from taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

Throughout much of Africa, the shortage of trained medical

personnel is hurting the effort to prevent and treat HIV/AIDS, not

to mention other diseases, including malaria and tuberculosis, that

are endemic in parts of the continent. Nongovernmental organizations

had hoped that leaders of the G-8 nations would agree to commit

major new resources to this problem at their recent meeting in

Russia, but they failed to do so. This should not prevent the United

States from taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

Throughout much of Africa, the shortage of trained medical

personnel is hurting the effort to prevent and treat HIV/AIDS, not

to mention other diseases, including malaria and tuberculosis, that

are endemic in parts of the continent. Nongovernmental organizations

had hoped that leaders of the G-8 nations would agree to commit

major new resources to this problem at their recent meeting in

Russia, but they failed to do so. This should not prevent the United

States from taking a strong position on its own.

According to an estimate last year by Physicians for Human Rights,

doubling Africa's health workforce, which would still not meet the

full need, would cost about $2 billion in the first year and $7.7

billion by the fifth year.

The shortage of doctors, nurses, and community health workers is a

two-sided problem in many developing countries. Not only do many

countries lack the universities to train and educate all the

personnel they need, but often the nurses and doctors they do

produce decide to leave Africa for the better pay and more

comfortable living and working conditions of the industrialized

world. This brain drain is worsened by the inability of many

countries, including the United States and Britain, to provide

enough nurses and doctors for their own populations' needs,

especially in inner-city clinics and rural areas.

It would be unjust and a violation of Africans' rights to deny them

the right to work in other countries. But a comprehensive solution

to this problem would go beyond funds for training and better pay

for medical personnel in Africa to include commitments by

industrialized nations to educate more of their own doctors and

nurses and to curb recruitment in underserved areas. The leaders of

the industrialized countries should also review the terms that

developing countries must meet to secure international loans.

Governments are often required to shrink the public sector,

including health services, to meet lenders' demands.

Some of the shortage can be addressed by ensuring that trained

personnel are not burdened with tasks that could be done by others.

It does not take a doctor to draw blood, and community health

workers can be trained to do much of the HIV/AIDS counseling that

nurses do. U.S. officials have assisted countries with this task-

shifting, which often requires changing local regulations. U.S.

officials are also helping countries get trained professionals to

serve - and remain - in African rural areas.

Providing AIDS drugs is a great step forward, but the industrialized

countries will fail in addressing the full dimensions of the AIDS

pandemic if they do not help Africa build a stronger corps of

trained health workers.

http://www.iht.com/articles/2006/07/27/opinion/edafrica.php

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