The Los Angeles Times writes: “Sierra Leone is one of those nations where decades of foreign aid have failed to appreciably lift the fortunes of the people. The country is a charity case: 60% of its public spending comes from foreign governments and nonprofit organizations. Since 2002, it has received more than $1 billion in aid,” the newspaper writes.
Health Workforce & Capacity
GlobalPost Examines Investment In Community Care Workers In South Africa As PEPFAR Moves Toward Local Implementation Of Programming
“Nearly a decade after it came into being, the President’s Emergency Plan for AIDS Relief (PEPFAR) … is moving increasingly to support local leadership and implementation capacity” in South Africa, GlobalPost’s “Global Pulse” blog reports. “And given the South African health system’s weaknesses in the face of the magnitude of AIDS and TB, that means an investment in … lay listeners with just a few weeks of training,” who can discuss treatment and other issues with patients, the blog writes. The blog profiles Goodness Henama, “one of 22 community care workers in Wallacedene township, in the Cape Town suburb of Kraainfontein.”
“Around the world, frontline health workers are often the first link to lifesaving care and supplies, and in some cases they are the only link for families and communities in rural and impoverished areas,” Oying Rimon, a senior program officer in family health at the Bill & Melinda Gates Foundation,…
In this post in the RH Reality Check blog, Laura Hoemeke, director of communications and knowledge management at IntraHealth International, writes that it “take[s] a health worker, or more accurately millions of health workers, to meet the need that hundreds of millions of couples worldwide have for family planning,” adding, “A…
GlobalPost reports on Cuba’s medical outreach to Africa, writing, “A generation ago, Fidel Castro sent Cuban soldiers to intervene in African civil conflicts and fight the Cold War against U.S. proxies. Now, Cuba’s doctors are fanning out across the continent as the island expands its role in administering medical services to some of the world’s most ailing countries.” The news service continues, “Some 5,500 Cubans are already working in 35 of Africa’s 54 countries, Cuban Foreign Ministry official Marcos Rodriguez told reporters this week at a press conference in Havana,” noting, “Of those, 3,000 are health professionals, and 2,000 are doctors, he said.”
“Since Myanmar gained independence from the British in 1948, it has been wracked by armed conflicts and fragile ceasefires with civilians and ethnic rebels,” and “[t]he health of Myanmar’s women has been one of the biggest casualties,” GlobalPost reports. Though recent news coverage has focused on political reform in the nation, “little attention has been paid to a more immediate need: affordable, decent health care,” the news service states. The “military junta that ruled the country for a half century spent very little on health care,” little international aid has come into the country, and “the government restricts where and how aid organizations can operate, blocking the delivery of medical services,” the news service writes, adding, “The result has been a health care system that in conflict areas, does not exist, and in large cities, is too expensive for ordinary people, according to experts inside Myanmar and on the Thai border.”
In a feature story, Al Jazeera examines Cuba’s national health care system, which “works — or is supposed to work — by emphasizing primary and preventative health care.” However, after subsidies from the former Soviet Union “ended and Cuba’s economy went into a tailspin, nothing was the same again,” according to the news agency, which notes the system experiences drug shortages, patients have long wait times, and some hospitals are dirty or malfunctioning. “In all fairness, in the past five years, the government has made great efforts to improve hospitals and health centers, but again, lack of resources is making the process painfully slow,” Al Jazeera writes, adding, “The system is free, but it is neither fast nor efficient for two important reasons. One is obviously the lack of financial resources, and the other — which is related to the first — is the ‘export’ of doctors, nurses and dentists in exchange for hard currency.” The feature concludes, “But for all its shortcomings, Cubans do have better access to health care than the majority of those living in many ‘developing nations,’ where public health is shockingly inadequate” (Newman, 6/18).
South African TB Conference Hears Demands From Advocacy Organizations To Improve, Decentralize Treatment
The 2012 South African TB Conference opened Tuesday night in Durban, with the Treatment Action Campaign, Section27, and Oxfam delivering “a memorandum containing five demands to conference organizers shortly before the opening,” health-e News Service reports. The organizations “called for patients with drug-resistant TB who were failing to respond to treatment to be given ‘access to the best available medicines,'” even if they are not yet approved by the Medicines Control Council; “the diagnosis of all people living with TB”; and “the decentralization of care for people with drug-resistant TB, enabling them to be treated at home instead of hospitalized for long periods,” the news service writes (Cullinan, 6/13).
Al Jazeera examines Afghanistan’s health care system since the fall of the Taliban, writing, “Standards of health care in Afghanistan have improved significantly since the fall of the Taliban, but security continues to play a large role in determining access to and quality of care provided.” According to the video report, Afghanistan’s constitution mandates that health services be provided free of charge, which “leaves many small clinics reliant on foreign aid.” The news service notes, “There’s a big difference in the type of care you can get [in] rural areas and in urban areas,” adding, “Many procedures still require patients to travel to city hospitals, putting them at risk from violence and grueling journeys on poorly maintained roads” (Smith, 6/3).
In this post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, editor Amie Newman, a communications officer at the foundation, highlights the work of “two HIV home-visit health workers who work with the CDC Kenya (Centers for Disease Control) to visit with a family in a remote area in the Nyanza province.” According to the blog, the “center is responsible for most of what goes on when it comes to researching HIV/AIDS in this country: what prevention and treatment methods work, monitoring the number of new HIV/AIDS cases, the number of births, deaths, implementing those treatment and prevention methods (including voluntary medical male circumcision, distribution of condoms, medicine for treatment), and maternal and newborn health issues which are directly connected to HIV (like prevention of mother-to-child transmission)” (6/25).