"Recent comments from the inside of the Global Fund," say Gorik Ooms (Médecins Sans Frontières, Belgium) and colleagues, "suggest an intention to focus more on the three diseases, and to leave the strengthening of health systems and the support to the health workforce to others. This might create ‘Medicines Without Doctors’ situations: situations in which the medicines to fight AIDS, Tuberculosis and Malaria are available, but not the doctors or the nurses to prescribe those medicines adequately."
It would be a strategic mistake, say the authors, for the Global Fund to create such a "Medicines Without Doctors" situation.
"The Global Fund has an advantage that makes it a key actor in the field of supporting health workforces," they say. "Most other donors are forced to aim for sustainability in the conventional sense, implying that beneficiary countries should gradually replace international funding with domestic resources, whereas the Global Fund has been promised sustained funding by the international community, allowing it to make sustained commitments to beneficiary countries. This is what some of the countries most affected by AIDS, Tuberculosis and Malaria need to increase their health workforce. Their health workforce challenges are too big to consider a gradual replacement of international funding with domestic resources."
Ooms and colleagues use the examples of two countries – Mozambique and Malawi - trying to fight against a full-blown AIDS epidemic with a fragile health system to underline the crucial role of Global Fund support to the health workforce. Mozambique, for example, estimates that in order to roll out HIV drug therapy across the country, it would need 8 health workers per 1000 patients receiving treatment. And yet currently, per 1000 people there are only 0.36 full-time equivalents of health workers. Mozambique simply does not have the domestic resources needed to pay for additional health workers, and Ooms and colleagues urge the Global Fund to step in and fund such a workforce.
Citation: Ooms G, Van Damme W, Temmerman M (2007) Medicines without doctors: Why the Global Fund must fund salaries of health workers to expand AIDS treatment. PLoS Med 4(4): e128.
Andrew Hyde | alfa
Spanish scientists create a 3-D bioprinter to print human skin
24.01.2017 | Carlos III University of Madrid
Tracking movement of immune cells identifies key first steps in inflammatory arthritis
23.01.2017 | Massachusetts General Hospital
A Swedish-German team of researchers has cleared up a key process for the artificial production of silk. With the help of the intense X-rays from DESY's...
For the first time ever, a cloud of ultra-cold atoms has been successfully created in space on board of a sounding rocket. The MAIUS mission demonstrates that quantum optical sensors can be operated even in harsh environments like space – a prerequi-site for finding answers to the most challenging questions of fundamental physics and an important innovation driver for everyday applications.
According to Albert Einstein's Equivalence Principle, all bodies are accelerated at the same rate by the Earth's gravity, regardless of their properties. This...
An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...
Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...
Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.
While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...
19.01.2017 | Event News
10.01.2017 | Event News
09.01.2017 | Event News
24.01.2017 | Earth Sciences
24.01.2017 | Life Sciences
24.01.2017 | Physics and Astronomy