Professor Fitzhugh Mullan and Dr Seble Frehywot, George Washington University School of Public Health and Health Services, Washington, DC, USA, and colleagues did an analysis of numbers of “non-physician clinicians” (NPCs), and their various roles, in 47 sub-Saharan African countries.
The authors say: “Many nations have a history of health-care provision by staff who are not trained as physicians but who are capable of many of the diagnostic and clinical functions of medical doctors.” They add that this would include clinical officers, health officers, nurse practitioners, and physician assistants.
They add: “The growing HIV/AIDS epidemic and the health targets established by the Millennium Development Goals have brought global attention to the shortage of health workers in Sub-Saharan Africa, and the necessary challenge of scaling-up the health workforce.”
The researchers found that roles of NPCs varied widely between countries, and in nine countries numbers of NPCs equalled or exceeded numbers of fully trained physicians. All NPCs did basic diagnosis and medical treatment, and some were trained in certain specialty activities, such as caesarean section, opthamology, and anaesthesia.
Many NPCs were recruited from rural and poor areas, and worked in those same regions, and many of them have a pivotal role in the implementation and maintenance of antiretroviral treatment campaigns.
The authors conclude: “Low training costs, reduced training duration, and success in rural placements suggest that NPCs could have substantial roles in the scale-up of health workforces in sub-Saharan African countries, including for the planned expansion of HIV/AIDS prevention and treatment programmes.”
In an accompanying comment, Dr Piya Hanvoravongchai, Department of Preventive and Social Medicine, Chulalongkorn University, Bangkok, Thailand, says: “The crisis in the health workforce in Africa needs urgent, systematic and collaborative action, and scaling up NPCs to address health-workforce shortages is a promising solution that many countries are currently pursuing.
“It is important that this rush towards actions is accompanied by active pursuit of evidence and knowledge about the management of health workforces and systems.”
Tony Kirby | alfa
Scientists develop tiny tooth-mounted sensors that can track what you eat
22.03.2018 | Tufts University
NIH scientists describe potential antibody treatment for multidrug-resistant K. pneumoniae
14.03.2018 | NIH/National Institute of Allergy and Infectious Diseases
An international team of researchers has discovered a new anti-cancer protein. The protein, called LHPP, prevents the uncontrolled proliferation of cancer cells in the liver. The researchers led by Prof. Michael N. Hall from the Biozentrum, University of Basel, report in “Nature” that LHPP can also serve as a biomarker for the diagnosis and prognosis of liver cancer.
The incidence of liver cancer, also known as hepatocellular carcinoma, is steadily increasing. In the last twenty years, the number of cases has almost doubled...
In just a few weeks from now, the Chinese space station Tiangong-1 will re-enter the Earth's atmosphere where it will to a large extent burn up. It is possible that some debris will reach the Earth's surface. Tiangong-1 is orbiting the Earth uncontrolled at a speed of approx. 29,000 km/h.Currently the prognosis relating to the time of impact currently lies within a window of several days. The scientists at Fraunhofer FHR have already been monitoring Tiangong-1 for a number of weeks with their TIRA system, one of the most powerful space observation radars in the world, with a view to supporting the German Space Situational Awareness Center and the ESA with their re-entry forecasts.
Following the loss of radio contact with Tiangong-1 in 2016 and due to the low orbital height, it is now inevitable that the Chinese space station will...
Fraunhofer Institute for Organic Electronics, Electron Beam and Plasma Technology FEP, provider of research and development services for OLED lighting solutions, announces the founding of the “OLED Licht Forum” and presents latest OLED design and lighting solutions during light+building, from March 18th – 23rd, 2018 in Frankfurt a.M./Germany, at booth no. F91 in Hall 4.0.
They are united in their passion for OLED (organic light emitting diodes) lighting with all of its unique facets and application possibilities. Thus experts in...
A new scenario seeking to explain how Mars' putative oceans came and went over the last 4 billion years implies that the oceans formed several hundred million...
For the first time, an interdisciplinary team from the University of Basel has succeeded in integrating artificial organelles into the cells of live zebrafish embryos. This innovative approach using artificial organelles as cellular implants offers new potential in treating a range of diseases, as the authors report in an article published in Nature Communications.
In the cells of higher organisms, organelles such as the nucleus or mitochondria perform a range of complex functions necessary for life. In the networks of...
19.03.2018 | Event News
16.03.2018 | Event News
13.03.2018 | Event News
22.03.2018 | Trade Fair News
22.03.2018 | Earth Sciences
22.03.2018 | Earth Sciences