Geert Laleman and colleagues from the Institute of Tropical Medicine in Antwerp, Belgium quizzed human resource managers from 13 organisations sending volunteers to sub-Saharan Africa, and eight African medical officers with not-for-profit sector experience. In 2005 international health volunteers working in the region did not exceed 5000 full-time equivalent posts. Up to 1500 of these were doctors staying from a couple of weeks to two years. The annual cost to send a volunteer was typically $36 000 - $50 000.
Secular medical humanitarian NGOs, development NGOs and volunteer organisations, such as Voluntary Service Overseas (VSO) or the United Nations Volunteers (UNV) have distinct agendas. Young, secular medical organisations (such as Médecins sans Frontières) send the most volunteers – and adding more annually. Junior and inexperienced NGO volunteers were often ill prepared to work in low-income countries, country experts said. Volunteers didn’t always value local knowledge, and increased tension by creating parallel systems or procedures. However, longer-term volunteers to mission hospitals or those seconded by volunteer agencies to government facilities, often with specialist training such as tropical medicine, had a significant local impact on capacity building and resource allocation.
Health managers organise and develop health services for the general population, whereas volunteer organisations do not always fit into such a comprehensive and long-term approach. "Country health service managers in sub-Saharan Africa consider international volunteers as a last resort measure, judging that it is not very cost effective, as compared with investment in local capacity," says Laleman. "In countries in Southern and Eastern Africa hardest hit by HIV/AIDS, the reliance on international health volunteers, especially doctors, is likely to increase."
The World Health Organisation (WHO) identifies 36 countries with critical human resource shortages in sub-Saharan Africa. Development work has shifted focus towards long-term partnerships and local recruitment, and many western countries have cut budgets for sending development workers overseas.
Advanced analysis of brain structure shape may track progression to Alzheimer's disease
26.10.2016 | Massachusetts General Hospital
Indian roadside refuse fires produce toxic rainbow
26.10.2016 | Duke University
Ultrafast lasers have introduced new possibilities in engraving ultrafine structures, and scientists are now also investigating how to use them to etch microstructures into thin glass. There are possible applications in analytics (lab on a chip) and especially in electronics and the consumer sector, where great interest has been shown.
This new method was born of a surprising phenomenon: irradiating glass in a particular way with an ultrafast laser has the effect of making the glass up to a...
Terahertz excitation of selected crystal vibrations leads to an effective magnetic field that drives coherent spin motion
Controlling functional properties by light is one of the grand goals in modern condensed matter physics and materials science. A new study now demonstrates how...
Researchers from the Institute for Quantum Computing (IQC) at the University of Waterloo led the development of a new extensible wiring technique capable of controlling superconducting quantum bits, representing a significant step towards to the realization of a scalable quantum computer.
"The quantum socket is a wiring method that uses three-dimensional wires based on spring-loaded pins to address individual qubits," said Jeremy Béjanin, a PhD...
In a paper in Scientific Reports, a research team at Worcester Polytechnic Institute describes a novel light-activated phenomenon that could become the basis for applications as diverse as microscopic robotic grippers and more efficient solar cells.
A research team at Worcester Polytechnic Institute (WPI) has developed a revolutionary, light-activated semiconductor nanocomposite material that can be used...
By forcefully embedding two silicon atoms in a diamond matrix, Sandia researchers have demonstrated for the first time on a single chip all the components needed to create a quantum bridge to link quantum computers together.
"People have already built small quantum computers," says Sandia researcher Ryan Camacho. "Maybe the first useful one won't be a single giant quantum computer...
14.10.2016 | Event News
14.10.2016 | Event News
12.10.2016 | Event News
27.10.2016 | Materials Sciences
27.10.2016 | Physics and Astronomy
27.10.2016 | Life Sciences