Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

More non-physician clinicians will boost African healthcare workforce

14.06.2007
The use of more non-physician clinicians in sub-Saharan Africa could be a cost-effective way to boost the healthcare workforce in the region, and help deliver specific projects such as the planned expansion of HIV/AIDS prevention and treatment programmes. The findings are reported in a Public Health study published early Online and in an upcoming edition of The Lancet.

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
Further information:
http://www.thelancet.com

More articles from Health and Medicine:

nachricht Study tracks inner workings of the brain with new biosensor
16.08.2018 | Rheinische Friedrich-Wilhelms-Universität Bonn

nachricht Foods of the future
15.08.2018 | Georg-August-Universität Göttingen

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Color effects from transparent 3D-printed nanostructures

New design tool automatically creates nanostructure 3D-print templates for user-given colors
Scientists present work at prestigious SIGGRAPH conference

Most of the objects we see are colored by pigments, but using pigments has disadvantages: such colors can fade, industrial pigments are often toxic, and...

Im Focus: Unraveling the nature of 'whistlers' from space in the lab

A new study sheds light on how ultralow frequency radio waves and plasmas interact

Scientists at the University of California, Los Angeles present new research on a curious cosmic phenomenon known as "whistlers" -- very low frequency packets...

Im Focus: New interactive machine learning tool makes car designs more aerodynamic

Scientists develop first tool to use machine learning methods to compute flow around interactively designable 3D objects. Tool will be presented at this year’s prestigious SIGGRAPH conference.

When engineers or designers want to test the aerodynamic properties of the newly designed shape of a car, airplane, or other object, they would normally model...

Im Focus: Robots as 'pump attendants': TU Graz develops robot-controlled rapid charging system for e-vehicles

Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.

Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....

Im Focus: The “TRiC” to folding actin

Proteins must be folded correctly to fulfill their molecular functions in cells. Molecular assistants called chaperones help proteins exploit their inbuilt folding potential and reach the correct three-dimensional structure. Researchers at the Max Planck Institute of Biochemistry (MPIB) have demonstrated that actin, the most abundant protein in higher developed cells, does not have the inbuilt potential to fold and instead requires special assistance to fold into its active state. The chaperone TRiC uses a previously undescribed mechanism to perform actin folding. The study was recently published in the journal Cell.

Actin is the most abundant protein in highly developed cells and has diverse functions in processes like cell stabilization, cell division and muscle...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

LaserForum 2018 deals with 3D production of components

17.08.2018 | Event News

Within reach of the Universe

08.08.2018 | Event News

A journey through the history of microscopy – new exhibition opens at the MDC

27.07.2018 | Event News

 
Latest News

Smallest transistor worldwide switches current with a single atom in solid electrolyte

17.08.2018 | Physics and Astronomy

Robots as Tools and Partners in Rehabilitation

17.08.2018 | Information Technology

Climate Impact Research in Hannover: Small Plants against Large Waves

17.08.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>