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.
Purdue cancer identity technology makes it easier to find a tumor's 'address'
16.11.2018 | Purdue University
Microgel powder fights infection and helps wounds heal
14.11.2018 | Michigan Technological University
Researchers at the University of New Hampshire have captured a difficult-to-view singular event involving "magnetic reconnection"--the process by which sparse particles and energy around Earth collide producing a quick but mighty explosion--in the Earth's magnetotail, the magnetic environment that trails behind the planet.
Magnetic reconnection has remained a bit of a mystery to scientists. They know it exists and have documented the effects that the energy explosions can...
Biochips have been developed at TU Wien (Vienna), on which tissue can be produced and examined. This allows supplying the tissue with different substances in a very controlled way.
Cultivating human cells in the Petri dish is not a big challenge today. Producing artificial tissue, however, permeated by fine blood vessels, is a much more...
Faster and secure data communication: This is the goal of a new joint project involving physicists from the University of Würzburg. The German Federal Ministry of Education and Research funds the project with 14.8 million euro.
In our digital world data security and secure communication are becoming more and more important. Quantum communication is a promising approach to achieve...
On Saturday, 10 November 2018, the research icebreaker Polarstern will leave its homeport of Bremerhaven, bound for Cape Town, South Africa.
When choosing materials to make something, trade-offs need to be made between a host of properties, such as thickness, stiffness and weight. Depending on the application in question, finding just the right balance is the difference between success and failure
Now, a team of Penn Engineers has demonstrated a new material they call "nanocardboard," an ultrathin equivalent of corrugated paper cardboard. A square...
19.11.2018 | Event News
09.11.2018 | Event News
06.11.2018 | Event News
19.11.2018 | Materials Sciences
19.11.2018 | Information Technology
19.11.2018 | Life Sciences