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.
Unique brain 'fingerprint' can predict drug effectiveness
11.07.2018 | McGill University
Direct conversion of non-neuronal cells into nerve cells
03.07.2018 | Universitätsmedizin der Johannes Gutenberg-Universität Mainz
For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.
To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...
For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.
Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...
Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.
A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...
Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.
"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....
Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.
Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...
13.07.2018 | Event News
12.07.2018 | Event News
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17.07.2018 | Information Technology
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17.07.2018 | Power and Electrical Engineering