Healers Abroad Americans Responding to the Human Resource Crisis in HIV/AIDS (2005) / Chapter Skim
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6 Looking Ahead
6 Looking Ahead
Pages 138-150
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From page 138... ...
The six programs of the GHS are not intended to produce a permanent workforce or to substitute for the development of health personnel capacity in the PEPFAR focus countries. The longterm sustainability of the program must be a priority for both the PEPFAR countries and the United States.
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From page 139... ...
Two important measures to this end are developing codes of conduct for the recruitment of health professionals and working toward self-sufficiency in the production of health workers (Buchan et al., 2003; Stilwell et al., 2004)
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Midlevel provider programs that offer continuing education and advanced training need to be promoted and funded. Community and village health workers need to be trained by the thousands and equipped with standardized basic skills for HIV/AIDS work.
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Table 6-1 provides an overview of companies and organizations currently addressing HIV/AIDS in the PEPFAR focus countries. The interventions listed focus on voluntary counseling and testing; prevention, education and awareness; and care, support and treatment.
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142 HEALERS ABROAD TABLE 6-1 Potential Partners Addressing HIV/AIDS Company/Organization Intervention Coca-Cola Company Voluntary counseling and http://www2.coca-cola.com/citizenship/ testing (VCT) ; prevention, africa_program.html education, and awareness (PEA)
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From page 143... ...
that could support the scale-up of HIV/AIDS treatment and care in the PEPFAR focus countries is the use of interactive personal digital assistants (PDAs) for management of antiretroviral therapy (ART)
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A basic principle underlying all e-health interventions is that they should be collaborative and constructive, resulting in clear benefits rather than increasing the workload of already overwhelmed workers. Despite the human and technological challenge of designing e-health interventions to complement different workplaces, the committee strongly believes that e-health can leverage health care resources in the PEPFAR focus countries.
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From page 145... ...
health professionals seeking overseas work opportunities linked to global service in the future. To better serve their educational and employment needs, upgraded global health curricula, supported by appropriate professional consortia, should be encouraged, within both health professional schools and other educational settings.
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health professionals. In December 2004, the committee heard testimony on ethical issues involved in foreign health workforce assistance programs (for the full testimony, see Appendix B)
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With respect to the proposed GHS, monitoring and evaluation would clearly be important, and would require flexible systems to assess and track the work of various program participants. These findings, in turn, would guide adjustments in numbers of personnel, professional and personal qualifications, and other skill sets so as to achieve the greatest benefit in augmenting the health workforce in the PEPFAR focus countries.
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From page 148... ...
health personnel · Skills and knowledge of PEPFAR country counterparts · Perceptions of host organizations (public- and private-sector) · Perceptions of general stakeholder communities in the PEPFAR focus countries · International dissemination of successful models · New paradigms of care and configurations of service providers for HIV/AIDS prevention, treatment, and care in all countries heavily impacted by the pandemic With respect to the broader philosophical framework of monitoring and evaluation, two final principles are worth emphasizing.
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From page 149... ...
2004. Migration of health care workers from developing countries: Strategic approaches to its management.
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