Healers Abroad Americans Responding to the Human Resource Crisis in HIV/AIDS (2005) / Chapter Skim
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4 Envisioning a U.S. Global Health Service
4 Envisioning a U.S. Global Health Service
Pages 86-95
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From page 86... ...
Global Health Service. The commit tee discussed the importance of establishing a clear identity for pro grams designed to mobilize health personnel for service in combating HIV/AIDS in highly impacted countries.
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From page 87... ...
In view of the lack of human resources for health in PEPFAR focus countries and many other developing countries, education, training, and development of new, effective configurations of health care delivery in resource-poor settings will take high priority among the U.S. Global Health Service's activities.
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From page 88... ...
health professionals would work in PEPFAR focus countries. GHS participants will need to understand and accept the challenges and frustrations of delivering health care in resource-poor settings, while at the same time maintaining positive, supportive attitudes toward colleagues and patients, a committed engagement in the tasks they perform, and an overall attitude of service.
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From page 89... ...
Despite the best intentions of its sponsors and participants, a new program with a stigmatizing name could potentially discourage individual patients or whole communities from fully embracing its mission or functions. Linking "Global Health" and "Service" Creating a culture of service was a primary motivation behind the committee's proposal for a new, federally funded initiative to help to address the human resource crisis in addressing global HIV/AIDS.
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From page 90... ...
personnel to work in PEPFAR focus countries. Finally, in order for the U.S.
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From page 91... ...
health professionals for service abroad are already in existence, none encompasses the scope and values of the proposed GHS, which include the following: · A portfolio of human resource capacity-building mechanisms that individually provide unique benefits and together create synergistic benefits otherwise not possible · Opportunities for strategic, multifaceted deployment relating to the operating plans of PEPFAR countries · Possibilities for strategic publicprivate partnerships within and among countries that are both federally funded and benefit from funding and resources from other sectors · National prominence for volunteering opportunities · Reduction of barriers to developing governmental relationships among countries and collaboration among agencies within the United States · Coordinated responsibility and accountability for target setting and performance monitoring PRINCIPLES AND MERIT FRAMEWORK The GHS as envisioned by the committee is framed by a set of six guiding principles. These principles are detailed below.
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From page 92... ...
The committee recognizes that depletion or diversion of the current health workforce in PEPFAR focus countries could inadvertently result from a well-intentioned global health program on the ground. The GHS will engage in ongoing monitoring of its impact on local health care to ensure that it does not drain resources from essential local services or foster the international migration of health workers.
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From page 93... ...
and the mounting concern over a new global pandemic of avian influenza can certainly be seen in this light. The GHS is proposed as a humanitarian program of the people of the United States at a time when the security of both PEPFAR countries and the United States is jeopardized by disease.
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From page 94... ...
In sub-Saharan Africa, girls and women represent 58 percent of those living with HIV/AIDS. In some of the worstaffected countries in southern Africa, intergenerational sex has led to HIV seroprevalence rates among girls aged 15 to 19 that are four to seven times higher than those among boys of the same age (Fleischman, 2003)
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