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ANXIETY
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SEXUALHEALTH
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OBESITY
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10759QlairaRoof AdMedChron.indd 1
2016/03/14 4:12PM
APRIL2016
Established1965
TheDoctor’sNewspaper
MEDICAL
CHRONICLE
I
t’sbeenwidely reported that
therearesevereshortages
ofhealthprofessionals
internationally.
In2006, the
WorldHealthOrganization (WHO)
estimated2.4milliondoctors, nurses,
andmidwiveswereneeded.More
recently theInternational Labour
Organization (ILO) publisheda report
lookingatglobal healthworkerdeficits,
estimating theshortage tobeashigh
as10.3million.
SA’sdoctorsper 1000population
ratio isonly0.77. “Wedon’tmeet the
2006WorldHealthReport thresholdof
2.28skilledhealthprofessionalsper
1000population,” saidProf IanCouper,
Director ofWitsCentre forRural
Health. “And that’s just lookingat the
numbers. It’snot lookingat availability,
accessibility, acceptability, service
utilisation, andquality. All ofwhich
arecritical in termsof addressing
theproblem."
WHYISITANISSUE?
There’sadirect correlationbetween
numbersof healthcareworkersand
maternal, child, and infant survival. The
issueof equity isalsomajor concern.
“UnfortunatelyHart’sInverseCare
Lawdatingback to1971 - thosewho
have thegreatestneedof healthcare
have thepoorest services - continues
tobe true today. InSA, that0.77 is
disproportionatelydistributedacross
provinces.”2010Figures reveal that
provincial distributionof doctorsper
100000 (publicandprivate) range
from17 inLimpopo to135 in the
WesternCape.
ProfCouperbelieves thebasic
problem is thatnot enoughhealth
workershavebeeneducated, trained,
andemployed.
2010LANCETCOMMISSION
REPORT
TheLancetCommission report on
howSAneeds to transformhealth
educationandhealthprofession’s
education for the21st century
highlightedsomeof thechallenges
facedatmedical schools, being:
Improvingquality, equity, relevance,
andeffectiveness inhealthcare
delivery
Reducing themismatchwith
societal priorities
Redefining rolesof health
professionals
Providingevidenceof impact on
people’shealthstatus.
“So thecrux isweneedmorehealth
professionalsbutnotmoreof the
same," saidProfCouper. According
to theWHOa transformationof
healthprofessional educationshould
putpopulationhealthneedsand
expectationat thecentreandshould
bedirectedby the realityof health
servicedelivery.
QUANTITY,QUALITYAND
RELEVANCE
WHO’s2013guidelineson transforming
andscalinguphealthprofessionals’
educationand training raised the issue
ON
2478Rheumalef Ear ad_Medical ChronApril.indd 2
2016/03/31 2:34PM
HEALTHWORKFORCE
Toooftenwe seem to forget that there’snohealthwithout aworkforce, especiallywhen it comes
touniversal healthcoverage (UHC).
NOTENOUGH
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