Category Archives: Global Development

Health Care Workforce Shortage=Failure to Meet MDGs

 

Health workers in Honduras

Health workers in Honduras. Photo by Olivier Asselin

Did you know 83 countries do not have enough health workers to meet the World Health Organization’s minimum standard to provide basic health services (No Health Without a Workforce, 2013)? The importance of the health workforce cannot be overstated and without concrete efforts from the international community to strengthen the frontline community of health workers, the Millennium Development Goals (MDGs) and those health goals being outlined for the Post-2015 United Nations Development Agenda, will not be met.

Congressional Briefing Highlight

 Recently, I attended a congressional briefing led by International Medical Corps (IMC) and Management Sciences for Health (MSH) in cooperation with Representative Jaime Herrera Beutler and Dibba F. Edwads and Representative Kristi Noem and Doris O. Matsui. The briefing, titled,“Saving Women’s and Children’s Lives; Strengthening the Health Workforce in Fragile Countries” discussed the needs of the frontline health workers today and highlighted a few examples of programs addressing these gaps successfully.

Saving Mothers, Giving Life, was one program highlighted as a model of best practice.  The program is currently operating in Uganda (a fragile state) and Zambia, and is focused on maternal and child health.  Saving Mothers, Giving Life pays special attention to the needs of individual health care providers by offering training and mentoring services to improve contact with patients and grow the workforce of community health workers in these cities.  The program also focused on the health facilities themselves, working to improve access to health services overall.  By focusing on the health workforce and the health workplace, this program has seen a 30% reduction in maternal mortality in both countries. The multitude of public and private partnerships involved has also been an innovative piece to the model of this program design worth noting.  A few other “best practice models” were highlighted at this briefing, including examples from other fragile states (ie: Sudan, Afghanistan and Pakistan), but the resounding message from all examples was clear: the importance of individual health workers’ needs and the need for infrastructure to support their endeavors improves health outcomes for the community.

Multi-Talented Workforce Easily Overworked

Health workers are a huge asset to improving population health and they often are trained to care for a multitude of ailments (ie: maternal child health care workers can offer services for nutrition needs, routine immunizations, malaria, HIV/AIDs, TB, and neglected tropical diseases (NTDs) and NTD health workers distributing mass drug administration pills can also distribute malaria nets and vitamin A supplements).  While this integration of health services provided by the health workforce is ideal, often times the health workforce becomes overburdened, or worse, burnt-out. A contributing factor to the overburdening of the health workforce is the chronic health workers shortage. It will be no surprise when the MDGs are not met given the current health workforce shortage, an estimated 4.2 million health workers, with 1.5 million needed in Africa alone. However, looking ahead to the UN Post-Development Agenda, increasing the health workforce significantly will be imperative to success.

Health workers are the backbone of a healthy society and without them, health goals of the international community will not be reached.  While World Health Workers Week has come and gone acknowledging the backbone of a health society should be a constant effort.

Follow #healthworkerscount @MSHHealthImpact @IMC_Worldwide and @USAIDGH for more on this topic.

New Support for NTDs to Drive Progress Forward

 

photo 1NTDs

This afternoon, global health leaders convened in Paris to discuss progress made in the fight against neglected tropical diseases (NTDs). The event, titled Uniting to Combat Neglected Tropical Diseases: A Conversation on Progress, coincided with the release of a new report highlighting gains over the past two years.

Dr. Margaret Chan, Director-General of the World Health Organization; Bill Gates, Co-chair of the Bill & Melinda Gates Foundation; and several other expert panelists including Chris Viehbacher, CEO of Sanofi;  Dr. Onésime Ndayishimiye, National Director of Burundi’s Neglected Tropical Disease & Blindness Control Program; and French Minister of Social Affairs and Health, Hon. Marisol Touraine, announced deepened commitments for efforts to control and eliminate the most common NTDs by 2020 — including a $120 million pledge from the World Bank, a new collaboration to combat soil-transmitted helminthes (STH) and accelerated research and development efforts lead by pharmaceutical companies in conjunction with nonprofits.

The broad reach and attention of today’s event signals the fact that controlling and eliminating NTDs is embraced by a global community of national leaders, policy makers and donors. In addition, there is broad recognition that addressing NTDs is a crucial component of eliminating poverty and achieving development goals.

Echoing this fact, Dr. Tim Evans, World Bank Director of Health, Nutrition and Population stated during the event that NTDs are major constraints to development and addressing them will boost shared prosperity.

As detailed in the Uniting to Combat NTDs report and score card, progress on NTDs has accelerated quickly over the past two years. Pharmaceutical companies are now meeting 100 percent of requests for drugs, and endemic countries taking ownership of NTD programs. To date, 74 countries – roughly two-thirds of all NTD-endemic countries – have now developed national plans to help guide their control and elimination efforts.

Of particular note, Nigeria and Ethiopia, two countries with high NTD burdens, made national commitments to end NTDs. Nigeria launched its master NTD plan in February with the goal of providing treatment to more than 60 million people annually over the next five years. Ethiopia, the country with the highest trachoma burden, launched its national plan in June 2013. Success in Nigeria and Ethiopia would significantly decrease the global burden of NTDs worldwide.

Pages from NTD Report Final (sm)These positive gains are cause for optimism, but challenges still remain. While the chart to the left (click to view larger) shows a steady increase in drug donation and delivery, only 36 percent of people in need received all the drugs they needed in 2012. Mobilizing more financial resources to support program implementation, doing more to leverage the value of donated drugs and increasing collaboration across sectors are just a few ways the global community can further accelerate progress.

While donors, pharmaceuticals and NGOs are an integral part of the solution, endemic countries will drive progress forward by continuing to develop, own and implement their programs in a sustainable way.

“I always believe in country ownership,” Dr. Margaret Chan said. “We’re here to support your efforts.”

We applaud the work done by endemic countries, NGOs, pharmaceutical companies, multilateral organizations and the Bill and Melinda Gates Foundation, and look forward to the path towards 2020.

Click to view the event video and full report.

Feeling Optimistic on the 2nd Anniversary of the London Declaration for NTDs

 

Photo by Esther Havens

Photo by Esther Havens

Tomorrow is the second anniversary of the London Declaration on Neglected Tropical Diseases (NTDs) – the largest coordinated effort against NTDs to date. Since its launch, governments across the globe have committed to end NTDs and hundreds of millions of people have been treated for these diseases.  This week we’re recognizing the remarkable progress and momentum achieved since the formation of this global partnership where 13 pharmaceutical companies; the governments of the United States, United Kingdom and United Arab Emirates; Bill & Melinda Gates Foundation; World Bank and other international organizations formed a global partnership to control and eliminate 10 NTDs by the end of the decade – a commitment that Sabin Vaccine Institute’s president Dr. Peter Hotez calls a “tipping point for the world’s poor.”

The London Declaration has served as a roadmap to improve the lives of the 1.4 billion people worldwide affected by NTDs, most of whom are among the world’s poorest. Since then,  regional committees, endemic and donor countries, NGO and pharmaceutical partners throughout the world committed to and prioritized controlling and eliminating NTDs. Eliminating NTDs is understood to be one of the most cost-effective and comprehensive ways to achieve development goals and eliminate poverty. While we still have a long way to go, measured progress has been made and we’re feeling optimistic about the route to 2020, and we know that with increased funds and political commitment, the number of people needlessly suffering from NTDs will decrease.

In Asia this past year:

  • 6 countries started the process to verify elimination of lymphatic filariasis (LF) – an extremely painful and debilitating NTD
  • 6 countries reached the global target of deworming at least 75% of school-aged children
  •  India’s Joint Secretary in the Ministry on Health, Dr. Anshu Prakash, stated the country’s commitment to the controlling and eliminating of NTDs – an important announcement considering India bears 35% of the world’s burden for NTDs
  • Following the launch of the Regional Strategic Plans for WPRO and SEARO, more than 10 countries across Asia and the Pacific updated their national plans and renewed their commitment to end NTDs, and East Timor is preparing to launch its national program this year.

In Africa:

  • The Sixth Conference of African Union (AU) Ministers of Health (CAMH6) in April called for increased domestic investment in NTD control and elimination
  • The World Health Organization’s (WHO) 63rd Regional Committee for Africa meeting passed a regional strategic plan to accelerate achievements
  • Three African countries launched national integrated master NTD plans – Nigeria in February, Ethiopia in June and Uganda in September –  totaling more than 30 African countries with such plans.
  • This spring, we learned that Togo is soon to become the first sub-Saharan African country to eliminate LF

And in Latin America and the Caribbean:

While the progress in these regions is promising, more needs to be done by both endemic countries and partners. If we are to truly eliminate poverty and the diseases that perpetuate it, we need sustained support from all stakeholders: endemic countries, donors, regional and global committees, NGOs and more. As managing director of the Global Network, Dr. Neeraj Mistry, recently stated in an op-ed, NTD control and elimination efforts must also integrated into broader efforts to eliminate poverty and achieve global development goals:

“By including NTDs and specific targets in the post-2015 development agenda, we will support country-led efforts to reach control and elimination goals, improve the health and well-being of hundreds of millions of people, and accelerate progress in global poverty reduction.”

Ending the 10 most common NTDs by 2020 was an ambitious goal but the progress of the last two years proves the global community is up for the challenge, and will continue to fight until NTDs no longer exist.

How You Contributed to the Movement against NTDs in 2013 – and How We Can Do Even More

 

As 2013 comes to a close, we have reason to celebrate. END7 supporters helped treat entire communities of people suffering from neglected tropical diseases (NTDs) in Honduras, Myanmar, and Kenya, and our partners have completed treatment programs for millions of people in other countries. We’re making progress in the fight against NTDs.

The hundreds of thousands of children, mothers, families and communities who benefit from NTD treatment motivate us to continue the fight; mothers like Alice who pray every day for the health of their families, and sisters like Neema who want to be healthy and free of parasites so they can play and learn with their siblings.

Watch our new video to see the people who are benefitting from our work. We want to say thank you for making a difference in their lives.

The effort to end NTDs includes a diverse group of global partners, including the World Health Organization (WHO), national governments, pharmaceutical companies, corporations and individuals. Just this year, world leaders took notice and stood up for the 1.4 billion people suffering from NTDs.  The World Health Assembly, the African Union and the Organization of America States all made commitments to end NTDs. Governments across the world made national plans to end NTDs within their own countries — and when so many END7 supporters spoke out on behalf of those suffering from  NTDs, the United Nations responded with a letter stating that the fight against NTDs is “paramount to the global efforts to eradicate poverty.”

We’ve come a long way, but we can do even more in 2014 with your help. We’re ready to expand our efforts next year and reach even more communities in more countries. Your donations help deliver medicine to hard to reach places, train healthcare workers to administer treatment, educate people about NTDs, prepare for annual pill distributions and help communities take ownership of their own treatment programs.

If we want to improve the health of the most marginalized communities, enhance economic performance and contribute to broader development goals, we need to press on in the fight against NTDs. Will you stand with us? Donate, share our video or start your own campaign to amplify our efforts and improve the lives of those who need it most.