Navigation Links
Shortage of Doctors and Nurses Affects AIDS Treatment in Africa

The scourge started there, it is generally believed. And its death dance continues unabated in the region. What little succour can come through medicines is also denied the unfortunate people.

Africa has increased the number of AIDS sufferers on treatment from 100,000 in 2003 to 1.3 million last year, but a lack of medical workers is preventing further expansion of drug programs, according to the report released Thursday by Medecins Sans Frontieres.

"The international community says it wants to achieve universal access, and in Khayelitsha we were coming close, but at a certain point things started to collapse," said Eric Goemaere, who heads the agency also known as Doctors Without Borders in that sprawling Cape Town township.

"We are absolutely saturated. We have come back to waiting lists and it feels again like we are losing the battle," he said.

Southern Africa is hardest hit by the AIDS epidemic, accounting for the vast majority of the 40 million infections and the daily death toll of 8,000. Despite the advances in AIDS treatment taken for granted in rich countries, more than 70 percent of Africans who need it are still waiting.

On an average day, about 200 AIDS patients flock to the clinic set up by Doctors Without Borders in Khayelitsha. Many others languish at home, not for lack of drugs but because there aren't enough health workers to administer them.

At the clinic in Khayelitsha where about 30 percent of adults have the AIDS virus nearly 6,000 people are currently receiving anti-retroviral therapy. But the number of new patients starting treatment each month dropped from 270 in May 2006 to 100 last December mainly because of lack of health workers.

South Africa has 393 nurses and 74 doctors per 100,000 people, but a high percentage work in the private sector and shortages are especially acute in rural areas. This compares to 901 nurses and 247 doctors per 100,000 people in t he United States.

Mpumelelo Mantangana, a nurse at the clinic, says her workload has soared as other nursing staff have left for better-paid jobs in the private sector or abroad. She understands why the work is exhausting and the pay is peanuts.

"I work purely because of passion for what we are doing. People come in and they are very sick and we see them get better. That is the only thing which gives us strength," she said in an interview at the clinic, where long lines of people waited patiently on wooden benches.

In tiny Lesotho, which is also ravaged by AIDS, there are just five doctors and 63 nurses per 100,000 people. In Malawi, there are two doctors and 56 nurses, and in Mozambique three doctors and 20 nurses.

The Doctors Without Borders report, which focused on the four southern African countries, made grim reading. It said that in the Thyolo district of Malawi, a single medical assistant sees up to 200 patients per day. In Mavalane district in Mozambique, many patients died during the two-month wait to start treatment, while in one of Lesotho's main hospitals, more than half the nursing jobs were vacant.

The report said that countries would only be able to cope with the crisis by "task-shifting" allowing nurses to do work normally assigned to doctors, medical assistants to do the work of nurses and using more community workers.

Malawi is already doing this, and a new AIDS plan recently adopted in South Africa also shifts treatment away from hospitals to community-based care. Lesotho also has nurse-based treatment but there simply aren't enough nurses.

The report also pointed the finger at donor countries, which pay for antiretroviral drugs and new clinics but don't provide for health workers' salaries to operate them.

It said the U.S. Millennium Challenge Account has committed an $140 million to improve physical infrastructure at health facilities. But no plans have be en made to recruit the 600 additional health care workers needed to staff the facilities.

"People living with HIV/AIDS do not only need drugs and clinics; they need trained, motivated health care workers to diagnose, monitor and treat them," the report said.

That calls for a very different orientation both on the part of policymakers and also doctors themselves.


'"/>




Related medicine news :

1. Shortage of MMR vaccine
2. Shortage of funds for providing AIDS drug in Africa and India
3. Tamiflu Shortage Can Be Better Handled By Combining It With Probenecid
4. Acute Shortage Of Neurosurgeons In India: One Surgeon For Every 1 Million!
5. Doctor Training Undermined In Britain Due To Shortage Of Cadavers
6. Shortage Of Funds In Primary Care Trust In UK
7. Acute Shortage Of Dentists in UK: Oral Care for Elders To Suffer A Setback
8. School Children Put To Risk Due To Shortage Of Nurses
9. UK Committee Warns on Food Shortages Due to Flu Epidemic
10. Zimbabwe Faces Shortage Of AIDS Drugs
11. UK Doctors Fear Shortages Could Hit Public Health Drive
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/27/2017)... ... February 27, 2017 , ... Anahata Ananda of Shamangelic ... happy to announce her “Spring Rejuvenation in Sedona” personally tailored retreats. For those ... the winter-weary soul an excellent opportunity to come out of hibernation and do ...
(Date:2/27/2017)... (PRWEB) , ... February 27, 2017 , ... ... provides an overview on laser diffraction analysis as a tool to characterize particle ... significance and potential to obtain improved results and novel scientific findings. It describes ...
(Date:2/27/2017)... Francisco, CA (PRWEB) , ... February 27, 2017 ... ... center for hair transplantation therapy, is proud to announce a new informational post ... hair therapy procedures. Follicular Unit Extraction (FUE) hair transplant and Follicular Unit Transplantation ...
(Date:2/26/2017)... ... 26, 2017 , ... This is an extension of airmid’s ... be ISO/IEC 17025:2005 INAB accredited for Der p 1 (house dust mite allergen) ... recognised standard that sets out requirements for the technical competence of testing and ...
(Date:2/26/2017)... ... ... ODH, Inc.™ announced today it will exhibit and speak at the 10th ... Arlington, VA. ODH’s director of medical strategy, Candace Saldarini, M.D., will present on how ... management. , ODH will also have an exhibit booth where attendees may speak to ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... Ind. , Feb. 24, 2017 Zimmer ... leader in musculoskeletal healthcare, will present at the Cowen ... at the Boston Marriott Copley Place on Tuesday, March ... A live webcast of the presentation can be ... archived for replay following the conference via Zimmer Biomet,s ...
(Date:2/24/2017)... Research and Markets has announced the addition of the "Dry ... offering. ... Dry eye Drugs Price Analysis and Strategies - 2016, provides drug pricing ... answers the following questions: What are the ... they positioned in the Global Dry eye market? What ...
(Date:2/24/2017)... CHAPEL HILL, N.C. , Feb. 24, 2017 ... sector are exploring ways to increase their self-service ... as Health Care Providers (HCPs). New ... that many pharma organizations have developed self-service website ... questions electronically.  This is just one of many ...
Breaking Medicine Technology: