|
Innovations in Human Resources for Health for HIV |
MOSY09 |
|
|
| Organiser: |
|
| Type:
|
|
| Venue: |
SR 2 (550) |
| Interpretation: |
None |
| Time: |
16:30 - 18:00, 04.08.2008 |
| Code: |
MOSY09 |
|
Moderators: |
Mubashar Sheikh, Switzerland
Wim Van Damme, Belgium (Chairperson)
|
|
|
|
There is international consensus that without urgent improvements in the performance of health systems, including significant strengthening of human resources for health, the world will fail to meet the Millennium Development Goals for health or to achieve universal access to HIV services by 2010.
There is growing recognition that the solution lies in reorganization of clinical services and of the demography of the health workforce. The task shifting approach between physicians, nurses, other health care professionals, as well as community health workers, has been recommended as a return to the core principles of health services that are accessible, equitable, of good quality and sustainable.
This session will look at the available evidence and experience on task shifting though country experiences, discuss the WHO recommendations and guidelines and analyze the way forward for task shifting.
|
|
|
Presentations in this session:
16:30
MOSY0901
Powerpoint (763 KB) | Non physician clinicians and HIV service delivery: Experiences from 45 countries
Seble Frehywot, United States
| 16:40
MOSY0902 | The community healthcare workers back on the scene for HIV and primary health care service delivery: The experience of Haiti and Rwanda
Louise Ivers, Haiti
| 16:50
MOSY0903
Powerpoint (2.56 MB) | WHO recommendations and guidelines on task shifting: The evidence, the content and the way forward for implementation
Francesca Celletti, Switzerland
| 17:00
MOSY0905
Powerpoint (222 KB) | Overcoming HRH bottlenecks for ART scale-up in Malawi: A national human resources emergency plan and a task shifting approach
Kelita Kamoto, Malawi
| 17:10
MOSY0906
Powerpoint (386 KB) | Task shifting: How much does it cost? Is it cost-effective?
Kate Tulenko, United States
|
|
|
Rapporteur report
Leadership report by Nithya Krishnan
This session focused on the role of non-physician clinicians
in health work. The overwhelming consensus amongst the presenters was that there
is a critical as well as chronic shortage of health care workers. The method of
addressing this problem was identified as task shifting and creating formal
community health worker (CHW) positions. Several different methodologies for the
implementation of CHWs was presented by WHO intitiatives, Partners in Health
programmes in Haiti and Rwanda and the Health Ministry of Malawi.
The outcome
of the task shifting experiment in creation of CHW positions generally
increased sustainability in health programmes, empowerment of communities and a
favorable budget outlook as deemed by the speaker from the World Bank. In fact,
in Haiti,
CHWs are depended on more than physicians due to filial and community
relations.
Some
concerns were raised about whether CHWs or non physician clinicians were
indicative of lower class care, yet the successful operations and financial
predictions of this initiative seem promising especially for developing
countries in HIV service delivery.
|
|
|