(6 to 200 per 100,000
- except 450 S. Africa)
Nurses
– 400-fold
variation among countries
in the ratio of nurses per 100,000 population
Based on data from WHO, http://www3.who.int/whosis/health_personnel/health_personnel.cfm accessed 10-Nov-04
Finland,
Norway
The HIV/AIDS impacts on the health workforce and health systems are an added insult to the already
fragile health systems in develo
ping countries which are characterized by poor infrastructure,
insufficient numbers of service providers, lack
of drugs and commoditie
s and frequently poor
management.
Why the concern?
In order to achieve the Millennium Development Goals (MDGs) for reducing child mortality,
improving maternal health and combating HIV/AIDS, malaria and other diseases, this human capacity
situation requires new policies at the global, nati
onal, organizational and community levels. Policies
will need to be developed and implemented that
scale up human resources, bring new knowledge and
skill mixes to health workers and provide them with
sufficient incentives to provide high-quality
services, including catering for their care and treatme
nt needs if they themselves are HIV-positive.
It is important to look at the evidence on the direct effects of HIV/AIDS on the health workforce in
order to inform policy.
Given the variation in the severity of
the epidemic in different geographical
areas, projections on the impact have largely been
developed based on specific HIV/AIDS prevalence
rates as shown in Figure 3, “Projection
of health workers with AIDS, Botswana”
.
One major feature
of the demographic profile of health workers in Botswana, as elsewhere, is that women have
outnumbered male health workers by a ratio of 1.9 to 1 (
4
)
.
Yet more women than men are infected
and affected by HIV/AIDS and therefore women have more morbidity and mortality, leading to
higher attrition rates. Women also have a higher in
ternal and external migration from the national
health workforce.
Figure 3. Projection of health workers with AIDS, Botswana
0
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