Percentage of health workers
with AIDS per year, Botswana
P
r
o
j
e
c
t
e
d
Adapted from “The Impact of HIV/AIDS on the Health Sector in Botswana”, 2000, Abt Assoc.
Demographic profiles of health personnel are requir
ed to develop more refined analyses of health
sector impacts, since risk is influenced by age, gender and geographical location. An assessment
conducted in Botswana suggests that the age prof
ile of health workers may differ significantly from
that of the general population aged 20–64 (
5
). Younger health workers are migrating from the service
more than older ones and they are also dying more
from HIV/AIDS, contributing to higher attrition
from this age group.
Loss rates by cadre
To gain insight into the scale of need for traini
ng new staff to carry out HIV/AIDS service tasks,
information was gathered on the number of staff le
aving the health services, by cadre, in a Zambia
HIV/AIDS workforce study. As shown in Table 1, lo
sses were greatest for midwives, the cadre in
highest demand and shortest supply. In the Lusaka hospitals and clinics, loss of midwives and nurses
was particularly great, with Lusaka Trust Hospita
l experiencing a 60% loss rate of midwives. The
principal reason for staff losses is salary, with a la
rge number leaving Zambia for jobs in the United
Kingdom and the United States of America. Other common reasons were transfers and death.
Although the Zambian government recently incr
eased nurse and midwife salaries, widespread
complaints continue, so the recent salary
increase may not influence staff loss rates (6 ).
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