Human Resources for Diseases Control: Administrative Function or Strategic Priorities

F. Ali, B. Wassie, Alessandro Greblo, Purnima Bhoi
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Abstract

The health sector is one of the most challenged sectors in developing countries given to the shortage of trained manpower particularly in the developing countries. Human resource is a very important aspect of any functioning health system. However this aspect is often neglected in the development of the health system and when it comes to the disease control programmes not enough importance is given to this aspect. Generally human resource in health is often ignored and just seen as an administrative function in disease control programmes. This affects the overall effectiveness of the programmes in terms of its impact on disease control. We observe an acute shortage of trained manpower especially in the developing countries. There are several reasons of such a crisis like situation in human resources in health system. Among them some are like HIV/AIDS Epidemic, Training Capacity, Brain drain, Poor working conditions and Remuneration. Especially the HIV/AIDS control programmes have suffered a lot due the shortage of trained manpower particularly in countries where HIV is among the main health problems. However there are ways in which such problems can be addressed to ensure the sustainability of HIV control and other disease control initiatives in developing world to reach near to the Millennium Development Goals (MDG –particularly Goal- ) in health. In this paper authors discuss the evidence based solutions to the problem of human resource in health sector to combat HIV/AIDS and other diseases in developing countries. Some of the initiative to address the problem may be improving the training capacity, improving use of available skills, staff retention and support, recognizing the health workers rights and putting them first along with taking care of administrative issues involved in the management of the human resources.
疾病控制人力资源:行政职能或战略重点
由于训练有素的人力短缺,特别是在发展中国家,卫生部门是发展中国家面临最大挑战的部门之一。人力资源是任何正常运转的卫生系统的一个非常重要的方面。然而,这方面在卫生系统的发展中往往被忽视,当涉及到疾病控制规划时,这方面没有得到足够的重视。一般来说,卫生人力资源往往被忽视,而仅仅被视为疾病控制规划中的一项行政职能。这就影响到各项方案在疾病控制方面的总体效力。我们注意到训练有素的人力严重短缺,特别是在发展中国家。造成卫生系统人力资源危机的原因有很多。其中包括艾滋病毒/艾滋病流行、培训能力、人才流失、工作条件差和薪酬。特别是在艾滋病毒是主要健康问题之一的国家,由于缺乏训练有素的人力,艾滋病毒/艾滋病控制方案受到很大影响。然而,有办法解决这些问题,以确保发展中世界的艾滋病毒控制和其他疾病控制举措的可持续性,以接近卫生方面的千年发展目标(千年发展目标-特别是目标-)。在本文中,作者讨论了基于证据的解决发展中国家卫生部门人力资源问题的办法,以防治艾滋病毒/艾滋病和其他疾病。解决这一问题的一些举措可能是提高培训能力、改进现有技能的利用、保留和支持工作人员、承认保健工作者的权利并将其放在首位,同时处理人力资源管理中涉及的行政问题。
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