Naicker Saraladevi, Plange-Rhule Jacob, Tutt Roger C, Eastwood John B
Division of Nephrology, University of Witwatersrand, Johannesburg Hospital, Area 551, 7 York Rd, Parktown, Johannesburg 2193, South Africa.
Ethn Dis. 2009 Spring;19(1 Suppl 1):S1-60-4.
The already inadequate health systems of Africa, especially sub-Saharan Africa, have been badly damaged by the migration of their health professionals. There are 57 countries with a critical shortage of healthcare workers, a deficit of 2.4 million doctors and nurses. Africa has 2.3 healthcare workers per 1000 population, compared with the Americas, which have 24.8 healthcare workers per 1000 population. Only 1.3% of the world's health workers care for people who experience 25% of the global disease burden. The consequences for some countries resulting from loss of health workers are increasingly recognized and are now being widely aired in the public media. The health services of a continent already facing daunting challenges to the delivery of minimum standards of health care are now also being potentially overwhelmed by HIV/AIDS. There is a need for concerted political will and funding support that will allow them to do what is necessary. It may well be asked why special measures should be necessary to influence the migration of health professionals rather than engineers or football players or any other category. The answer must surely be that no other category of worker is so essential to the well-being of the population of every nation.
非洲,尤其是撒哈拉以南非洲地区本就薄弱的卫生系统,因卫生专业人员的外流而受到严重破坏。有57个国家严重短缺医护人员,缺少240万名医生和护士。非洲每千人口有2.3名医护人员,而美洲每千人口有24.8名医护人员。全球仅1.3%的卫生工作者为承担25%全球疾病负担的人群提供医疗服务。卫生工作者流失给一些国家带来的后果日益得到认识,目前也在公共媒体上广泛讨论。一个在提供最低标准医疗保健方面本就面临严峻挑战的大陆,其卫生服务现在还可能因艾滋病毒/艾滋病而不堪重负。需要有协调一致的政治意愿和资金支持,让这些国家能够采取必要行动。很可能有人会问,为什么需要采取特别措施来影响卫生专业人员的迁移,而不是工程师、足球运动员或其他任何职业的人员。答案肯定是,没有其他类别的工作者对每个国家民众的福祉如此至关重要。