College of Medicine, University of Ibadan, Ibadan, Nigeria.
College of Health Sciences, Makarere University, Kampala, Uganda.
Int J Health Policy Manag. 2017 Feb 1;6(2):111-113. doi: 10.15171/ijhpm.2016.100.
Recent proposals for re-defining the roles Africa's health workforce are a continuation of the discussions that have been held since colonial times. The proposals have centred on basing the continent's healthcare delivery on non-physician clinicians (NPCs) who can be quickly trained and widely distributed to treat majority of the common diseases. Whilst seemingly logical, the success of these proposals will depend on the development of clearly defined professional duties for each cadre of healthcare workers (HCW) taking the peculiarities of each country into consideration. As such the continent-wide efforts aimed at health-professional curriculum reforms, more effective utilisation of task-shifting as well as the intra - and inter-disciplinary collaborations must be encouraged. Since physicians play a major role in the training mentoring and supervision of physician and non-physician health-workers alike, the maintenance of the standards of university medical education is central to the success of all health system models. It must also be recognized that, efforts at improving Africa's health systems can only succeed if the necessary socio-economic, educational, and technological infrastructure are in place.
最近有关重新定义非洲卫生人力角色的提议，是自殖民时代以来一直在进行的讨论的延续。这些提议的核心是基于可以快速培训和广泛分布的非医师临床医生（NPC），以治疗大多数常见疾病。虽然这看似合理，但这些提议的成功与否将取决于为每一类卫生工作者（HCW）制定明确界定的专业职责，同时考虑到每个国家的特点。因此，必须鼓励全大陆范围内努力进行卫生专业课程改革、更有效地利用任务转移以及加强学科间和跨学科合作。由于医生在培训、指导和监督医师和非医师卫生工作者方面发挥着重要作用，因此维护大学医学教育的标准对于所有卫生系统模式的成功都至关重要。还必须认识到，如果没有必要的社会经济、教育和技术基础设施，改善非洲卫生系统的努力就不可能成功。
