Human resources for control of tuberculosis and HIV-associated tuberculosis


Harries, AD; Zachariah, R; Bergstrom, K; Blanc, L; Salaniponi, FM; Elzinga, G; (2005) Human resources for control of tuberculosis and HIV-associated tuberculosis. The international journal of tuberculosis and lung disease, 9 (2). pp. 128-37. ISSN 1027-3719

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Abstract

The global targets for tuberculosis (TB) control were postponed from 2000 to 2005, but on current evidence a further postponement may be necessary. Of the constraints preventing these targets being met, the primary one appears to be the lack of adequately trained and qualified staff. This paper outlines: 1) the human resources and skills for global TB and human immunodeficiency virus (HIV) TB control, including the human resources for implementing the DOTS strategy, the additional human resources for implementing joint HIV-TB control strategies and what is known about human resource gaps at global level; 2) the attempts to quantify human resource gaps by focusing on a small country in sub-Saharan Africa, Malawi; and 3) the main constraints to human resources and their possible solutions, under six main headings: human resource planning; production of human resources; distribution of the work-force; motivation and staff retention; quality of existing staff; and the effect of HIV/AIDS. We recommend an urgent shift in thinking about the human resource paradigm, and exhort international policy makers and the donor community to make a concerted effort to bridge the current gaps by investing for real change.

Item Type: Article
Keywords: AIDS-Related Opportunistic Infections, Health Manpower, Humans, Malawi, Tuberculosis, AIDS-Related Opportunistic Infections, prevention & control, Health Manpower, statistics & numerical data, trends, Humans, Malawi, Tuberculosis, prevention & control
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
PubMed ID: 15732730
Web of Science ID: 226963900004
URI: http://researchonline.lshtm.ac.uk/id/eprint/8940

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