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CHALLENGES OF A POSITIVE HEALTH WORKFORCE - UGANDA

CHALLENGES OF A POSITIVE HEALTH WORKFORCE - UGANDA. AUTHOR DR LYDIA MUNGHERERA THE AIDS SUPPORT ORGANISATION (TASO) UGANDA. INTRODUCTION. The health workforce in Uganda has suffered major blows The ratio of patient to Doctor is 1:23,000

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CHALLENGES OF A POSITIVE HEALTH WORKFORCE - UGANDA

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  1. CHALLENGES OF A POSITIVE HEALTH WORKFORCE - UGANDA AUTHOR DR LYDIA MUNGHERERA THE AIDS SUPPORT ORGANISATION (TASO) UGANDA

  2. INTRODUCTION • The health workforce in Uganda has suffered major blows • The ratio of patient to Doctor is 1:23,000 • There is a huge shortage of nurses & other cadres in most health centres especially in the peripheral areas • Other factors like brain drain, low recruitment have added to the huge shortage of health workers

  3. CHALLENGES • No centres where health workers feel free to access medical services and health seeking behavior is very poor • A large number of health workers have ignorance on issues of HIV management including post-exposure prevention • Dialogue among each other is low • Stigma and denial are key challenges and many die silently without treatment • Heavy burden of work and continuous stress

  4. IMPACT • Lack of sufficient data on numbers of health workers infected with HIV • Decreased number of health workers accessing VCT and Antiretroviral treatment • Shortage of health workforce in health centres due to sickness and eventual death • Stigma towards patients because of fear & ignorance. • Poor communication between each other to help seek help in time

  5. GIPA • The Greater Involvement of People living with HIV/AIDS has played a major positive impact on the AIDS response in UgandaHIV positive people have contributed to reduction in stigma and act as peers • HIV positive health workers are better placed to sensitize their colleagues

  6. RECOMMENDATIONS • Training of health workers should start in medical schools. • Health workers should be trained in all aspects of HIV/Aids including post exposure prophylaxis. • Continuous dialogue amongst each other should be encouraged on HIV issues • Wellness Centres with good counsellors should be available

  7. RECOMMENDATIONS (Contd.) • Training in counseling skills is very important • VCT and treatment including ARVs should be available for all health workers • Human rights of positive health workers should be maintained and this includes confidentiality & sick benefits. • Caring for Cares programs should be funded.

  8. ACKNOWLEDGEMENT • Dr Myers Lugemwa - Ministry of Health • Dr. Esther Aceng – WHO Lesotho • Uganda Medical Association • World Health Association • Prof Sewankambo - Dean Medical School, Makerere University - Uganda

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