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báo cáo sinh học:" The double burden of human resource and HIV crises: a case study of Malawi"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : The double burden of human resource and HIV crises: a case study of Malawi | Human Resources for Health BioMed Central Review Open Access The double burden of human resource and HIV crises a case study of Malawi David McCoy 1 Barbara McPake2 and Victor Mwapasa3 Address Centre for International Health and Development University College London 30 Guilford Street London WC1N 1EH UK institute for International Health and Development Queen Margaret University Edinburgh EH12 8TS UK and 3Division of Community Health College of Medicine University of Malawi Blantyre Malawi Email David McCoy - d.mccoy@ucl.ac.uk Barbara McPake - BMcPake@qmu.ac.uk Victor Mwapasa - vmwapasa@medcol.mw Corresponding author Published 12 August 2008 Received 20 September 2007 Human Resources for Health 2008 6 16 doi l0.ll86 l478-449l-6-l6 Accepted 12 August 2008 This article is available from http www.human-resources-health.cOm content 6 l l6 2008 McCoy et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Two crises dominate the health sectors of sub-Saharan African countries those of human resources and of HIV. Nevertheless there is considerable variation in the extent to which these two phenomena affect sub-Saharan countries with a few facing extreme levels of both Lesotho Zimbabwe Zambia Mozambique the Central African Republic and Malawi. This paper reviews the continent-wide situation with respect to this double burden before considering the case of Malawi in more detail. In Malawi there has been significant concurrent investment in both an Emergency Human Resource Programme and an antiretroviral therapy programme which was treating 60 000 people by the end of 2006. Both areas of synergy and conflict have arisen as the two programmes have been implemented. These highlight important issues for programme planners and .