Viewpoint: HIV/AIDS and the health workforce crisis: What are the next steps?
Article first published online: 31 MAR 2005
Tropical Medicine & International Health
Volume 10, Issue 4, pages 300–304, April 2005
How to Cite
Marchal, B., Brouwere, V. D. and Kegels, G. (2005), Viewpoint: HIV/AIDS and the health workforce crisis: What are the next steps?. Tropical Medicine & International Health, 10: 300–304. doi: 10.1111/j.1365-3156.2005.01397.x
- Issue published online: 31 MAR 2005
- Article first published online: 31 MAR 2005
- human resources;
- health workforce;
- international agencies
In scaling up antiretroviral treatment (ART), financing is fast becoming less of a constraint than the human resources to ensure the implementation of the programmes. In the countries hardest affected by the acquired immunodeficiency syndrome (AIDS) pandemic, AIDS increases workloads, professional frustration and burn-out. It affects health workers also directly, contributing to rising sick leave and attrition rates. This burden is shouldered by a health workforce weakened already by chronic deficiencies in training, distribution and retention. In these countries, health workforce issues can no longer be analysed from the traditional perspective of human resource development, but should start from the position that entire societies are in a process of social involution of a scale unprecedented in human history. Strategies that proved to be effective and correct in past conditions need be reviewed, particularly in the domains of human resource management and policy-making, education and international aid. True paradigm shifts are thus required, without which the fundamental changes required to effectively strengthen the health workforce are unlikely to be initiated.