Lack of World-wide HIV Health Care Workers

From last week's NEJM, a telling chart which calls to arms armies of non-physicians treating HIV patients: 

Comparing the ratios of HIV+ patients:Doctors in Malawi (7435:1) with the US (0.6:1) explains the general disconcert physicians and nurses have doing work abroad.  Here in this country, DOCTORS have to see the patients and sometimes NURSES can do refills/shots/IVs, but everyone else gets relegated to "ancillary" roles.   And when these DOCTORS/NURSES travel abroad to do international work, they end up not fulfilling the mythical role of 'bush doctor', but rather taking a much more supervisor/administrator role...some are happy and others disappointed in the lack of direct patient care.

On the other hand, the way these countries overcome the relative lack of DOCTORS/NURSES is to use health-care workers who get trained over just a few months to follow simple protocols.  The logical question for the US health care system is why we don't do the same - muster a horde of NON-DOCTORS/NURSES to care for serious diseases-but-under-treated diseases, like hypertension, using straightforward protocols like JNC-7 - and if complications arise, refer to more advanced/trained professionals.

 

Comments

[Volunteer in Kenya]

I thought it was going to be some boring old post, but it really compensated for my time. Great Post..

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From last week's NEJM, a telling chart which calls to arms armies of non-physicians treating HIV patients: Comparing the ratios of HIV+ patients:Doctors in Malawi (7435:1) with the US (0.6:1) explains the general disconcert physicians and nurses have doing work...

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This is sad because if there is lack of HIV Health Care workers there's going to be hindrances towards spreading awareness of HIV Aids. People around the world should become more broadminded on helping HIV affected patients.

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