Human resources for control of tuberculosis and HIV-associated tuberculosis [Unresolved Issues]

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 outl...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2005-02, Vol.9 (2), p.128-137
Hauptverfasser: HARRIES, A. D, ZACHARIAH, R, BERGSTRÖM, K, BLANC, L, SALANIPONI, F. M, ELZINGA, G
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container_end_page 137
container_issue 2
container_start_page 128
container_title The international journal of tuberculosis and lung disease
container_volume 9
creator HARRIES, A. D
ZACHARIAH, R
BERGSTRÖM, K
BLANC, L
SALANIPONI, F. M
ELZINGA, G
description 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 workforce; 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.
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source MEDLINE; Alma/SFX Local Collection
subjects AIDS-Related Opportunistic Infections - prevention & control
Bacterial diseases
Biological and medical sciences
Health Manpower - statistics & numerical data
Health Manpower - trends
HIV-TB control
Human bacterial diseases
Human immunodeficiency virus 1
Human immunodeficiency virus 2
Human Resources
Human viral diseases
Humans
Infectious diseases
Malawi
Medical sciences
Mycobacterium tuberculosis
Tb Control
Tuberculosis - prevention & control
Tuberculosis and atypical mycobacterial infections
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Human resources for control of tuberculosis and HIV-associated tuberculosis [Unresolved Issues]
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