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We’re just a month away from World Health Day (April 7th) and the official launch of advocacy for the Global HEALTH Act of 2010. So far this month, through this blog you’ve learned about the Global HEALTH Act and gotten some great facts about the health workforce crisis (and how many people are waiting in line for an I-Pad — impressive!). Today’s post includes a few more resources that highlight the impact of Africa’s health workforce shortage. Check them out and share with colleagues.

PHR made the following video in collaboration with our Kenyan partner group, the Health Rights Advocacy Forum. In this 6-minute video, four health workers at Mbagathi Hospital talk about  the challenges they face every day — and why they stay and practice medicine in their home country. This moving video can be shown on campus or at your workplace to stimulate discussion and urge people to take action.

For more personal stories, check out Africa’s Health Care Worker Crisis: Views from the Ground, a PowerPoint presentation that outlines six main drivers of the health workforce crisis in Africa and explores these challenges through the eyes of four Ugandan medical student leaders. Feel free to use this to make a presentation on campus or in your community, or use facts from it to drive home the need for action.

And watch our slideshows of Dr. Fred Katumba and Clinical Officer Jane Byarugaba following them through a typical day as they provide health care to the rural poor in Southwestern Uganda. Dr. Katumba’s work has propelled Lyantonde District to #2 out of more than 90 districts in terms of health outcomes — a phenomenal accomplishment and testament to Dr. Katumba, his staff, and the millions of hard-working health professionals who help communities realize the right to health every day.

To promote and protect the Right to Health, a health system must be of good quality, equitable, integrated, responsive, effective, and accessible to all. The capacities of health systems can be measured in many ways. No matter how they are measured, the disparities between countries’ health systems are tremendous, and these differences are a matter of human rights. It’s evident that these disparities have a significant – and at times, astonishing – impact on health outcomes:

Approximate number of Washington, DC residents: 600,000

Population size of Ethiopia: 80.7 million

Ratio of doctors in Washington, DC to doctors in Ethiopia: 2:1

Number of countries the World Health Organization identified as having severe shortages of health workers: 57

Number of times quarterback Jay Cutler spoke the phrase “you know” during a televised interview within five minutes: 57

Vehicles recalled by Toyota in October 2009 for faulty floor mats: 4.3 million

Number of missing health workers in 57 severe shortage nations: 4.3 million

Of the 57 shortage nations, percentage of which are in Africa with severe health worker shortages: 69

Ratio of physicians to total Liberian population (2007): 1:21,000

Ratio of physicians to total U.S. population (2009): 1:386

Percent increase in number of health workers required to address African nation shortages: 140

Temperature in Celsius degrees for the boiling point of aspirin: 140

Additional health workers (doctors, nurses, midwives) required to alleviate severe health workers shortage in South East Asia region: 1.2 million

Minimum number of new health workers the US government has committed to train and help retain in the 2008 PEPFAR legislation: 140,000

Number of applications currently available for Apple’s new iPad: 140,000

Number of health workers in Africa the Japanese government has promised to train by 2013: 100,000

Amount of funding G8 nations have jointly agreed to commit to addressing the health worker shortage: $0

Every year, PHR’s National Student Program works with chapters across the country to organize and lead a Global Health Week of Action (GHWA). The GHWA is an opportunity to educate your campus about global health and encourage your colleagues to act on their new knowledge to make a difference.

Check out the new GHWA Toolkit for more information.

This year we’re encouraging chapters to focus their GHWA on the global health workforce crisis and the 2010 Global HEALTH Act, which will be introduced soon in the House of Representatives. You can raise awareness about the need for more health workers and better health systems in developing countries, and then take steps to address that need.

The first step: set your Global Health Week of Action date. Because April 7, 2010, is World Health Day, April 4-10 is the official week of action date. If you need to move the date because of spring break or campus calendars, go for it – just try to stay within 2-3 weeks of this date.

Please refer to the GHWA Toolkit to find resources for planning a successful week of events! The Toolkit includes an Issue and Action Guide, ideas for great events, suggestions on how to fundraise and publicize, and resources to share with your community.

We hope these resources – along with your creativity, energy, and education and advocacy skills – will help ensure that your GHWA has real impact.

Want more support? That’s what we’re here for. Email Hope O’Brien anytime at hobrien[at]phrusa[dot]org.

Saturday’s National Conference was packed with memorable moments. Fortunately, many of these moments were broadcast on Twitter by PHR’s Deputy Director Susannah Sirkin. We’ve collected some of our favorite tweets from Dr. Robert Lawrence’s keynote address, a panel on Health and Human Rights Education, and the closing town hall with Rep. Jim McGovern. Follow us at phrTweets!

Keynote: Dr. Robert Lawrence

As one of PHR’s original founders and our current Board chair, Dr. Lawrence offers unique insight into the vision and purpose of PHR.

  1. PHR
    phrTweets Dr. Bob Lawrence opens
    #phred conference on medicine and human rights education now at BU School of Medicine; pays homage to Carl Taylor
  2. PHR
    phrTweets Dr. Lawrence I was history major in 1959 studying #south africa under apartheid; no faculy to advise on thesis http://bit.ly/cGePmt
  3. PHR
    phrTweets “What do you do when you’re 20 years old and no one interested in your topic? You take your thesis and wrap it in front page of NYTimes”
  4. PHR
    phrTweets Dr. Lawrence, “You have to honor great people in history like Steve Biko and his wife, Dr. Mamphele Rampele…” #phrEd
  5. PHR
    phrTweets Lawrence “Those of you studying psychiatry, you know about denial.” Harvard tutor forgot he had opposed history thesis on apartheid #phrEd
  6. PHR
    phrTweets Lawrence to students: reframe issues, channel energy to engage in social issues while protecting time to be best clinician #phred
  7. PHR
    phrTweets Lawrence: Carola & Eleanor Roosevelt my heroes. Jack Geiger, who was first to look at social determinants of medicine in 1960s #phred
  8. PHR
    phrTweets Alma Ata conference principles of 1978 remain as true today as now. http://bit.ly/asdG5u
  9. PHR
    phrTweets Dr. Julius Richmond led US delegation to Alma Ata in 1978. Dr. Lawrence reminding med and ph students of important doc http://bit.ly/asdG5u

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Fact: Washington, DC, with a population of fewer than 600,000, has about twice as many physicians as do the over 80 million residents of Ethiopia.

For almost a decade, PHR has been a world leader on building human resources for health. What does that mean? We advocate to governments and funders around the world to help increase the number of health workers in developing countries so they can help communities realize the right to health.

We have a MAJOR opportunity to advance health workforce capacity coming up in April. Congress will be introducing a new bill, the Global HEALTH Act, which would provide $2 billion dollars for developing countries to build their health workforce capacity.

On World Health Day, April 7, we’ll ask you to send an email to your Congressperson urging him or her to co-sponsor this bill. Until then, we’ll be posting 1-2 blog posts a week about the Global HEALTH Act so you can learn more.

To start off, we’ve created this fact sheet with some important information about the Global HEALTH Act, which you can download, read, and share with colleagues: Note: There is a file embedded within this post, please visit this post to download the file.

Check out excerpts below to learn more about the bill. And spread the word: doctors, nurses, pharmacists and other health workers around the world—and the communities they serve—will thank you!

Global HEALTH Act of 2010

The Global HEALTH Act of 2010 responds forcefully and comprehensively to health systems that are broken, with the health workers who are at the core of these systems often missing. At the bill’s own core is a new Global Health Workforce Initiative to support a comprehensive approach to meeting their health workforce needs, including developing and implementing national health workforce plans. The Initiative would initially include at least 12 countries, with the bill authorizing $2 billion over five years to help countries recruit, train, retain, equitably distribute, and increase the effectiveness of their health workforce.

What else does the bill do? The Global HEALTH Act:

  • Requires development of a comprehensive US global health strategy through a broad consultative process, with specific indicators and benchmarks to ensure progress and accountability, and addressing laws and policies that may undermine global health programs.
  • Authorizes assistance to improve health service delivery and promote effective national health strategies in developing countries.
  • Ensures that the US global health strategy addresses the role of local civil society in holding their governments accountable and how the United States will support meaningful civil society involvement in national health decision-making.
  • Establishes policies that all health workers in US global health programs should have safe working conditions and access to health care, and be trained on women’s rights, and stigma and discrimination, and people’s right to access health services.
  • Sets improving health services for marginalized populations as an overarching US global health objective, and encourages countries to similarly address equity within their own health strategies.

During the post-conference reception, we were humbled to commemorate Navin Narayan and his contribution to health and human rights by presenting the annual Navin Narayan Student Achievement Award For Health and Human Rights Activism. This year’s recipient, Justin List, is a fourth-year medical student at Loyola University Chicago Stritch School of Medicine. A long-time member of PHR, Justin hopes to work to strengthen health care systems in sub-Saharan Africa.

Below are Justin’s remarks upon his acceptance of the award:

I’m honored and humbled that PHR considered me for this award and thankful for the generosity of the Narayan family for helping me get here today. I can only hope that my efforts to date and those to come honor Navin and his dedication to working for justice and reducing inequities around the world.

I grew up in a safe, quiet Chicago suburb with parents who worked hard to give my siblings and me access to good schools and opportunities. I had a sense of justice and a questioning of the world from as long as I could remember, but it was with a sort of quiet, Midwestern sensibility. I always knew whether or not I acted on it, that the world is what we make it more than the other way around; however, my involvement with advocacy and human rights really only developed 5 or 6 years ago.

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US Congressman James McGovern closed the PHR Student Conference with an inspirational speech in which he urged students to get involved in the political process and highlighted the critical human rights work he is spearheading on Capitol Hill.

Following are his prepared remarks:

I want to thank you for that very kind introduction. It’s a great honor for me to be here. I cannot emphasize enough how important is the role played by Physicians for Human Rights in my work on international human rights – and how important the role each of you will play today, tomorrow and into the future in shaping more humane, more human rights-based approaches to health care here in the United States and around the world.

I look at this audience and I see the future. And I want you to know one thing:  we need you. We need you to be active, engaged, smart and willing to be leaders on the right to health care and on the many human rights issues encompassed in and embraced by health care and health professionals. And when I look at this audience and the program of events and workshops held throughout this day – I also see the past and the road that has led to this day – and to this gathering.

You are following in the footsteps of heroes. Ground breakers. Path makers. Dr. Carola Eisenberg – psychiatrist, one of the founders of PHR, and custodian of the flame in so many ways. Dr. Vincent Iacopino, PHR’s senior medical advisor, a leading light in health and human rights education, and one of the leading doctors engaged for over two decades in stopping torture and making sure the world understood the health consequences of this heinous act.

Now, it’s your time to take up the torch, to lead the way, in your schools, your professional practice, your health care institutions, in your communities, states, the nation and the world.

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Even after months of preparation, I wasn’t ready for the incredible energy at Saturday’s 2010 PHR National Conference, Health & Human Rights Education in 2010!

Each of us, over 120 students and faculty from 43 US and International PHR Chapters, brought our own reasons for pursuing health and human rights education, and we all returned to different situations at our schools. We came together for one day to inspire others with our successes, share solutions to our challenges, and generate the energy that will sustain our work to advance Health and Human Rights Education (HHRE).

The day was designed to provide inspiration, resources, and skill-building. It began with PHR Board Chair Dr. Robert Lawrence’s compelling opening keynote, which offered participants an historical context, challenged them to approach obstacles from more than one angle, and inspired them with a sense of what might be possible. Panels and strategy sessions with HHRE pioneers and student-led workshops followed. Students inspired one another in the Education in Action Expo. The closing session, a Town Hall meeting with Rep. Jim McGovern, co-chair of the Tom Lantos Human Rights Commission, sustained the day’s momentum with his straightforward take on promoting and protecting human rights.

I hope that you all left the Conference with concrete plans for introducing or improving HHRE at your schools. I was so impressed by the plans you shared at the end of the day.

How can PHR support your plans? Take a look at the HHRE Toolkit – either online or in the CD in your Conference Packet. Your Chapter will be contacted twice in the next couple of months by the Student Advisory Board to help you can take advantage of PHR’s network of support as you advance HHRE at your school.

We’ll also work with you to create tools for your Chapter (like the Regional Hubs) to gather useful information and share it with other Chapters. And we will soon share resources for April’s Global Health Week of Action to help engage people in your Chapter’s vision of HHRE!

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We’re very much looking forward to meeting you at the National Conference this Saturday, February 20! We want to remind you about the two additional opportunities you’ll have to meet and mingle with fellow PHR chapter members from around the country.

  • Friday Night Meet-Ups: Come to Boston the night before the National Conference to meet up with other PHR members from your region! Join your Regional Mentors and members at The Beehive at 8 pm on Friday night to connect with other passionate advocates and enjoy some of Boston’s best live jazz.
  • Saturday Night Social: The fun continues after the conference on Saturday night! Join fellow conference attendees and PHR staff members at 33 Restaurant & Lounge, a South End hotspot. Please email Hannah at hlauber[at]phrusa[dot]org if you’re planning to attend the Saturday Night Social.

We hope to see you on both Friday and Saturday nights!

We’re looking forward to meeting you in person at PHR’s National Conference at Boston University Medical School on February 20, 2010!

To have the best possible Conference experience:

  • Read the Health and Human Rights literature we have posted on the Conference website. These articles represent some of the foundational literature published by pioneering thinkers in the field, as well as more recent publications that highlight current developments and consider the future of health and human rights.
  • Respond to the articles by commenting online. Share your thoughts and see what other participants are saying.
  • Present at the Expo! Does your school offer Health and Human Rights Education (HHRE)? Inspire other Chapters by sharing your school’s approach to HHRE. This can be a course for credit, reading or film discussion group, or extracurricular activity, and it doesn’t need to be something that you or even your PHR chapter has started.
  • Bring answers to the following questions to the Conference:
    • What kind of HHRE initiative would work best at my school? What do I envision as the ideal HHR curriculum at my school in two or three years?
    • What faculty members are our allies in this process?
    • How does curriculum get changed at my school? Who has influence on those decisions, and who has the final authority? Which offices and individuals should we consult?
    • What resources do we have and what do we need?

Please contact me at hlauber[at]phrusa[dot]org if you have any questions or need help brainstorming!

Make sure to arrive early on Friday night to attend the Regional Socials. Your Regional Mentor will be in touch with you soon with details. Also, check out the map of Boston University School of Medicine’s campus to familiarize yourself with the area!

We look forward to meeting you soon!