Subject(s)
Adolescent Health Services/organization & administration , Child Health Services/organization & administration , Global Health , Health Policy , Health Priorities , Patient Advocacy/legislation & jurisprudence , Women's Health Services/organization & administration , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Male , Social ResponsibilitySubject(s)
Consensus , Global Health , Human Rights , Health Status Disparities , United Nations , World Health OrganizationSubject(s)
Global Health , Health Priorities , Health Workforce , Universal Health Insurance , HumansABSTRACT
The article focuses on two women's cancers, breast and cervical cancer, that are much more deadly in developing countries than in developed countries. Early detection can make a significant difference for the treatment outcome of these two cancers and there are now cost-effective tools for prevention and screening. The authors propose a new public health approach to these two cancers in developing countries where resources for effective cancer control are very limited and offer a framework for putting women's cancers in developing countries on the global public health agenda. The key areas are: 1. Proposals for a new, integrated public health approach to women's cancers (breast and cervical) in resource poor settings; 2. Reviews of the evidence for cost-effective screening and early detection of breast and cervical cancer, and discussion of some of the lessons learned from HIV/AIDS on an integrated health systems approach; 3. Outlines of ways to make a priority of women?s cancers in developing countries on the political agenda of international agencies.
Subject(s)
Biomedical Research , Breast Neoplasms , Developing Countries , Ovarian Neoplasms , Uterine Cervical Neoplasms , Breast Neoplasms/diagnosis , Breast Neoplasms/therapy , Female , Humans , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/therapy , Uterine Cervical Neoplasms/diagnosis , Uterine Cervical Neoplasms/therapy , Women's HealthABSTRACT
In this analysis of the global workforce, the Joint Learning Initiative-a consortium of more than 100 health leaders-proposes that mobilisation and strengthening of human resources for health, neglected yet critical, is central to combating health crises in some of the world's poorest countries and for building sustainable health systems in all countries. Nearly all countries are challenged by worker shortage, skill mix imbalance, maldistribution, negative work environment, and weak knowledge base. Especially in the poorest countries, the workforce is under assault by HIV/AIDS, out-migration, and inadequate investment. Effective country strategies should be backed by international reinforcement. Ultimately, the crisis in human resources is a shared problem requiring shared responsibility for cooperative action. Alliances for action are recommended to strengthen the performance of all existing actors while expanding space and energy for fresh actors.
