Health care workers are catalysts for improvement, not costs to the system – Boston, Massachusetts

Boston, Massachusetts 2021-10-14 04:55:46 –

NShe White House Covid Summit We recently convened world leaders, multilateral organizations, global health experts, and the private sector to address the pandemic. we, Seed Global Health, We are partnering with the government to strengthen health care workers in countries with serious shortages.

The main call for the summit was collective action to recover from the Covid-19 pandemic and protect it from future global health threats. To this end, we have heard a dialogue focused on global vaccine equity. About increasing the global manufacturing capacity of Covid-19 vaccines, personal protective equipment, diagnostics, and treatments including oxygen. And about our financial commitment to ensuring global health safety and readiness.

What we didn’t hear was one element that was essential to the success of all these initiatives: the world’s “Healthcare hero.. Healthcare workers Foundation of health system.. They provide every element of a pandemic response and manage the associated crisis.


As Covid-19 has Driven people into poverty, Increasing food insecurity, decreasing access to medical care around the world, Reverse progress In terms of maternal and child mortality and worsening outcomes of infectious and chronic diseases, these increased disease burdens only increase the need for health care workers.

Despite these truths, and global losses Over 100,000 healthcare workers During this pandemic, the global community has yet to show that it collectively diverts.If there are no meaningful changes in priorities, healthcare professionals Lack of funds, Underestimated and underprotected. This failure is most prominent in low- and middle-income countries (LMICs) and has brought long-standing inequality to healthcare professionals around the world.


Long before the advent of Covid-19, healthcare workers in low- and middle-income countries faced serious occupational dangers.They are at least 3 times more likely You are up to 6 times more likely to be hospitalized for drug-resistant tuberculosis than the general population in countries with high disease burden who are diagnosed with tuberculosis.Healthcare workers in Guinea, Liberia and Sierra Leone At least 21 times Ebola is more likely to be transmitted than the population infected with Ebola during the 2014-2015 outbreak. At least 513 health workers died from Ebola during this period, Up to 8% In the affected West African countries.

The impact is permanent.Post-Ebola investment in Guinea, Liberia and Sierra Leone Terrible shortage These countries with projected recovery needs now need to increase their health care workers by up to 10-fold. Reach the regional average The smallest international benchmark for healthcare-to-population ratios.

By 2030, worldwide 18 million healthcare workers, Imbalanced in low and middle income countries. Insufficient staffing Insufficient resources, huge workload, and Emotional fatigue From the sacrifice of seeing people die preventable. Although difficult to quantify, burnout among African doctors and nurses is high, exceeding 80% in some hospitals. Burnout Syndrome And work stressors are a major driver of health care workers’ migration abroad, which further exacerbates the shortage of health care workers.

according to Estimate by WHOThe average investment required to expand healthcare professionals to meet their 20-year needs is approximately $ 488 million per country per year.

NS The money needed to fill these funding gaps actually existsWhat is lacking is international political will.Domestic governments, donors, philanthropists, and the private sector have the means to meet these needs together, but according to WHO and World Bank experts, these stakeholders have strong healthcare professionals. Ordinary expenses for training and hiring Long-term financial burden They don’t want to keep it over time.

Covid-19 offers a window of opportunity to change this story. As healthcare professionals are praised for their services, the consequences (financial and other) of the international community not investing in healthcare professionals around the world are far more than the initial costs to strengthen it. We must be aware that it is devastating.

Losing one doctor, according to WHO researchers, $ 500,000 in Kenya.. And such estimates do not take into account the potential long-term effects of burnout and trauma in health care workers. This leads to poor quality of care and the migration of health care workers to the medical sector or abroad.

There are countless Multiplier effect Of employment of medical staff.It can be reduced by supporting a well-planned, trained and distributed workforce. Inefficiency of global medical costs In the long run.Invest an additional 2% of gross domestic product (GDP) in the health, social and education sectors Increase overall employment rate As much as 6%.It may not seem that much, but the total unemployment rate for all low- and middle-income countries Over 6% in 2020, This can represent tremendous growth.

Investing in the workforce is also important for inclusive growth. Support for safe and secure employment In this sector, women absorb 60% to 70% of their work, reduce gender inequality and build formal work, social inclusion and impartiality. The final return on investment in health is estimated to be 9: 1, and for every year of life expectancy from this investment, GDP per capita increases by 4%. In other words, improving the health of the population and investing in the health sector can boost the country.

World Health Organization 2021 Year of healthcare worker.. But at the end of the year, unless the global effort to end this pandemic and protect the world from future health crises includes sustained action to protect and strengthen healthcare professionals around the world. , This declaration will be hollow.

Identifying your needs is not a problem. They are obvious. Currently, we are prioritizing vaccine and protective equipment healthcare professionals while increasing global and domestic investment in long-term salary, training, infrastructure, and morale needs. To do so, they should choose to evaluate health care workers as catalysts for improving health, economic growth, national security and well-being, rather than misrepresenting them as the cost of the system. Recognizing them as “heroes” is an option.

Pooja Yerramilli is a physician at Massachusetts General Hospital and Boston Healthcare for the Homeless and a policy advisor to Seed Global Health, which works with the government to invest in medical capabilities for national, economic and human security. Vanessa Kelly is a Critical Care Physician at Massachusetts General Hospital in Boston, an Associate Professor of Medicine, Director of the Global Public Policy and Social Transformation Program at Harvard Medical School, and CEO of Seed Global Health.

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