Health and Education صحـــــــــــة وتعــــــــليــم
On the Serious shortage of medical and other health professionals in Iraq
حول النقص الحاد للاطباء في العراق
Can we achieve ‘a shared vision?’ I If there is reassurance that they decision makers will listen ‘seriously’ with a willingness to overcome any local conflicting interests of clinicians and academics, then no doubt many will be willing to go and I am one of them.
Thank you Ismail
I agree. There is lack of strategic vision, operational capacity, and sustainable ownership of any odernisation agenda. The lure of money is siphoning talent within the Diaspora into 'projects' in Iraq thereby causing more inequalities. Running with the theme you suggest of a collaborative programme driven by a shared vision of stakeholders in Iraq and us the Diaspora, there is a prospect of a Diaspora meeting in Iraq possibly this side of Xmas if there are enough interested people. Any takers?
Dear Dr Nabil
Thank you, I find your attached paper very useful and probably the size of the problem is even larger. Your new proposed work will be very helpful and I think it should be paralleled by another research on retaining doctors who are inside and improving security, equity and the health system infrastructure.
Dr Wafa Al-Omari , Consultant OBGYN , MBChB, D Obst. RCPI, FRCOG, CCST. Sydney- Australia
Kindly find attached the most up to date published research paper of mine tracking the exodus of Iraqi medical doctors. I am currently working on another paper to generate a logistic prediction model for interventions to encourage Iraqi doctors in the Diaspora to return or at least participate in reviving the bettered health system.
In a message dated 24/07/2013, Ismail Jalili writes:
The alarming deficit in the number of health professionals in Iraq, together with the decline in standards, requires, I believe, a collaborative, centrally run programme which should include the participation of universities. Individual efforts to bring in some professionals will not be adequate to tackle the multifactorial problem affecting all Iraq. The successful programmes achieved by some neighbouring Arab countries in contracting and working jointly with international hospital management organisations may be the best solution to both the numbers and standards required. This should also overcome the local rivalry between health professionals and the rigid bureaucracy currently working against the involvement of Iraqis in diaspora. The security issue, and in particular the proliferating unhealthy _cultural/criminal_
(http://www.almosul.com/IraqAll/Health/IraqiDoctors_AlausiK_ar.html) practices, may be a major obstacle. If such a programme is to succeed, and assuming there will be a willingness by the Iraqi authorities to go down this route, special consideration will be required to address the safety of the new establishments and their personnel. I agree with Salman that reliance on Iraqi doctors in diaspora is not a solution, but such a new enterprise should encourage some to participate, at least for short periods/contracts.
All the studies we have conducted since 2003 on Iraq Human Resources for health (HRH) show clearly that Iraq needs at least 45,000 (forty five thousands - adjusted for 2012) 'trained' doctors for the health system to operate at 1980s level. The current available number is 25,000 (twenty five housands), a good proportion of them are not trained beyond initial qualifications (MBChB only). Iraq needs from abroad at least 20,000 to provide a reasonable standard of health and healthcare. Your suggestions that the many doctors will return to Iraq will never work as Iraq have had previously bad experience of attracting qualified Iraq doctors (in 70s), a programme which was not sustainable. Almost all Ministers of Health in Iraq since 2003 are aware of these and we gave some of them a clear advice which they kindly fully endorsed by they were prevented by variety of reasons from implementing it. "Theqar" Hospital took the right step but such recruitment should be organised nationally and through rigorous process of ensuring high quality and competency. HRH is a complex subject and unfortunately the expertise within the MoH Iraq is very limited.
Salman Rawaf, MD PhD FRCP FFPH, Professor of Public Health, Director, WHO Collaborating Centre, Department of Primary Care and Public Health, School of Public Health, Faculty of Medicine, Imperial College London UK
تعقيب ورد على ,,, مستشفيات ذي قار تتعاقد مع
31طبيا اجنبيا بسبب النقص الحاد في عدد أطبائها
Recruiting foreign Drs is a temporary measure as it happened in the UK in the early 1960s but these people may go home any time and patriotic Heath planners need to design a medium term plan to attract overwhelmingly good Iraqi medical expatriates willing and able to return to rebuild the new Health service.
مستشفيات ذي قار تتعاقد مع 31طبيا اجنبيا بسبب النقص الحاد في عدد أطبائها
نشر بتاريخ: الجمعة 05-07-2013 05:52 م
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