Thursday, 24 September 2009

A bit of background

I know we sometimes complain about staff shortages in Wales, but I just got hold of a copy of the Sierra Leone Health workforce Development Plan 2006 - 2010. Here are a few comparisons for directly employed staff:



Wales
Sierra Leone
Doctors
5,500
308
Registered nurses
21,400
1,375
Total Trained health workers
49,000
3,736
Health workers : population
1 : 63
1 : 1,705

As I understand it, urban hospitals in Freetown lose their staff to hospitals  abroad; District hospitals lose their staff to Freetown; community clinics can't find any trained staff so are staffed by assistants who have little training, supported by volunteers, who have virtually none. Add to that the lack of basic infrastructure and supplies, and may be I can start to glimpse the scale of the challenge.