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HIV and AIDS recommended readings

HIV/AIDS, equity and health sector personnel in southern Africa

How does HIV/AIDS affect human resources for health in Malawi?

Authors: J. M. Aitken; J. Kemp; Oxfam GB
Publisher: EQUINET: Network for Equity in Health in Southern Africa, 2003

In the health sector, HIV/AIDS increases the demand for care, the level and complexity of work and the risk of infection, whilst also placing a strain on resources. These burdens exacerbate problems of sickness, absenteeism and workload, increasing losses of health workers. The stress and fear lowers health worker morale and adds to factors pushing them out of low-income countries and into the international labour market.

This paper, produced by EQUINET, discusses the implications for health personnel of the HIV epidemic, and health sector responses to it, in southern Africa, using Malawi as a case study. The paper first covers the context of health sector organisations in southern Africa, and then in Malawi. It reviews the human resources for health (HRH) situation in Malawi corresponding to the impacts of HIV/AIDS, explores the difficulties in monitoring and managing the deployment of HRH, and the risks of infection to the users and workers. The paper discusses the equity implications of the situation in Malawi, the policy responses initiated and required and how these could best be supported. [adapted from author]