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Invest in health workers to improve the health of the poor

**TO VOTE, CLICK ON TALLY BOX TO THE LEFT AT THE TOP**

WHAT
The US should increase investment in human capital for global health, primarily in two ways:
(1) create a corps of physicians, nurses, pharmacists, lab technicians and computer specialists and deploy them to hard-hit countries lacking health infrastructure and
(2) support the training and employment of community health workers in these countries.

HOW
Two part approach:
(1) Corps members would be placed for 1-3 years in countries which identify targeted and specific needs; the Corps would support both immediate service delivery as well as train local workers. Each country could also potentially recruit a small number of Corps members to work at the management level in the Ministries of Health to help develop national health systems. US-trained corps members would receive debt repayment and/or a modest salary for their time overseas. This Corps could be created through expanding the Peace Corps with a deeper focus on global health, or as a new initiative.

(2) The US and other countries would work through existing funding mechanisms (such as the Global Fund or PEPFAR) to increase pools of financing available for community health workers, who have been used successfully in many programs to be the first-line of health prevention/outreach/care while also providing a means for employment to otherwise impoverished communities.

IMPACT
These programs will not only make a difference immediately, but will be a long-term investment in human capital for these countries. This Corps can help stem the brain drain and in time be phased out country-by-country as local leadership grows and takes root.

Other reasons to support the idea:
*The entire idea be pursued by the US by re-focusing and/or growing existing initatives (Peace Corps, Global Fund for HIV/AIDS/TB/Malaria) rather than creating new programs.
*Increases international solidarity and awareness of public health crisis in so many developing countries.
*Could even engage other countries to work together to create a set of multi-lateral programs, thereby increasing foreign policy cooperation


featured video about a community health worker program (such programs need to be scaled across the world):

- Victor Roy (global health activist), Evanston, IL

Voting Round Discussion

  1. Nathaniel Whittemore

    Love this idea!

    Posted by Nathaniel Whittemore on 11/23/2008 @ 11:05PM PT

  2. Victor Roy

    This could also become a multi-lateral program in which professionals from other countries, from India to Cuba to the UK, get involved as potential Corps members.

    Posted by Victor Roy on 11/24/2008 @ 06:25AM PT

  3. Here are some more interesting thoughts about the idea: http://www.cgdev.org/content/opinion/detail/16661/

    Posted by Jon Shaffer on 11/25/2008 @ 10:13AM PT

  4. Marc Guerrero

    I am one with you, Victor Roy!

    Posted by Marc Guerrero on 11/27/2008 @ 05:06AM PT

  5. Brian Good

    Until 1974 there was a hospital ship, HOPE, that sailed to the ports
    of the world providing medical care and training. 

    The Project Hope organization is still in operation, but the ship has
    been retired.  The physical ship was an important symbol and
    catalyst, something that could inspire kids around the world.

    Posted by Brian Good on 11/29/2008 @ 11:08AM PT

  6. Maggie Emmott

    Hi all!I think Victor's idea is a good one, but I also urge you all to become aware of existing programs that do some of this work. The Global Health Fellows Program under USAID also places and supports health professionals in places of need where they perform direct heath program and health system development as well as leadership training for local professionals. 
    I think it is important to survey the scene and make sure we support existing programs and acknowledging their work at the same time that we look for opportunities in new growth areas!
    Thanks for the suggestion, Victor!

    Posted by Maggie Emmott on 11/30/2008 @ 06:25AM PT

  7. Victor Roy

    Maggie, good point. Existing programs can be useful tools to either learn best practices for use in larger scale programs and/or to support these programs if appropriate. In this regard, I think the Global Health Corps program can be larger in scale over time and leverage tremendous resources (human talent, leadership, money, and awareness).

    Posted by Victor Roy on 12/01/2008 @ 07:49PM PT

  8. shawn Becker

    Why would we be subsidizing other nations healthcare, in a time the country is in an recession, and possibly headed towards a depression?

    Also, in this country there are millions of people that have no insurance or access to preventative care. Maybe we should address those situations before we ship doctors we need overseas, just a thought.

    Posted by shawn Becker on 12/02/2008 @ 08:22PM PT

  9. Vanessa Mason

    I like the intent of this idea but this that it should be shifted on building capacity within developing countries to produce more community health workers. CHWs that come from within the community will be more likely to know history, customs, beliefs, expectations, and limitations of the settings.

    The Global Health Fellows Program does address limited health infrastructure from the top down but I think that the benefit of a program like this is establishing a grassroots community-based system that can be coordinated at the ministry level once sufficient personnel are trained and distributed properly.

    Posted by Vanessa Mason on 12/03/2008 @ 01:04AM PT

  10. John Jay Myers

    There are two words, that make this a bad idea, otherwise it's fantastic.
    Those two words are "federal government"

    Like someone just said, were in recession, our current health care sucks.

    Understand that when you say Federal Government, you mean ... Me... you... everyone pays for this. 

    Enough.  If some charity wants to start a program where this is their goal, FANTASTIC, they do that all the time, but do not put the tax burden on every American, to fund these country specific plans.

    I would donate to your cause, but I would not allow my tax dollars to be used for it.

    Posted by John Jay Myers on 12/05/2008 @ 07:12AM PT

  11. Yogi Ramesh Pandey

    My idea is to start aYoga Science treat ment for the stress and disease free life.The breathing and Laughing for the heart disease and Cancer control.I have cured people from cancer.
    I have 50yrs. exps. in scientific yoga for new America.A healthy and happy world for all.The science of breath for hraling all kind of problem in the body and  mind.I am dedicated to change the world,where everyone can enjoy life without stress and disease.
     Yoga is a disease killing medicine.( Yujur Veda}.Breath,love and laugh and be happy. Creat heaven on earth with spritiual science of yoga.Live life Laughing.A Laughing America with Guru Yogi Ramesh,master of body,mind and soul.
    Yogi Ramesh Pandey.
    www.universalyoga.org
    www.laughingyogi.org
    Universal Yoga ( Founder}
    cell(562)716-9367.

    Posted by Yogi Ramesh Pandey on 12/06/2008 @ 08:46AM PT

  12. Nathaniel Whittemore

    Less than 1% of federal tax dollars go to all international development assistance, so if you're looking to trim the fat, something else might be a more important starting point.

    In a global system, pandemics and poverty affect us all. A viral form of TB that doesn't respond to the normal drug regimen could wreak havoc in America or Europe. The poorest areas are the easiest place to recruit for terrorist organizations.

    Short-sightedness got us into most of the messes we're in. Its about time we start thinking long-term and investing in the infrastructure of a safer, healthier world.

    Posted by Nathaniel Whittemore on 12/07/2008 @ 10:34AM PT

  13. Victor Roy

    hey guys, so after doing some more thinking, I thought that it would be best to broaden the approach and re-shape the initial idea towards "human capital" investment versus a more narrow creation of a global health corps. The investments in community health workers, when paired alongside the immediate support that can be provided by a Corps of trained professionals, can really make the difference in the long-term and pull countries out of poverty and suffering. I'll be making some more tweaks to the idea in the coming weeks.

    Posted by Victor Roy on 12/11/2008 @ 09:14PM PT

  14. Rhonda B

    I like the idea, but at the moemnt, there are still too many people in our own country who don't have access to health services. I personally know too many individuals who go without basic health checkups for years beause of lack of money and no health insurance.  I think it would be unfair to send out healthcare workers from our  shores but not send them out among our own people.

    There are already many nonprofits who help the destitue and ill in the world develop and thrive. We could focus on assisting them since they are already working and are more than willing to continue such work. It is also an accessible option for private citizens--including health care workers-- to join them in thier causes. I suggest that we spread the word on such organisations instead of creating an entirely new government project to do the exact same thing.

    Posted by Rhonda B on 12/13/2008 @ 01:58PM PT

  15. Liz J

    Perahps this could be a subset of the Peace Corps, which has existing health promotion projects in many of the countries it serves?

    Posted by Liz J on 12/19/2008 @ 03:21PM PT

  16. Chuck Woolery

    Excellent idea. But it will take funding.  For a new source of funding that will not add to existing budget crisis go to proposal for a global tax on currency speculators: http://www.change.org/ideas/view/global_tax_on_currency_trading_a_new_funding_source_for_global_health_education_and_poverty_eradi

    Posted by Chuck Woolery on 12/19/2008 @ 05:50PM PT

  17. Chuck Woolery

    This proposal also lays the ground work for a global biosecurity network which will provide humanity with an early warning system for the most rapid and effective detection and responce capacity to pandemics or bioterror outbreaks.  This global human capital would also provide the good will and the local personal connections to people in places where Al Qaeda is also seeking support. Building human capital is the essence protecting global health and effective terrorist prevention. 

    Posted by Chuck Woolery on 12/19/2008 @ 05:58PM PT

  18. Richard  Burton

    Posted by Richard Burton on 12/20/2008 @ 02:10PM PT

  19. barrie harrop

    There has been much talk about climate change, but not much about where we will see its first impact.

    Flooding, Drought, water is the vector of climate change, we already have seen in recent times in many areas America/Worldwide areas where there is intense competition for water; Windesal® can sustain many areas America/Worldwide that will be impacted by this issue that may suffer physically or economically from this lack of fresh water shortage.

    Posted by barrie harrop on 12/26/2008 @ 11:28PM PT

  20. NATIONAL ASSOCIATION FOR UNIFORMED SERVICES 5535 HEMPSTEAD WAY

    The U.S. Public Health Service already does this to a large degree (see mission statement here: http://www.usphs.gov/AboutUs/mission.aspx). 

    Rather than create a new program/bureaucracy, why not revise or expand the mission of the USPHS to include additional overseas placement of USPHS personnel (including both the uniformed commissioned corps and civilian PHS folks) to realize this investment in global health human capital? 

    - Steve Hein
    Marketing Director, NAUS
    www.NAUS.org

    Posted by NATIONAL ASSOCIATION FOR UNIFORMED SERVICES 5535 HEMPSTEAD WAY on 12/30/2008 @ 12:27PM PT

  21. Edmund McKay

    So, we already have this.  It's called the US Peace Corps, which already ahs the infrastructure in place and just needs to be doubled in size.  A Global Health Corps would be redundant PLUS it would take years to get off the ground.  Obama has already said he supports doubling the size of the Peace Corps, so let's push him on that rather than creating a bureaucratic nightmare.

    Posted by Edmund McKay on 12/31/2008 @ 08:39AM PT

Voting Results

This idea qualified for the 2nd round of voting and received 262 votes during that period.

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