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International Journal of Health Policy and Management
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The Evolving Role of Physicians - Don’t Forget the Generalist Primary Care Providers; Comment on “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians”

Article 6, Volume 5, Issue 10, October 2016, Page 605-606  XML PDF (430 K)
Document Type: Commentary
DOI: 10.15171/ijhpm.2016.77
Authors
Vincent Kalumire Cubaka 1 2 ; Michael Schriver1 ; Maaike Flinkenflögel2 ; Philip Cotton2
1Aarhus University, Aarhus, Denmark
2University of Rwanda, Kigali, Rwanda
Abstract
The editorial “Non-physician Clinicians in Sub-Saharan Africa and the Evolving Role of Physicians” by Eyal et al describes non-physician clinicians’ (NPC) need for mentorship and support from physicians. We emphasise the same need of support for front line generalist primary healthcare providers who carry out complex tasks yet may have an inadequate skill mix.
Keywords
Human Resources for Health; Primary Healthcare (PHC); Mentorship; Supervision; Family Medicine; Africa
Main Subjects
Health System Reform
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References
  1. Eyal N, Cancedda C, Kyamanywa P, Hurst SA. Non-physician clinicians in sub-Saharan Africa and the evolving role of physicians. Int J Heal Policy Manag. 2015;5(3):149–53. doi:10.15171/ijhpm.2015.215
  2. National Institute of Statistics of Rwanda (NISR). Rwanda Statistical Yearbook. NISR; 2015.
  3. Ministry of Health, Government of Kenya. 2013 Kenya household health expenditure and utilisation survey. Nairobi: Government of Kenya; 2014.
  4. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q.  2005;83(3):457-502.
  5. World Health Organization (WHO). The World Health Report 2008 - Primary Health Care Now More Than Ever. Geneva: WHO; 2008. http://www.who.int/whr/2008/whr08_en.pdf
  6. Munjanja OK, Kibuka S, Delanyo D. The nursing workforce in sub-Saharan Africa. Geneva: WHO; 2005.
  7. Binagwaho A, Kyamanywa P, Farmer PE, et al. The human resources for health program in Rwanda -- a new partnership. N Engl J Med. 2013;369:2054-2059. doi:10.1056/NEJMsr1302176
  8. Bailey C, Blake C, Schriver M, Cubaka VK, Thomas T, Martin Hilber A. A systematic review of supportive supervision as a strategy to improve primary healthcare services in Sub-Saharan Africa. Int J Gynaecol Obstet. 2016;132(1):117-25. doi:10.1016/j.ijgo.2015
  9. De Maeseneer J. Scaling up family medicine and primary health care in Africa: Statement of the primafamed network, Victoria Falls, Zimbabwe. Afr J Prim Health Care Fam Med. 2013;5(1):1-3. doi:10.4102/phcfm.v5i1.507
  10. De Maeseneer J. Primary health care in Africa: now more than ever! Afr J Prim Health Care Fam Med. 2009;1(1):132-134. doi:10.4102/phcfm.v1i1.112
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