1Regional Office for Africa, World Health Organization (WHO), Republic of Congo, Africa
2Global Health Dialogue, Buea, Cameroon
A decade ago, sub-Saharan Africa accounted for 24% of the global disease burden but was served by only 4% of the global health workforce. The chronic shortage of medical doctors has led other health professionals especially nurses to perform the role of healthcare providers. These health workers have been variously named clinical officers, health officers, physician assistants, nurse practitioners, physician associates and non-physician clinicians (NPCs) defined as “health workers who have fewer clinical skills than physicians but more than nurses.” Although born out of exigencies, NPCs, like previous initiatives, seem to have come to stay and many more medical doctors are being trained to care for the sick and to supervise other health team members. Physicians also have to assume new roles in the healthcare system with consequent changes in medical education.
Eyal N, Cancedda C, Kyamanywa P, Hurst SA. Non-physician clinicians in sub-Saharan Africa and the evolving role of physicians. Int J Health Policy Manag. 2015;5(3):149-153. doi:10.15171/ijhpm.2015.215
McNeur R, ed. The changing roles and education of healthcare personnel worldwide in view of the increase of basic health services. Philadelphia, USA: Society for Health and Human Values; 1978.
Monekosso GL. The changing profile of the doctor. Med Educ. 1994;28(Suppl 1):32-35.
Monekosso GL. The teaching of Medicine at the University Centre for Health Sciences Yaounde - concordance with the Edinburgh Declaration on Medical Education. Med Educ. 1993;27:304-320.
Elie Claude Njitoyap Ndam. De l’aide de santé... au médecin : réflexion sur la genèse, l’évolution et les perspectives de la formation médicale au Cameroun. Yaoundé: Cameroon University Press; 2003.
Monekosso GL. The Evolution of Professional Education and Health Systems in Sub-Saharan Africa. In Omaswa F, Crisp N, ed. African Health Leaders: Making Change and Claiming the Future. Oxford University Press; 2014:205-217