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Previous Volume 357:2510-2514 December 13, 2007 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The World Health Organization (WHO) estimates that there is now a global deficit of more than 4 million trained health workers. The shortages in health workers are critical in 57 countries, mostly in sub-Saharan Africa and parts of Asia. The situation is further exacerbated by the direct effect of the human immunodeficiency virus (HIV) on health workers in resource-constrained countries in which the disease is epidemic. Poor working conditions and low pay conspire with the risks of occupational transmission and the stress of working in communities devastated by the HIV epidemic to drive up rates of attrition. Many health workers . . . [Full Text of this Article]

Demographic Shift among Health Workforce

Expansion of Community Involvement

Maintenance of the Quality of Care

Political and Financial Commitments

Source Information

From the World Health Organization, Geneva (B.S., F.C., K.M.D.C.); the Office of the U.S. Global AIDS Coordinator, U.S. Department of State, Washington, DC (J.H., M.D.); and the Institute of Tropical Medicine, Antwerp, Belgium (W.V.D.).

Related Letters:

Expansion of the Health Workforce and the HIV Epidemic
Zelnick J., O'Donnell M., Huang F. W., Berman R. A., Samb B., Celletti F.
Extract | Full Text | PDF  
N Engl J Med 2008; 358:1639-1640, Apr 10, 2008. Correspondence

This article has been cited by other articles:

• Lynch, S., Lethola, P., Ford, N. (2008). International Nurse Migration and HIV/AIDS. JAMA 300: 1024-1024 [Full Text]  
• Havlir, D. V., Getahun, H., Sanne, I., Nunn, P. (2008). Opportunities and Challenges for HIV Care in Overlapping HIV and TB Epidemics. JAMA 300: 423-430 [Abstract] [Full Text]  
• Zelnick, J., O'Donnell, M., Huang, F. W., Berman, R. A., Samb, B., Celletti, F. (2008). Expansion of the Health Workforce and the HIV Epidemic. NEJM 358: 1639-1640 [Full Text]