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RETENTION, RETAINING GRADUATES AND FACULTY WHERE THEY ARE MOST NEEDED AND THE ROLE OF WONCA AFRICA.

Dr. TOLA OSINOWO PRESIDENT WONCA AFRICA & PROF VICTOR INEM WONCA RURAL

WONCA's short name is World Organization of Family Doctors.

Wonca africa
WONCA is acronym comprising the first five initials of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians. Wonca was founded in 1972 Wonca is an affiliate organisation of the World Health Organization (WHO)

7 Regions
Africa
Asia Pacific East Mediterranean Europe Iberoamericana-CIMF North America South Asia

120 member organizations in 100 countries 250,000 general practice/family physicians

What is WONCA's mission?


The Mission of WONCA is to improve the quality of life of the peoples of the world through defining and promoting its values, including respect for universal human rights and including gender equity, and by fostering high standards of care in general practice/family medicine by:

2008 report

30 years the ofreform PHC agenda

People go to health facility to see DOCTOR WHY PHC FAILED


PHC implementation were left in the hand of Low cadre staff health care No serious effort to seek and identify a Team leader Training emphasis for family Medicine was NOT as Managers of Health Systems but as health care providers

SIXTY-SECOND WORLD HEALTH ASSEMBLY WHA62.12 Agenda item 12.4 22 May 2009

(5) to train and retain adequate numbers of health workers, with appropriate skill mix, including primary health care nurses, midwives,

physicians, able to work in a multidisciplinary


context, in cooperation with non-professional community health workers in order to respond effectively to peoples health needs;

allied health professionals and family

Primary and secondary care is Where Doctors are Most Needed

6o% of Doctors in Nigeria eg work in primary and secondary care =UNICEF

LARGE POOL OF UNTRAINED MEDICAL OFFICERS


There are over 20,000 General Duty doctors providing clinical care at the primary care and secondary care level in Nigeria. These are made up of the following category of doctors In Government Medical Officers in District (General Hospitals) Medical Officers in University Teaching Hospitals-NHIS In Industries Medical Officers in Petroleum industries , Mines Factories In Private Practices Private Medical Practitioners without PG PMP with PG Surgeons Obs Gynae etc But very few of them have received any formal training in General Practice.

MYTH

MBBS MBchB MD TRAINS GRADUATES FOR GENERAL & FAMILY PRACTICE


PRIMODIAL DEGREE FOR CAREER PATH DIFFERENTIATION

FAMILY MEDICINE TRAINING IN AFRICA South Africa- MSc Fam Med Congo DRC-MSc Fam Med-SA driven West Africa-WACP-Sierra Leone, Liberia, Gambia Ghana Fellowship of Ghana College Nigeria-DFM and Fellowship of Nigerian Colleges

Doctors and Density/1000 pop


country No Density/1000pop Density/1000pop/A fr 0.22 Nigeria Kenya South africa Senegal Gabon Angola Cape verde 55376 1803 34829 1016 395 1165 274 0.37 0.05 0.77 0.09 0.29 0.08 0.54

Changing 200GPs/MOs/PMPs p/a to FAMILY PHYSICIANS

Wonca background documents

policy on training for rural general practice 1995

Rural practice and rural health 1999

STRATEGIES FOR RETENTION


Financial incentives

Sustainable work practices

International mobility

Career path

Support the families

TRACKING

Further strategies
Doctors in administration should be made to put in 15hours per week of clinical service No doctor should be redundant eg in the rural Nigerian town of Ososa the King built a PHC and invited doctors to render free health care they see up to 500 patients a week in compensation the doctors are made Chiefs

JOIN US

The 3rd WONCA Africa Regional Conference will be held on 16-19 October 2012 at the Elephant Hills Hotel, Victoria falls, Zimbabwe.

THANK YOU FOR LISTENING.