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Access to HIV/AIDS Support for Nurses Identifying Actions to Take. A Strengthening Health Systems Approach. Deloris Russell, Canadian Nurses Assoc. August 7, 2008. Context: Magnitude. Context: Financial Base. Context: HIV Service Needs. Context: Health MDG. Gov. Spending (% of GDP).
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Access to HIV/AIDS Support for NursesIdentifying Actions to Take A Strengthening Health Systems Approach Deloris Russell, Canadian Nurses Assoc. August 7, 2008
United State Eur. Union United King. Canada Japan Iraq Turkey Nigeria Iraq Iraq Iraq Cameroon China Afghan. Morocco Sudan India Afghan. Indonesia Sudan Nigeria Columbia Egypt Afghan. Haiti Philippines Egypt Tanzania Indonesia Serbia Sudan Ethiopia Ethiopia Viet Nam Afghan Bangladesh India CongoDR Palestinian Bangladesh Pakistan Ghana Thailand CongoDR Nigeria India Ghana Zambia Pakistan Mozambique Jordan Malawi Ethiopia Sudan Sri Lanka Top 10 ODA Recipient Countries
Percentage Expenditures on Education, Health & Population United Kingdom Norway United States Canada European Union Japan
Context Summary • Top HIV prevalence countries • Low income countries = low tax base. • Tax base low to meet pandemic needs. • Individual income frequently low • High range of needed services • High HIV prevalence = high prevention and health care costs • ODA Funding • High HIV prevalence countries not top ODA recipients. • Health, Education & Population varied • HIC/MIC = higher tax base > more resources. Strengthening LIC health systems = Transfer of resources (human and financial) from HIC.
Nursing Response of Support • Population health requires strong health system. • Long-term sustainability of health system (public or private) requires quality input. • Nurses are majority health care providers. • Gender issue ? “Vacuum of silence” on global health issues.
Nurses Addressing Global Health • Organizational Development • Building strong nursing associations. • Building strong nurses unions • Education • Strengthening Faculties of Nursing • Providing scholarships and education • Research • Implementing best practices • Leadership & Dialogue • International Council of Nurses • World Health Organization • World Health Assembly • United Nations • International Labour Organization
Case Study: Canadian Nurses Association • Federation of 11 provincial and territorial nursing associations and colleges • Represents 133,700 registered nurses and nurse practitioners. • History: • Policy Leadership, • Educating members • Advocacy w/ Government • Program Leadership, • Volunteerism, • Achieved results • Goal: Advance international health policy and development in Canada and abroad to support global health and equity • CNA Position - Global Health & Equity
“Canadian health professionals, including registered nurses, have the right and responsibility to raise awareness of the root cases of inequity in global health and to participate in finding solutions. Collaboration, cooperation and communication among all health professional are key to advancing an agenda to improve global health and equity.” Position Statement, Global Health and Equity Canadian Nurses Association Social Justice Approach
CNA International Development Program • 30 year history • Partnership approach • CIDA Funding: • On-going program funding to strengthen nursing associations (US$ 1million). Funds 8 NNA / 1 regional HIV network. • Bilateral HIV & Nursing Support project. • Research grant reduce needle stick injury. • Bilateral project strengthening regulations. • Federation of Unions contribution to strengthen union. • On-going Membership Education
Nursing Organizations Can: • Educate membership • Global health issues • Promote involvement at local, national and international level • Organizations can: • Implement partnership programs/projects • Partnership in research for best practices • Advise government to meet global health needs. • Provide support and mentorship • Undertake projects in partnership • Mobilize financial support Nurses nurse Nurses voices heard on global health issues Nurses lead in health discussions Nurses mobilizing nurses
Multi-Sector Approach to HIV & Health Systems Strengthening Community Caregivers Universities Historians Government: Local, National, International Social Workers Business Musicians Community Organizations Economists Labour Faith Based Organizations Sports Persons Physicians Persons Living with HIV
Ending the Vacuum of Silence Persons Living with HIV Universities Community Caregivers Historians Social Workers Nurses Business Musicians Community Organizations Economists Labour Physicians Faith Based Organizations Sports Persons Government: Local, National, International
Thank You Data Sources: Organization for Economic Cooperation and Development: 2006 Expenditures Report. 2007 UNAIDS Report 2008 CNA Backgrounder: Social Determinants of Health and Nursing.