Dear Hifa members,
Sian's posting and her line of thoughts on the roles of CHWs should taken seriously. I do not mean going backwards because a lot of progressive ideas have been discussed and double checked and lessons learnt from successful stories. But the Professional caution from Sian is critical in that the anatomy of a human being is a complex one, that is why it takes several years for someone to be trained, working dummies, internship under strict mentorship by qualitfied doctors. I am not suggesting that these cadres are assuming the rolę trained personally NO! Because medicine is a refined art at the sąme time health is too important to bę left in the hands of doctors alone. However, taking a simplistic approach may impact negatively on what has been achieved but the same time I wish to appreciate what Neil and his team are doing communicating WHO guidlines and the valuable contributions from experts. My proposal therefore is that retired health personnel should be taking a leading role in working very closely with this group of cadres otherwise we are all together, UHC is the rationale behind all these strategies.
HIFA profile: Kenneth L Chanda is Associate Consultant and Lecturer at National Institute of Public Administration where he is lecturing in Records Management. He is co-author of The development of telehealth as a strategy to improve health care services in Zambia. Kenneth L. Chanda & Jean G. Shaw. Health Information & Libraries Journal. Volume 27, Issue 2, pages 133139, June 2010. He recently retired as Assistant Medical Librarian at the University of Zambia. klchanda AT gmail.com