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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

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WONCA's short name is World

Organization of Family Doctors.

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Wonca africa

WONCA is acronym comprising the first fiveinitials of the WorldOrganization ofNationalColleges, Academies and Academic

Associations of General Practitioners/FamilyPhysicians.

Wonca was founded in 1972

Wonca is an affiliate organisation of theWorld Health Organization(WHO)

http://en.wikipedia.org/wiki/World_Health_Organizationhttp://en.wikipedia.org/wiki/World_Health_Organization

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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

http://www.globalfamilydoctor.com/AboutWonca/Regions/Africa.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/AsiaPacific.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/EastMediterranean2.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Europe.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Iberoamericana-CIMF.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/NorthAmerica.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/SouthAsia.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/SouthAsia.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/NorthAmerica.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Iberoamericana-CIMF.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Iberoamericana-CIMF.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Iberoamericana-CIMF.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Europe.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/EastMediterranean2.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/AsiaPacific.aspxhttp://www.globalfamilydoctor.com/AboutWonca/Regions/Africa.aspx

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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:

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30 years of PHC2008 report

the reform agenda

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Peop e go to ea t ac ty to seeDOCTOR 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

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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,

allied health professionals and family

physicians, able to work in a multidisciplinary

context, in cooperation with non-professionalcommunity health workers in order to respond

effectively to peoples health needs;

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Primary and secondary care is

Where Doctors are Most

Needed

6o% of Doctors in Nigeria eg

work in primary and secondarycare =UNICEF

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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 doctorsIn Government

Medical Officers in District (General Hospitals)

Medical Officers in University Teaching Hospitals-NHISIn Industries

Medical Officers in Petroleum industries , Mines Factories

In Private Practices Private Medical Practitioners without PG PMP with PG Surgeons Obs Gynae etcBut very few of them have received any formal training in General Practice.

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MYTH

MBBS MBchB MD

TRAINS GRADUATES FORGENERAL & FAMILY

PRACTICE PRIMODIAL DEGREE FOR CAREER PATH

DIFFERENTIATION

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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 CollegeNigeria-DFM and Fellowship of

Nigerian Colleges

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Doctors and Density/1000 pop

country No Density/1000pop Density/1000pop/A

fr

Nigeria 55376 0.37 0.22

Kenya 1803 0.05

South africa 34829 0.77

Senegal 1016 0.09

Gabon 395 0.29

Angola 1165 0.08

Cape verde 274 0.54

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Changing 200GPs/MOs/PMPs p/a

to FAMILY PHYSICIANS

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Wonca background documents

policy on training for rural general practice

1995Rural practice and rural health 1999

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STRATEGIES FOR RETENTION

Financialincentives

Internationalmobility

Support thefamilies

Career path

Sustainablework practices

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TRACKING

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Further strategies

Doctors in administration should be made toput in 15hours per week of clinical service

No doctor should be redundant eg in the ruralNigerian 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

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JOIN US

The 3rd WONCA AfricaRegional Conference will be

held on 16-19 October

2012 at the Elephant HillsHotel, Victoria falls,

Zimbabwe

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THANK YOU FOR LISTENING.