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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_Organization7/27/2019 Wonca Africa
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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.aspx7/27/2019 Wonca Africa
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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.