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When aid agencies "arrived" in the global south in the 20th century (after stripping these countries of their natural resources during colonisation), they built their work on the modernist assumption that international actors fulfilled a human resources gap, rooted in western, capitalist notions of skills and expertise.
Given the urgent need for qualified emergency providers in LMICs, medium-duration EM certificate programs can play a critical role in addressing the immediate human resources gap to provide high-quality emergency care.
Initially they were called Cholera Assistants when first recruited in 1973 by the public health unit to fill a human resources gap and manage a large cholera outbreak [ 11].
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Through a series of interviews with policy representatives of the National Rural Health Mission in India, Bhattacharyya et al. noted the challenges faced in providing quality facility-based care due to limited human resources, gaps in supplies and infrastructure and poor monitoring.
HSAs were being called upon increasingly to fill clinic-based human resources gaps and support health centre activities: 'Due to task-shifting - where maybe some (higher-level) health workers are not available, that's when you find HSAs providing some services at the facilities'.
More critical, though, is the human resource gap.
Task shifting is becoming an increasingly popular method to address the human resource gap in African health care.
Yet, the duration of training and limited number of trainees mean these programs cannot fill the urgent human resource gap.
But even a doubling of the civilian presence would not address the yawning human resource gap in regard to a non-military approach to the insurgency, according to Goodson.
Human resource gap analyses have been conducted in some countries to inform the strengthening of the social service workforce serving the most vulnerable communities.
Some initiatives to increase training are already in place, and indicate how meeting the human resource gap in research institutes and in firms could be achieved.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com