Zambia

There is a shortage of healthcare professionals in rural Zambia. SolidarMed is therefore investing in training and building decent housing for health workers in rural areas.

Qualified staff for rural hospitals

In Zambia there is only one qualified doctor for every 10,000 people. And 90 percent of this small pool of doctors work in large towns and cities. One reason for this is a lack of housing and unappealing working and training conditions in rural areas. 

Zambia in numbers

Maternal mortality

135 deaths per 100'000 live births (Switzerland: 7)

Under-5 mortality rate

56 deaths per 1'000 live births (Switzerland: 4)

HIV prevalence

10,8 % (Switzerland: 0,2 %)

Doctors per 10'000 persons

2,6 (Switzerland: 44)

SolidarMed in Zambia

In response to the acute shortage of health workers in Zambia, SolidarMed supports the government’s training programme for healthcare professionals. To this end, SolidarMed is setting up practical training centres and investing in decentralised training for nurses. This improves the quality and quantity of training places in rural areas.  Finally, by building staff housing, SolidarMed provides an incentive for qualified staff to work outside of urban centres in rural regions.
 

Staff shortages in healthcare

Scaling up practical training centres promises to help ease the staff shortages in the health sector. In practical ‘skills labs’, prospective doctors, medical licentiates and nurses can gain hands-on experience alongside their university teaching. The dual training programme promotes rapid learning and ensures that students gain clinical experience early on.  
 

More training places and better quality through rotation 

By rolling out a decentralised training programme for nurses, SolidarMed is making another important contribution to practical training. In 2012, SolidarMed successfully launched an innovative model that allows it to both improve the quality of training and increase the number of graduates. The model involves students at a nursing college rotating between the various affiliated hospitals during their training. Rotation allows students to gain a broader range of experience as the clinical cases can vary significantly depending on the geographical location (e.g. malaria, crocodile bites, road traffic accidents). The model is being scaled up to the whole of Zambia in partnership with the Ministry of Health and the Nursing and Midwifery Council.
 

  • There is a lack of housing in rural regions and the working conditions are less attractive.
  • This student is perfecting her practical skills on a mannequin.
  • Prospective health workers practise working together in interdisciplinary teams.
  • To counter the shortage of health workers, SolidarMed is investing in the training of healthcare professionals.
  • Zambia has one of the fastest growing populations in the world - this development is also fuelling the demand for personnel in the healthcare sector.

Decent housing for health workers

The above successes have encouraged the government to invest more in the training of health workers. But this also requires enough decent housing for staff and students.  This is the only way to retain graduates in rural health centres. This is why SolidarMed is building staff housing. This has given rise to an independent social enterprise which is now being gradually handed over to local actors.
 

Karin Mathis

Do you want to know more about Zambia? Karin Mathis can help you.

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