Obstacles to health in the Arab world

Makhoul, Jihad; El-Barbir, F

doi:10.1136/bmj.333.7573.859

Cited by 10 publications

(6 citation statements)

References 6 publications

(1 reference statement)

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“…As such, health is given low priority in national spending plans, and is shaped by a curative rather than preventive orientation (Makhoul and El-Barbir 2006).…”

Section: The Crisis Of Healthmentioning

confidence: 99%

The crisis of health in a crisis ridden region

Maziak

2009

Int J Public Health

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The overall picture of the Arab world today is dire; no Arab country is free from political strife, foreign intervention, or the threat of terrorism. Continuing instability and the failure of national governments to uphold the rule of law and deliver on development are tearing apart the fabric of Arab societies. Internally, Arab regimes' agendas are shaped by security and their makeup by kinship and loyalty, pushing people to seek refuge within their primordial loyalties. From the outside, foreign meddling in the name of "democracy" is deepening the Arab world's instability, therefore providing justification for opponents of change to discredit the values of human rights and power sharing. In such an environment, the voiceless majority becomes the main victims, with detrimental effects on their physical and mental wellbeing. A domino-like breakdown of the Arab region, with serious consequences for world's stability, is becoming an increasingly likely scenario.

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“…As such, health is given low priority in national spending plans, and is shaped by a curative rather than preventive orientation (Makhoul and El-Barbir 2006).…”

Section: The Crisis Of Healthmentioning

confidence: 99%

The crisis of health in a crisis ridden region

Maziak

2009

Int J Public Health

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“…Human resource management do not compete well for policy attention with macro‐economic issues in the Arabic world (Makhoul and El‐Barbir, ). As a result, human resources rank low on the health policy agenda.…”

Section: Introductionmentioning

confidence: 99%

Health workforce in the United Arab Emirates: analytic point of view

Hannawi

Salmi

2013

Health Planning & Management

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A strong health system is impossible without health workers who are the ultimate resource. Money and medical supplies are needed, but these inputs require an efficient workforce. Challenges with respect to human resources vary greatly between and within countries, and are associated with the political, economical, cultural and societal context of a country. Moreover, the gaps in the workforce do not generally relate to doctors but to nurses and other classes of health worker who make up the bulk of health workforce. The difficulties caused by low staff numbers are compounded by morale problems, skill imbalances and geographical maldistribution. This paper will discuss how it is difficult for the United Arab Emirates (UAE, a Middle East federation country) to wrestle effectively with the demands of a good health system, exploring how they lack the basis of health systems-motivated, trained and supported people. Additionally, we looked at how the UAE health system further challenged by negative work environment, and weak knowledge-base, out-migration and inadequate investment. At the end of our discussion, we are providing some suggestions to manage human resource problems in the UAE. Highlighting how a national workforce strategic plan is important to guide investments in human resources as the core component of strengthening the UAE national health system.

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“…Based on current expenditure levels, the Health Authority-Abu Dhabi (HAAD), has forecast a nearly fourfold increase of healthcare cost for UAE nationals between 2010 and 2030 [HAAD (2011) based on Al-Maskari et al] (25,26). Aggravating, the region has copied many flaws of the traditional Western healthcare system, concentrating on high-end curative rather than primary care and health promotion: 40-70% of national healthcare budgets in most Arab countries are allocated to hospitals (27)(28)(29)(30). This underinvestment in health promotion, prevention and primary care suggests the lack of a "medical home 9 "-a healthcare delivery model that provides the continuous, integrated-, and comprehensive care that diabetes requires, in a more cost-effective way.…”

Section: The Current Impact On the Healthcare Budgets Is Just The Begmentioning

confidence: 99%