Oxfam Press Release – 13 April 2007
Oxfam calls for more doctors not band aids
More money to pay for health workers and teachers not short-term solutions
International agency, Oxfam today urges governments and other major donors to provide more aid to solve the chronic shortage of doctors, nurses and teachers in poor countries around the world.
In a new report, "Paying for People," published today Oxfam estimates that US$13.7 billion must be invested every year to fund the additional 2.1 million teachers and 4.2 million health care workers – half of them in Africa – urgently needed to break the cycle of poverty.
“What is needed are doctors not band aids. You can teach a child without a classroom but not without a teacher. There is no use building new clinics and schools or funding drug programmes for different diseases if the doctors, nurses and teachers are nowhere to be found. Education and health care are crucial in saving lives and helping people escape poverty yet only eight cents of every dollar in aid goes to paying for the people that deliver these essential services,” said Elizabeth Stuart, Senior Policy Advisor, Oxfam International.
Oxfam calls for 25 per cent of bilateral aid to go directly to support the health and education budgets of poor country governments for a minimum of six years. This long-term, predictable aid is the only way to help governments solve the staffing crisis in these vital services. With salaries barely above the poverty line and a shortage of training institutions in poor countries, recruitment of workers has not just stalled, it has gone into reverse.
The IMF should stop imposing ceilings on the wage-bills for health and education workers in developing countries and should leave such decisions to individual countries which are in a better position to judge the most appropriate use of their budgets.
“Today in too many of the world’s poorest countries health and education services are dependent on a handful of workers struggling heroically to do their jobs on pitiful wages and in appalling conditions. Becoming a doctor, nurse or teacher is like signing a contract with poverty,” said Stuart.
Oxfam accuses some G8 and EU countries of side-stepping their responsibility and concentrating their aid in short-term, quick fix projects. This includes Germany - president of the G8 in 2007 - and France who continue to provide bilateral aid in a form that does not pay for teachers and health workers.
The warning comes a week after the publication of the OECD overseas aid figures for 2006 which show that aid from the richest 22 countries fell by 5.1 per cent, the first time aid had fallen since 1996.
In the past aid for health and education has concentrated on individual projects rather than building public services that have the potential for the greatest benefit to the poorest people. Later this week the World Bank will discuss its Action Plan for Africa. But a real plan for Africa – and all developing countries – must focus on working with individual governments to deliver these essential services.
There is already proof that a closer partnership between donor and poor country governments on long-term aid is benefiting poor people. Countries like Zambia, Tanzania, Mozambique and Uganda have either used the money freed up from debt relief or invested vital donor aid in their hospitals and schools. Now, children in these countries have free access to primary school and the sick in rural areas can go to the doctor for free.
World leaders have promised to increase both the quantity of aid they provide for health and education, and to ensure that aid can be spent where it’s most needed – such as on salaries and training. But those promises have been repeatedly broken. Oxfam’s new report calls for urgent action to help poor countries pay for the six million teachers and health workers who would deliver health and education for all.
How much extra aid will be needed to ensure that doctors are not tempted by the much higher wages on offer in this and other countries?