Centering the Health Workforce
May 2024
May 2024
Simmons MPH alums, students, faculty and friends:
On May 1st people around the world celebrated International Workers Day, or May Day, a day to honor the struggles, sacrifices, and successes of the workers and the labor movement. May Day is still on our minds in the Simmons MPH program as we consider the health workforce and human resources for health–the physicians, nursing professionals, pharmacists, midwives, dentists, allied health professions, community health workers, and other social service and health care providers–who are so integral to everyone being able to enjoy the right to health.
Access to health care is an important determinant of health, and health inequities deepen in the wake of an unequal distribution of human resources for health. In the US we see this geographically, for example between rural and urban communities, and also socially, between poorer and richer people. The same can be seen globally, within countries and between higher-income countries and lower-income countries. No matter what the conditions, worse health outcomes beset those with little access to health care.
Moreover, health workers have called for fair pay and adequate working conditions, which would be conducive to delivery of quality health care services. The demands that COVID-19 placed on health workers, which they met and sacrificed their lives for, showed the need for prioritization of investment in human resources for health. In this month's feature interview, Corinne Hinlopen, Global Health Advocate at Wemos, gives us more insight on this issue in her home, The Netherlands, and globally. Health workers around the world continue the struggle to improve working conditions as an issue of justice and human rights for us all.
Thanks for reading,
Leigh Haynes (MPH Program Director)
Nat Thomson & Ginn McAleer (MPH Graduate Assistants)
"In The News" is our opportunity to share with you a few things from the health equity world we want to be sure you don't miss.
Goal 3 of the Sustainable Development Goals (SDGs) aims to hit targets that will bring about good health and well-being for everyone. Targets under SDG 3 include achieving universal health coverage (3.8) and increasing health financing and supporting health workforce in developing countries (3.C).
Health Policy Watch highlights how investment in the health workforce would produce a 10:1 return on investment. Covering a report from the International Council of Nurses they stress that governments should not look at spending on health workers as a cost but an investment that saves money and lives and gets us closer to Universal Health Coverage goals.
In Gaza, health workers and patients are suffering the mental health toll ongoing war. MSF mental health staff in Gaza speak of anxiety, insomnia, depression, intrusive thoughts, emotional avoidance and nightmares among the medical staff, which heightens mental health issues.
As another International Nurses Day approached, the People's Health Dispatch highlighted an important reframing is necessary as the issue the health system faces is not one of a staff shortage but of low pay and unsafe working conditions, driven by profit, leading to burnout and workers leaving the field.
And in another sector: There's been some progress on the horizon through efforts to raise the tipped minimum wage to something above $2.13/hour. Workers and supporters Ohio and in Massachusetts have seen some progress towards change in their states, but are facing pushback from the restaurant industry.
Some of our favorite podcasts, videos, documentaries and more.
Associate Professor of Practice and MPH Program Director Leigh Haynes had a great conversation with midwife Racha Tahani Lawler Queen about how Hesperian Health Guide's Safe Pregnancy and Birth App has supported her birth care work.
On Death, Sex, and Money, Anna Sale spoke to nurse practitioners Teresa Owens Tyson and Paula Hill-Collins who run a mobile clinic, The Health Wagon, in rural Appalachia to fill the health care gap left when hospitals and clinics close, often due to loss of revenues and lack of public investment.
This episode of It Could Happen Here walks us through the successful labor organizing efforts of workers at five Boston-area locations of Nestlé-owned Blue Bottle Coffee who formed the Blue Bottle Independent Union and won its NLRB election held on May 3.
In this TEDx talk, Diné musician, scholar, and cultural historian Lyla June shares "3000-year-old solutions to modern problems" based on Native American food and land management techniques and strategies.
Interview by Nat Thomson, Simmons MSW Candidate
In this month's feature interview, we speak with Corinne Hinlopen, Global Health Advocate and policy researcher at Wemos, a Netherlands-based global policy analysis and advocacy non-profit focused on structural change in service of global health justice. What runs below are some highlights; the full version can be read here or by clicking the button following our excerpt.
Corinne, thanks so much for joining us today for our chat. Perhaps to start, could you let our readers know a bit about Wemos?
Wemos is an Amsterdam-based NGO working on the right to health. We are an advocacy group, first and foremost. If we feel that the right to health is compromised somewhere in the world, then we start there, by identifying these situations as a potential area for us to work on. We were founded some 45 years ago by medical students who were studying tropical medicine and international health, and who would do their practicum in low and middle income countries, as their way of getting to know tropical diseases, gaining experience for 1 or 2 or 3 years typically, and then coming back here to The Netherlands. The [students who would go on to form Wemos] concluded that this was a neocolonial way of working; you go there, you get your knowledge, you share some of your knowledge, you contribute to healthcare provision, but then you go back. So these founders started to feel like this was not the right way to go about it.
Could you talk a little bit about how trends in migrant health and care workers tend to fit into the philosophy and structures of what Wemos looks to address?
On and off over the past decades, we have had big and small projects focused on international mobility and migration of health workers. This topic ties into the theme of richer countries as well. Because richer countries have more resources, they can spend more on health personnel [than a lower income country]; these workers will see higher wages than Ghana, Nigeria or Zimbabwe, for example. Therefore, people can be attracted to come and work in these richer countries. There is a huge flow of health and care workers who leave their native countries and go to The UK, Australia, New Zealand, Canada, or to neighboring countries in their region, where salaries and working conditions are better. At the same time, the countries that they are from have little money, and this money does not always go towards investments in health systems.
One thing that we wanted to ask about was advocacy and maybe how to get the public more aware and involved. Any thoughts on this piece of the puzzle?
My message, or my plea, to your student readers would be that they take on roles as advocates alongside whatever it is that they may be doing in their position. Those who are the most marginalized and most vulnerable need structural changes, and people who advocate with and for them. Here in the Netherlands we have a woman who is known as the “lung doctor who smokes”. She quit smoking a long time ago and then became a passionate advocate against smoking and the tobacco industry, and so she has become a bit of an icon here. So beyond her practice work, she is highly critical of Big Tobacco, their marketing strategies and their efforts to attract new customers with vapes. She initiates campaigns, appears in the media, and really is the kind of inspiration that I would like public health students to follow and become!
Earlier this month, July 2023, October 2023, and May 2024 MPH graduates celebrated their accomplishment during the Simmons Commencement in Boston. Congratulations graduates & new alumni on your work during and contributions to this MPH program. We are happy to welcome you into the Simmons MPH Alumni community and as colleagues in the work to advance health equity.
Events focused on health, wellness, equity and education.
All of June, US – National Men's Health Month
June is National Men's Health Month! This year's theme is “Stronger Together, Better Forever: Building Better Health for Men & Boys, Lifelong". June 10-16 is Men's Health Week and June 14 is Wear Blue Friday. Check out the digital toolkit for ways to engage online. #ShowUsYourBlue
June 5 & June 12, online– All of June, US – Policy Tools for Rural Equity & Prosperity
This two-part webinar from ChangeLab Solutions and the Geographic Health Equity Alliance will look at the history of structural discrimination in the United States perpetuate inequities in rural places today. It will also recommend policy strategies can address the root causes of inequities and foster rural prosperity for all.
June 6, Washington, D.C. – Public Health or Private Wealth: Who is profiting from global health and what are the impacts for patients?
Join this Oxfam-organised expert panel event to explore this question and many more about the appropriateness of public funds mandated to fight poverty and achieve global development goals being used to finance for-profit private healthcare in the Global South.
June 17-18, D.C. & Online - 2024 APHA Policy Action Institute
The Policy Action Institute brings together public health leaders, students and professionals for a collaborative event to discuss proven and proposed policy solutions to tackle today’s most pressing health threats at the local, state and federal levels.
June 30, Online – Reach for the Stars: Strategic Planning for Advocacy
Kim Nguyen and Rya Griffs will help participants learn how to plan and execute advocacy strategies! They'll provide a strategic planning framework which accounts for capacity, equity and effectiveness.
Please let us know what you'd like to see in this monthly update...news, events, or your own updates!