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Presidential mission to Africa

The US Secretary of Health and Human Services visits 8 countries in Sub-Saharan Africa to determine what needs to be done by the US and the world to improve health and further child survival in Africa. AIDS is the most significant health problem. Indeed as many as 10 million children will be infected with AIDS by 2000. Moreover AIDS may even increase child mortality rates in Africa 50% thereby reducing life expectancy in Sub-Saharan Africa to 19 years. This may occur despite profound progress in health in the 4 decades since 1950. Cross national influences socioeconomic development and national health strategies have been largely responsible for any progress. The US Department of Health and Human Service and other governments are devoting much resources to studying the causes and prevention of AIDS and HIV related diseases. Indeed Africa receives the largest proportion of funds for international AIDS activities. USAID contributes $14 million to AIDS prevention and child survival in Uganda and $242000 to the Township AIDS Programme in Soweto South Africa for AIDS prevention and treatment. Strong policies and systems should center on sustainability for primary health care and child survival programs. African health workers must have access to public health information and resources. The international medical community should work to improve medical education in Africa such as building and staffing more medical schools. Medical schools in Africa need to incorporate primary care education into the curriculum. Another means to improve the quality of medical graduates is for the US to support their schooling both in Africa or the U.S. In fact a US based organization provides such opportunities for black students from South Africa where only 900 black physicians serve >27 million blacks.