To the Editor: The Commentary on health worker migration by Mr Gostin1 rightly focused attention on nurses. Nurses are the backbone of primary care services in developing countries, particularly Africa. The rapid expansion of human immunodeficiency virus (HIV)/AIDS and tuberculosis has resulted in a major increase in nurses' workloads: in some parts of Africa, HIV/AIDS has doubled the patient load for nurses, with no commensurate improvement in salary or working conditions.2
Lynch S, Lethola P, Ford N. International Nurse Migration and HIV/AIDS. JAMA. 2008;300(9):1024. doi:10.1001/jama.300.9.1024-a
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