摘要:An adequate, performing health work- force is vital for improving health service coverage and health outcomes. 1 Yet the availability, distribution, capacity and performance of human resources for health (HRH) varies widely and many countries have fewer health workers than needed for high coverage of es- sential health services, according to the World health report 2006. 2 Signs of prog- ress are emerging, though; several coun- tries are successfully addressing their problems in the area of HRH, resulting in improvements in health outcomes. 3 These gains are, however, vulnerable: shortages of and inequitable access to health workers still thwart many coun- tries' attempts to achieve the Millen- nium Development Goals (MDGs) and their efforts to scale up their response against noncommunicable dis eases and attain universal health coverage.