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  • 标题:Health labour market policies in support of universal health coverage: a comprehensive analysis in four African countries
  • 本地全文:下载
  • 作者:Angelica Sousa ; Richard M Scheffler ; Grayson Koyi
  • 期刊名称:Human Resources for Health
  • 印刷版ISSN:1478-4491
  • 电子版ISSN:1478-4491
  • 出版年度:2014
  • 卷号:12
  • 期号:1
  • 页码:55
  • DOI:10.1186/1478-4491-12-55
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:

    Background

    Progress toward universal health coverage in many low- and middle-income countries is hindered by the lack of an adequate health workforce that can deliver quality services accessible to the entire population.

    Methods

    We used a health labour market framework to investigate the key indicators of the dynamics of the health labour market in Cameroon, Kenya, Sudan, and Zambia, and identified the main policies implemented in these countries in the past ten years to address shortages and maldistribution of health workers.

    Results

    Despite increased availability of health workers in the four countries, major shortages and maldistribution persist. Several factors aggravate these problems, including migration, an aging workforce, and imbalances in skill mix composition.

    Conclusions

    In this paper, we provide new evidence to inform decision-making for health workforce planning and analysis in low- and middle-income countries. Partial health workforce policies are not sufficient to address these issues. It is crucial to perform a comprehensive analysis in order to understand the dynamics of the health labour market and develop effective polices to address health workforce shortages and maldistribution as part of efforts to attain universal health coverage.

  • 关键词:Africa; Cameroon; Health labour market; Health workforce; Health workforce policies; Human resources for health; Kenya; Sudan; Universal health coverage; Zambia
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