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Health workforce metrics pre- and post-2015

dc.contributor.authorPozo-Martin, Francisco
dc.contributor.authorNove, Andrea
dc.contributor.authorLopes, Sofia Castro
dc.contributor.authorCampbell, James
dc.contributor.authorBuchan, James
dc.contributor.authorDussault, Gilles
dc.contributor.authorKunjumen, Teena
dc.contributor.authorCometto, Giorgio
dc.contributor.authorSiyam, Amani
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.pblWorld Health Organization | BioMed Central (BMC)
dc.date.accessioned2018-05-10T22:16:12Z
dc.date.available2018-05-10T22:16:12Z
dc.date.issued2017-02-15
dc.description.abstractBackground: Evidence-based health workforce policies are essential to ensure the provision of high-quality health services and to support the attainment of universal health coverage (UHC). This paper describes the main characteristics of available health workforce data for 74 of the 75 countries identified under the 'Countdown to 2015' initiative as accounting for more than 95% of the world's maternal, newborn and child deaths. It also discusses best practices in the development of health workforce metrics post-2015. Methods: Using available health workforce data from the Global Health Workforce Statistics database from the Global Health Observatory, we generated descriptive statistics to explore the current status, recent trends in the number of skilled health professionals (SHPs: physicians, nurses, midwives) per 10 000 population, and future requirements to achieve adequate levels of health care in the 74 countries. A rapid literature review was conducted to obtain an overview of the types of methods and the types of data sources used in human resources for health (HRH) studies. Results: There are large intercountry and interregional differences in the density of SHPs to progress towards UHC in Countdown countries: a median of 10.2 per 10 000 population with range 1.6 to 142 per 10 000. Substantial efforts have been made in some countries to increase the availability of SHPs as shown by a positive average exponential growth rate (AEGR) in SHPs in 51% of Countdown countries for which there are data. Many of these countries will require large investments to achieve levels of workforce availability commensurate with UHC and the health-related sustainable development goals (SDGs). The availability, quality and comparability of global health workforce metrics remain limited. Most published workforce studies are descriptive, but more sophisticated needs-based workforce planning methods are being developed. Conclusions: There is a need for high-quality, comprehensive, interoperable sources of HRH data to support all policies towards UHC and the health-related SDGs. The recent WHO-led initiative of supporting countries in the development of National Health Workforce Accounts is a very promising move towards purposive health workforce metrics post-2015. Such data will allow more countries to apply the latest methods for health workforce planning.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent2345479
dc.identifier.doi10.1186/s12960-017-0190-7
dc.identifier.otherPURE: 3203751
dc.identifier.otherPURE UUID: d3451ac8-cc0e-427e-8415-9d60d9a4eb51
dc.identifier.otherScopus: 85013156518
dc.identifier.otherPubMed: 28202047
dc.identifier.otherWOS: 000394463400001
dc.identifier.urihttp://www.scopus.com/inward/record.url?scp=85013156518&partnerID=8YFLogxK
dc.identifier.urlhttps://www.scopus.com/pages/publications/85013156518
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCountdown
dc.subjectData
dc.subjectDensities
dc.subjectHealth systems
dc.subjectHealth workforce
dc.subjectLow- and middle-income countries
dc.subjectMetrics
dc.subjectSustainable development goals
dc.subjectUniversal health coverage
dc.subjectPublic Administration
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleHealth workforce metrics pre- and post-2015en
dc.title.subtitleA stimulus to public policy and planningen
dc.typejournal article
degois.publication.issue1
degois.publication.titleHuman resources for health
degois.publication.volume15
dspace.entity.typePublication
rcaap.rightsopenAccess

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