Resource Spotlight: Analysis of Human Resources for Health Strategies and Policies in 5 Countries in Sub-Saharan Africa in Response to GFATM and PEPFAR-Funded HIV Activities

Evolution of HRH indicators
Evolution of HRH indicators

Global Health Initiatives (GHIs), aiming at reducing the impact of specific diseases such as HIV have flourished since 2000. Amongst these, PEPFAR and GFATM have provided a substantial amount of funding to countries affected by HIV, predominantly for delivery of antiretroviral therapy (ARV) and prevention strategies. Since the need for additional human resources for health was not initially considered by GHIs, countries implemented short-term HRH strategies to allow ARV scale up. Such strategies differed from one country to another and slowly evolved to long-term HRH policies.

This study examined processes and content of HRH policy shifts in 5 countries in Sub-Saharan Africa. This paper provides an analysis of both short-term and long-term HRH responses to implementation of PEPFAR and GFATM funded activities. It draws on health policy and systems research, and approach born from the necessity to analyze systematically globalized and complex health systems. [from author]

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