Latest Resources

To help build the health workforce in Uganda, the Capacity Project is assisting the Ministry of Health to strengthen its human resources management and ability to gather and use accurate data for strategic planning. Drawing on key policy questions developed by the Health Workforce Advisory Board, the Capacity Project installed a certification and licensing information system at the four health professional councils and a human resources management system at the Ministry of Health.

This technical brief describes in some detail the human resources managment (HRM) problems that contribute to the health worker crisis, as these have often been underplayed, or not addressed at all. The brief also identifies specific strategic actions that ought to be taken to address these HRM challenges, and concludes with some examples of broad futuristic thinking and innovations to stimulate donor and programmatic funding opportunities for strengthening HRH. [from author]

Several high-profile meetings have focused global attention on critical human resources for health (HRH) issues, providing much needed high-level support and calls for action to address the HRH crisis. The Capacity Project’s HRH Action Workshop series was intended to extend this work by focusing on specific HRH actions and experiences, what is being done in countries, what is working and what is not.

While the recruitement of rural doctors is steadily rising, there is concern about their long-term retention. In response, an orientation course for recently established rural doctors was set up in 2003, based on a training needs assessment. This paper draws lessons from this experience, focusing on processes and mechanisms operating in the relation between training and retention in rural practice. [adapted from author]

This article reports on an initiative in a rural New Zealand community to meet the need for after hours care. First contact for patients is with a community nursing team operating from the local health centre, complemented by on-call advice from GPs and GP clinics twice daily at weekends. The article reports on the demand for after hours services generated by a geographically defined community in New Zealand. [from introduction]

After a curriculum review, Makerere University’s longstanding traditional curriculum was converted to a problem based learning curriculum with a focus on Community Based Education and Service (COBES). As a component of COBES, radiography, medical, nursing, dentistry and pharmacy students are sent to community health facilities where they are expected to participate in community services and other primary healthcare activities.

The HIV pandemic does not spare health workers. In many countries, HIV prevalence among health care providers is equal to or higher than national averages, and in some areas, morbidity and mortality account for over 60% of health worker vacancies, compared to the 23% accounted for by the more commonly acknowledged impact of out-migration. The resulting attrition of health workers has a severe impact on the health resource capacity of developing nations and leaves critical efforts such as the rollout of antiretroviral therapy largely insurmountable. [from introduction]

There is increasing consensus that training programmes should focus on know-how instead of know-all. IntraHealth International’s Learning for performance: a guide and toolkit for health worker training and education programs offers a step-by-step, customizable approach designed to develop the right skills linked to job responsibilities. Using Learning for Performance yields more efficient training that focuses on what is essential for health workers to do their jobs and on effective learning methods.

Many countries are introducing, expanding, or undertaking major reform of pharmacy education. Such developments must be accompanied by robust systems to assure the quality of the educational structures, processes and outcomes; the latter primarily being graduates who are competent and capable of performing safely and effectively in their practice setting and contributing to the delivery of healthcare. [from author]

An updated and expanded version of the FIP Global Framework for Quality Assurance of Pharmacy Education Version 1 was published in 2015.

The theme of this edition is primary health care in South Africa. It includes national and international perpescitves on primary health care and focuses on areas such as policy and legislation, infectious diseases, maternal and child health and human resources. Chapter 11 discusses strengthening human resources for primary care. [adapted from summary]

This background report for the World Health Report 2006 details the costs of eliminating critical HRH shortages based on data from the 2006 World Health Organization World Health Report. This was used to determine the minimum number of health workers required to supply sufficient health care to the populations of developing countries, as well as calculating the necessary costs of bridging the gap between current health worker availability and the projected requirements for 2015. [adapted from introduction]

This presentation on the emergency HR program in Malawi was offered during a dialogue hosted by the WHO and OECD.

This introductory presentation on maintaining economically sustainable staffing levels was offered during a dialogue hosted by the WHO and OECD.

This presentation on health worker retention in rural area was offered during a dialogue hosted by the WHO and OECD.

This presentation on the domestic training and international recruitment of health workers was offered during a dialogue hosted by the WHO and OECD.

This document discusses the in-country ownership of health initiatives from the Health Sector Strategic Plan focusing on critical areas such as retention, recruitment and occupational safety.

This introductory presentation on migration and other health workforce issues in a global economy was offered during a dialogue hosted by the WHO and OECD.

This review surveys trends in physician supply in the United States from 1980 to the present. It discusses the composition of the physician workforce; changes in the inflows and outflows of the physician workforce; and how international migration, retirement, part-time practice and alternative employment have impacted the physician workforce. Finally, the paper considers implications of physician shortages and the recruitment of physicians from abroad. [adapted from summary]

The United States has the largest professional nurse workforce in the world but does not produce enough nurses to meet its growing demand. The U.S. is now the world’s major importer of nurses, but the shortage is too large to be solved by recruitment abroad without depleting world nursing resources. The national shortage could be largely addressed by investments in expanding nursing school capacity. [adapted from summary]

Most healthcare in the UK is delivered through the National Health Service (NHS). Shortages of skilled staff led to policy changes including international recruitment of health professionals. Subsequent changes in the UK migration policy have impacted international recruitment, leading to a significant reduction in the inflow of international clinicians to the NHS. [adapted from summary]

Italy’s aging population is placing a strain on the public health system. Care for the aged has increasingly been delegated to informal immigrant workers. However, international migration will not be sufficient to solve Italy’s health care professional needs. [adapted from summary]

This OECD report examines the role played by immigrant health workers in the Canadian health workforce, as well as the interactions between migration policies and education and health workforce management policies. [adapted from introduction]

Health worker retention is critical for health system performance and a key problem is how best to motivate and retain health workers. The authors undertook a systematic review to consolidate existing evidence on the impact of financial and non-financial incentives on motivation and retention. [from abstract]

This paper investigates the impact of the framework and strategies to retain critical health professionals (CHPs) that the Zimbabwean government has put in place, particularly regarding non-financial incentives, in the face of continuing high out-migration. [from summary]

The recruitment of health care practitioners from developing to developed countries is an important topic in global health ethics. This paper examines the emergence of the debate over what is now popularly called the “Brain Drain” – the migration of physicians from developing to developed countries and between industrialized nations. [adapted from abstract]