The health workforce status in the WHO African Region: findings of a cross-sectional study.


Journal

BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275

Informations de publication

Date de publication:
05 2022
Historique:
received: 17 12 2021
accepted: 22 04 2022
entrez: 8 6 2022
pubmed: 9 6 2022
medline: 11 6 2022
Statut: ppublish

Résumé

Several efforts have been made globally to strengthen the health workforce (HWF); however, significant challenges still persist especially in the African Region. This study was conducted by the WHO Regional Office for Africa to present the status of the HWF in 47 countries as a baseline in measuring countries' progress in implementing the Global Strategy for HWF by 2030. This was a cross-sectional survey of 47 countries in the African Region using a semistructured questionnaire. Data were collected from January 2018 to April 2019. Before data collection, a tool was developed and piloted in four countries. The completed tools were validated in the countries by relevant stakeholders in the 47 countries. Data were collated and analysed in Epi Info and Microsoft Excel. The total stock of health workers was approximately 3.6 million across 47 countries. Among these, 37% of the health workers were nurses and midwives, 9% were medical doctors, 10% were laboratory personnel, 14% were community health workers, 14% were other health workers, and 12% were administrative and support staff. Results show uneven distribution of health workers within the African Region. Most health workers (85%) are in the public sector. Regional density of physicians, nurses and midwives per 1000 population was 1.55, only 4 countries had densities of more than 4.45 physicians, nurses and midwives per 1000 population. This survey has demonstrated that the shortage and maldistribution of health workers in the WHO African Region remain a big challenge towards the attainment of universal access to health services. This calls for the need to substantially increase investment in the HWF based on contextual evidence in line with the current and future health needs.

Identifiants

pubmed: 35675966
pii: bmjgh-2021-008317
doi: 10.1136/bmjgh-2021-008317
pmc: PMC9109011
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

Lancet. 2016 Oct 8;388(10053):1545-1602
pubmed: 27733282
Glob Health Res Policy. 2019 Dec 06;4:35
pubmed: 31844681
Bull World Health Organ. 2020 Feb 1;98(2):109-116
pubmed: 32015581
PLoS One. 2014 Aug 14;9(8):e103754
pubmed: 25121789
PLoS One. 2021 Sep 28;16(9):e0257957
pubmed: 34582504
BMJ Glob Health. 2019 Oct 5;4(Suppl 9):e001115
pubmed: 31681482
Hum Resour Health. 2017 Jan 26;15(1):9
pubmed: 28125990
Bull World Health Organ. 2009 Mar;87(3):225-30
pubmed: 19377719
J Public Health (Oxf). 2021 Apr 13;43(Suppl 1):i4-i11
pubmed: 33856465
Bull World Health Organ. 2013 Nov 1;91(11):892-4
pubmed: 24347720
Hum Resour Health. 2013 Dec 10;11:64
pubmed: 24325763
Hum Resour Health. 2017 Dec 1;15(1):80
pubmed: 29191247
J Public Health (Oxf). 2021 Apr 13;43(Suppl 1):i1-i3
pubmed: 33856469
Bull World Health Organ. 2017 Jul 1;95(7):537-539
pubmed: 28670019
J Public Health (Oxf). 2021 Apr 13;43(Suppl 1):i46-i53
pubmed: 33856464

Auteurs

Adam Ahmat (A)

Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo adam.ahmat@gmail.com.

Sunny C Okoroafor (SC)

Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Isabel Kazanga (I)

Department of Health Systems and Policy, University of Malawi College of Medicine, Blantyre, Malawi.

James Avoka Asamani (JA)

Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Jean Jacques Salvador Millogo (JJS)

Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Mourtala Mahaman Abdou Illou (MMA)

Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Kasonde Mwinga (K)

Universal Health Coverage - Life Course Cluster, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Jennifer Nyoni (J)

Health Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH