Term
| six building blocks of health care work force |
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Definition
o Service delivery
o Health workforce
o Information
o Medical products, vaccines, technology
o Financing
o Leadership/governance
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Term
| What was the main reason WHO 3x5 and PEPFAR 2x7x10 could not achieve goals? |
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Definition
| health work force shortage in the nations of interest |
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Term
| state of health care worker crisis |
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Definition
- shortage of 4 million health care workers
- 57 countries in health care crisis
- 1 million health care workers needed in SSA
- dilapidated or no health systems infrastructure
adequate workforce = 2.3/1000 people |
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Term
| Global health worker challenges |
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Definition
- global HRH shotages
- migration (brain drain)
- maldistribution
- skill mix imbalances
- weak knowledge base
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Term
| burden of disease vs. health workforce availability: Africa as example |
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Definition
- Africa's burden of disease is 25% of the world
- however, they only has 1.3% of the worlds health workforce
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Term
| Region has lowest amount of health personel per 1000? Highest? |
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Definition
- highest: Europe
- lowest: SSA
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Term
| How many health care personel are needed to achieve MDG |
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Definition
| if you have less than 23 professionals per 1000, its unlikely you will achieve the goals |
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Term
| relation of maternal mortality ratio to health care professional shortage |
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Definition
| the lower the health care workforce, the greater the maternal mortality ratio |
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Term
| connection of global brdent of diseaswe with health care work force |
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Definition
| countries with lower health care work force have higher burdens of disease |
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Term
| importance of workforce stability importance |
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Definition
- bedrock of health systems development
- essential to reach MDG's 4,5,6
- prerequisite for public sector heealth reform
- essential for global health security- emerging ID's
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Term
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Definition
- aging of population numbers
- brain drain "pull factors and push factors"
- real shortage out 2010 and beyond with retirement and increasing demand (aging workforce)
- difficulty in generating new capacity- nurses
- the qcquis communautaire or EU acquis- compliance with all aspects
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Term
| challenges in MENA region |
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Definition
- vary number of docs, nurses, med schools
- some countries have necessary personnel to 25/10000 to privide minimum coverage by WHO while others dont
- health workers well paid, not much brain drain
- low income and low middle income countries more urban to rural disparities
- upper middle income and middle income countries take highly qualified trainers from other neighboring low, low-middle income countries
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Term
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Definition
- increase in international trade in health services
- inadequate public sector investment
- rapid private sector growth
- emerging pandemics and health threats
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Term
| three types of brain drain |
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Definition
- south to north
- north to north
- public to private
Health care worker migration |
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Term
| four care sites and interventions needed to be targeted at these levels |
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Definition
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regional referred hospitals (tertiary care)
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district hospital (second level or first referrel)
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health centers (type A[surgery] and type B [outpatient only])
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health posts/health houses
Policies must concentrate on the bottom three |
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