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Bulletin of the World Health OrganizationVolume 91, Issue 11, 2013, Pages 841-846

Why do health labour market forces matter?(Article)(Open Access)

[Pourquoi les effectifs du marché du travail de la santé sont-ils importants?]

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  • aInstitute for International Health and Development, Queen Margaret University, Edinburgh, United Kingdom
  • bThe World Bank, 1818 H Street, NW, Washington, DC, 20433, United States
  • cAfrican Development Bank, Tunis, Tunisia
  • dGlobal Health Workforce Alliance, World Health Organization, Geneva, Switzerland

Abstract

Human resources for health have been recognized as essential to the development of responsive and effective health systems. Low- and middle-income countries seeking to achieve universal health coverage face human resource constraints - whether in the form of health worker shortages, maldistribution of workers or poor worker performance - that seriously undermine their ability to achieve well-functioning health systems. Although much has been written about the human resource crisis in the health sector, labour economic frameworks have seldom been applied to analyse the situation and little is known or understood about the operation of labour markets in low- and middle-income countries. Traditional approaches to addressing human resource constraints have focused on workforce planning: estimating health workforce requirements based on a country's epidemiological and demographic profile and scaling up education and training capacities to narrow the gap between the "needed" number of health workers and the existing number. However, this approach neglects other important factors that influence human resource capacity, including labour market dynamics and the behavioural responses and preferences of the health workers themselves. This paper describes how labour market analysis can contribute to a better understanding of the factors behind human resource constraints in the health sector and to a more effective design of policies and interventions to address them. The premise is that a better understanding of the impact of health policies on health labour markets, and subsequently on the employment conditions of health workers, would be helpful in identifying an effective strategy towards the progressive attainment of universal health coverage.

Indexed keywords

GEOBASE Subject Index:employmenthealth serviceshealth workerhuman resourcelabor marketlabor policylabor supplystrategic approachtraining
EMTREE medical terms:articlehealth care industryhealth care manpowerhealth care personnel managementhealth care planninghealth care policyhealth care qualityhealth economicshumanpersonnel shortageproductivityprofessional competencesocial marketingcapacity buildinghealthhealth care deliveryhealth care manpowerhealth care personnelhealth serviceorganization and managementpolicy
MeSH:Capacity BuildingGlobal HealthHealth ManpowerHealth PersonnelHealth Services AccessibilityHealth Services Needs and DemandHumansPolicy
  • ISSN: 00429686
  • CODEN: BWHOA
  • Source Type: Journal
  • Original language: English, French
  • DOI: 10.2471/BLT.13.118794
  • PubMed ID: 24347708
  • Document Type: Article
  • Publisher: World Health Organization

  Maeda, A.; The World Bank, 1818 H Street, NW, United States;
© Copyright 2015 Elsevier B.V., All rights reserved.

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