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Global ear and hearing care (EHC) workforce shortages are severe, with many countries lacking sufficient professionals. Urgent action, including task sharing, is needed to ensure equitable access to essential EHC services.

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Area of Science:

  • Global health
  • Health workforce research
  • Audiology and otolaryngology

Background:

  • Ear and hearing care (EHC) is crucial for overall health and well-being.
  • Significant workforce shortages in EHC professionals exist globally.
  • Existing EHC professionals face immense workloads due to these shortages.

Purpose of the Study:

  • To provide comprehensive global evidence on the availability of EHC professionals.
  • To highlight the impact of workforce shortages on EHC professional workload.
  • To identify disparities in EHC workforce distribution.

Main Methods:

  • Utilized six data sources, including literature reviews, WHO platforms, surveys, and government statistics.
  • Estimated EHC workforce availability across multiple countries and professional cadres.
  • Applied the WHO workload indicators of staffing need (WISN) tool to assess professional workload.

Main Results:

  • Revealed substantial gaps in EHC professional availability across 138 countries.
  • Demonstrated significant regional disparities, with African countries having drastically lower EHC professional densities than European countries.
  • Workload calculations showed critical staffing needs, with existing staff ratios ranging from 0.01 to 0.86 of required levels.

Conclusions:

  • An enormous shortage of EHC professionals necessitates urgent global action.
  • Task sharing and the development of new EHC cadres are vital strategies to improve access to care.
  • Equitable access to essential EHC services requires addressing workforce deficits, even in well-resourced systems.