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Development assistance for human resources for health, 1990-2020
Angela E Micah1,2, Juan Solorio3, Hayley Stutzman3
1Institute for Health Metrics and Evaluation, Population Health Building/Hans Rosling Center, 3980 15th Ave. NE, Seattle, WA, 98195, USA. amicah@uw.edu.
Official development assistance for health workforce development has significantly increased since 2016, reaching a record high in 2020. However, concerns remain about the sustainability of donor-funded health system activities.
Area of Science:
- Global Health
- Health Workforce Development
- Sustainable Development Goals
Background:
- Investing in the health workforce is crucial for achieving Sustainable Development Goals.
- A projected global shortage of 18 million health workers necessitates strategic interventions.
- The WHO Global Strategy on Human Resources for Health: Workforce 2030 addresses this challenge, highlighting the role of official development assistance.
Purpose of the Study:
- To evaluate progress in implementing the WHO Global Strategy on Human Resources for Health: Workforce 2030.
- To analyze trends in official development assistance (ODA) for human resources for health (HRH).
- To assess the impact of ODA on addressing global health workforce shortages.
Main Methods:
- Utilized data from IHME's Development Assistance for Health and COVID development assistance databases, and OECD's Creditor Reporting System.
- Employed an updated keyword list to identify HRH-related activities.
- Estimated gender considerations in HRH projects and compared donor resources with disease burden.
Main Results:
- Development assistance for HRH surged to $4.1 billion in 2020, more than doubling 2016 levels.
- Training received the largest share (42.4%) of HRH-related funding.
- Despite an overall increase, donor resources for countries with severe workforce shortages remain modest.
Conclusions:
- Donor support for health workforce activities has grown since 2016.
- Concerns persist regarding the short-term focus of donor funding and its impact on sustainable health systems.
- Further analysis is needed to ensure the long-term viability of health workforce initiatives.
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