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Strengthening Health Workforce in Georgia: Identifying Gaps and Integrating Evidence-Based Strategic Planning.

Giorgi Aladashvili1, Mariam Kirvalidze2, Aleksandre Tskitishvili1

  • 1David Tvildiani Medical University, Tbilisi, Georgia.

The International Journal of Health Planning and Management
|March 30, 2025
PubMed
Summary

Georgia

Keywords:
Georgia (Eastern Europe)health policyhealth workforce planningstrategic planningworkforce sustainability

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Area of Science:

  • Health Policy
  • Health Workforce Development
  • Healthcare Management

Background:

  • Effective health workforce planning is crucial for resilient healthcare systems, especially in upper-middle-income countries like Georgia.
  • Georgia faces significant challenges in strategic planning, regulation, and management of its health workforce.
  • Current health workforce planning in Georgia is guided by the National Health Strategy 2022-2030, focusing on needs-based planning, qualifications, and nursing development.

Purpose of the Study:

  • To evaluate current health workforce planning approaches within Georgia's evolving health system.
  • To identify key challenges and limitations in Georgia's health workforce planning strategies.
  • To propose recommendations for enhancing health workforce planning and management in Georgia.

Main Methods:

  • Policy analysis of health workforce planning in Georgia.
  • Evaluation of existing strategies against identified challenges such as data inconsistencies and workforce imbalances.
  • Assessment of the impact of market-driven approaches and retention strategies on workforce shortages and migration.

Main Results:

  • Georgia's health workforce planning faces limitations due to data inconsistencies, workforce imbalances, and uneven geographic distribution.
  • Lack of formal planning, reliance on market forces, and weak retention strategies exacerbate workforce shortages and migration.
  • Current policies are constrained in their efficacy by these systemic issues.

Conclusions:

  • A centralized planning body and improved data management are essential for implementing evidence-based workforce planning.
  • Integrating rigorous, long-term planning with intersectoral collaboration is vital.
  • Adoption of innovative methods like workload-based and hybrid planning can foster a sustainable health workforce aligned with Georgia's needs.