探索性审查发展行为者对卫生工作人员计划和创造就业机会的投资
Remco van de Pas1,2, Linda Mans3, Myria Koutsoumpa4
1Institute of Tropical Medicine, Department of Public Health, Nationalestraat 155, 2000, Antwerp, Belgium. rvandepas@itg.be.
Human resources for health
|July 7, 2023
概括
尽管有公认的劳动力需求,但全球卫生投资显示影响数据有限和短期关注. 提高问责制和长期战略对于解决卫生工作者短缺问题至关重要.
科学领域:
- 全球卫生政策 全球卫生政策
- 卫生经济学 卫生经济学
- 劳动力发展 劳动力发展
背景情况:
- 世界卫生组织预计,到2030年,将缺少1800万卫生工作者,特别是在低收入和中等收入国家.
- 联合国卫生就业和经济增长高级别委员会 (2016) 强调需要增加对卫生人力资源的投资.
研究的目的:
- 自2016年以来,绘制和分析各种发展行为者对健康 (HRH) 行动的人力资源和健康就业的投资.
- 评估国际社会对HRH目标的问责和承诺.
- 确定全球HRH投资中的差距,优先事项和未来政策需求.
主要方法:
- 采用了一个探索性快速审查方法.
- 该研究分析了四类发展行为者的行动:双边机构,多边倡议,国际金融机构和非国家行为者.
- 这些行动与联合国卫生就业和经济增长高级别委员会的十项建议相对应.
主要成果:
- 识别了广泛的HRH行动,但关于计划成果和影响的数据仍然有限.
- 许多HRH项目,通常由赠款资助,由非政府组织实施,是短期的,专注于培训和服务提供.
- 评估发展项目对国家HRH战略和卫生系统改革的贡献是具有挑战性的.
- 发展行动者之间的治理,监测和问责制需要改进.
- 在关键推动因素,如卫生财政空间,劳动力伙伴关系和移民治理方面,观察到的进展有限.
结论:
- 全球卫生工作人员需求得到承认,COVID-19大流行加剧了这一点.
- 尽管有认可,但对卫生工作人员的持续投资不足需要迫切,共同的国际责任.
- 提出了具体的政策建议,以应对这些挑战并改善全球HRH行动.
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