卫生系统的人力资源挑战:来自10个非洲国家的证据
Ashley Sheffel1, Kathryn G Andrews2, Ruben Conner2
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD 21205, United States.
Health policy and planning
|May 9, 2024
概括
撒哈拉以南非洲面临着严重的卫生工作者短缺,人员和绩效的差异很大. 解决部署,容量和需求障碍是关键,而不仅仅是增加数量.
科学领域:
- 公共卫生 公共卫生
- 健康劳动力研究 卫生劳动力研究
- 非洲卫生系统 非洲卫生系统
背景情况:
- 在全球范围内,撒哈拉以南非洲的卫生工作者比例最低.
- 这种短缺是改善区域卫生结果的主要障碍.
- 关于卫生工作者分布和绩效的现有数据有限.
研究的目的:
- 探索10个撒哈拉以南非洲国家的卫生工作者短缺的维度.
- 分析各国内部和各国间的人力资源绩效指标的变化.
- 识别除了原始人员数量之外的主要挑战.
主要方法:
- 利用了来自10个撒哈拉以南非洲国家的新获得的,系统的和可比的数据.
- 检查的指标包括设施人员数量,卫生工作者缺席率和病例数量.
- 评估卫生工作者对母亲和儿童健康状况的临床知识水平.
主要成果:
- 观察到人力资源绩效指标在不同国家和国家内部存在很大差异.
- 发现许多设施的员工数量很少,由于员工缺勤而进一步减少.
- 在许多环境中确定了较低的案件负载,这表明部署和需求障碍是显著的.
- 发现大量的卫生工作者缺乏足够的临床知识.
结论:
- 撒哈拉以南非洲地区的卫生工作者短缺是复杂的,涉及部署和绩效问题.
- 除了提高劳动力能力和绩效,解决需求障碍至关重要.
- 仅仅专注于增加卫生工作者人数可能不是最有效的策略.
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