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0.5 0
Inequitably distributed
Poorly supported
Inadequately educated
1% increase in health professionals associated with an almost 5% increase in maternal survival and an over 2% increase in both infant and child survival
each additional health worker in population of 1000 = 10 to 15 5 decline in burden of infectious disease
5
Doctors per 1,000 population
4 3 2 1 0
Ethiopia
Rwanda
Kenya
Uganda
(Source: World Bank, Reducing Geographical Imbalances of Health Workers in Sub-Saharan Africa, 2010.)
Kamuli
% s h t r i b f o
Rwanda
Urban
Ug anda
(Source: Demographic and Health Surveys: Ethiopia 2005; Kenya 2008-09; Rwanda 2007-08; Uganda 2008.)
A R W M f o %
R ad wn a
Ub n ra
Ua d gn a
(Source: Demographic and Health Surveys: Ethiopia 2005; Kenya 2008-09; Rwanda 2007-08; Uganda 2008.)
Practical solutions
Expand educati on
Mobilizing leaders
Uganda
Human Resources for Health Technical Working Group
Engaging ministries, donors, partners, health workers
Malawi
Emergency HR Program
53% increase in public sector health workforce, 2004 to 2009; use of key services increased; more than 13,000 lives saved
Expand education
Mali
The right health worker trained in the right place
Gao Nursing School in rural north
Expand education
Uganda
Rural health worker attraction and retention
using discrete choice experiment to figure out what motivates health workers
Expand education
Strengthen management
Tanzania
Productivity improvement
making health facilities more client-friendly and more health worker-friendly
Expand education
Strengthen management
www.intrahealth.org
lhoemeke@intrahealth.org