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Global Health Human Resources. Addressing the Shortages Hortenzia Beciu World Bank Health Specialist Consultant. Densities of Main Categories of Health Workers In Selected Countries, 2010 estimates. Where HR would come from?. Production Import
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Global Health Human Resources Addressing the Shortages HortenziaBeciu World Bank Health Specialist Consultant
Densities of Main Categories of Health Workers In Selected Countries, 2010 estimates
Where HR would come from? • Production • Import • Change in retirement age, and /or reemployment of the retired • Mitigating the change in profession or other factors affecting attrition
Production • Expensive and lengthy • High demand for it and not enough capacity : production abroad (globalized) in the region or outside the region
Comparison in Tertiary Gross Enrollment Ratio in Higher Education by Regions Trends in Global Higher Education, Tracking a Revolution, UNESCO 2009 World Conference on Higher Education
Expressed Versus Control Demand In Ghana, 2008 Pre-Investment Study-Ghana, World Bank Working Paper
Production Capacity Limited in Developing Countries- Medical Schools Graduates
Types of Higher Education Institutions in South-East Africa, most of the data 2007
Percentage of Physicians in Postgraduate Medical Education, 2007 AAMC and AMA,
Developing Countries Need Specialists, America Offers General Practice AAMC and AMA,
Applicants for First Year Family Medicine Positions 2008 Results of the 2009 National Resident Matching Programme: Family Medicine
Proportion of Physicians trained in SSA but living abroad, 2004 Source: Docquier and Bhargava (2007)
International Immigration in 10 African countries Migration in Africa: A Review of the Economic Literature on International Migration in 10 Countries, William Shaw Development Prospects Group The World Bank
Top-Receivers of Remittances in 2008 World Bank Migration and Development Look, Outlook for remittances flow 2009-2011, DilipRatha, SanketMohararta Anil Silval
Remittances Trend 1990- 2009 World Bank Outlook for remittances flow in developing countries, DilipRatha , International Conference on Diaspora and Development
Challenges • Limited Capacity for both pre-service and postgraduate training • Private provision but need regulation and different financing mechanisms for investments and student support • Professional bodies need strengthening • Support for Research Activities as a means to strengthen the quality of the training
Global Initiatives, Opportunities • The Global Code of Practice on the International Recruitment of Health Personnel • USA Government (6 years) : US$ 63 billion for HIV/AIDS/TB/Global Funds and US$12 billion for other priorities • World Bank: Health in Africa Initiative • World Bank Lending Program • Private Investments: IFC , others