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The health workforce bottleneck: one major threat on implementing health reforms in LAC

The health workforce bottleneck: one major threat on implementing health reforms in LAC. Andre Medici Inter American Development Bank. Why has health workforce been a threat on implementing health reforms in LAC?. Quantitative imbalanced Qualitative unskilled and unprepared

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The health workforce bottleneck: one major threat on implementing health reforms in LAC

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  1. The health workforce bottleneck: one major threat on implementing health reforms in LAC Andre Medici Inter American Development Bank

  2. Why has health workforce been a threat on implementing health reforms in LAC? • Quantitative imbalanced • Qualitative unskilled and unprepared • Ethically unset and politically incorrect • Economically unequal and underpaid • Institutionally undervalued • Professionally shortened

  3. Quantitative imbalanced

  4. Some examples… • Argentina: physicians per capita 10 times higher in Buenos Aires compared to Tierra del Fuego; • Paraguay: nurse per capita ratio in Asunción is about 5 times higher than for the rest of the country; • Uruguay: Montevideo has 45% of the population but 80% of the country’s physicians; • Brazil: medical doctors make up 66% of health professionals; • Dominican Republic: eight doctors for every nurse

  5. Challenges to multilateral institutions. Helping countries on… • Creating information and evaluation systems to measure imbalances in workforce; • Setting up HHR needs and promoting better health personnel distribution; • Working with communities: professionalizing massive health workforce at local levels; • Planning HHR integrated with the Health Planning Process; • Paying fairly health personnel; valorizing HHR institutionally; using adequate incentives and offering long term perspectives ; • Setting up medical and health schools to new ethical and social standards; • Empowering communities to face the threat of health unions.

  6. HHR in IDB • Key point in the Health Strategy 2005; • Improving health skills by vocational training (PROFAE and PSF-BR); • Promoting short term training in public health and primary care in specific areas linked with the MDGs (PDLs); • Promoting changes in the curricula of medical schools to revert the curative trend and include public health and health management; • Increasing health knowledge on small communities and promoting health workforce training at local level

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