World will lack 18 million health workers by 2030 without adequate investment, warns UN

Limb, Matthew

doi:10.1136/bmj.i5169

Cited by 25 publications

(18 citation statements)

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“…These dynamics present a challenge for human resource policy and health sector reform. With a predicted shortfall of over 18 million health workers by 2030 to achieve universal health coverage (UHC), investing in human resources for health is an international priority [15] .…”

Section: Introductionmentioning

confidence: 99%

Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis

et al. 2019

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Background: The feminisation of the global health workforce presents a unique challenge for human resource policy and health sector reform which requires an explicit gender focus. Relatively little is known about changes in the gender composition of the health workforce and its impact on drivers of global health workforce dynamics such as wage conditions. In this article, we use a gender analysis to explore if the feminisation of the global health workforce leads to a deterioration of wage conditions in health. Methods: We performed an exploratory, time series analysis of gender disaggregated WageIndicator data. We explored global gender trends, wage gaps and wage conditions over time in selected health occupations. We analysed a sample of 25 countries over 9 years between 2006 and 2014, containing data from 970,894 individuals, with 79,633 participants working in health occupations (48,282 of which reported wage data). We reported by year, country income level and health occupation grouping. Results: The health workforce is feminising, particularly in lower-and upper-middle-income countries. This was associated with a wage gap for women of 26 to 36% less than men, which increased over time. In lower-and upper-middle-income countries, an increasing proportion of women in the health workforce was associated with an increasing gender wage gap and decreasing wage conditions. The gender wage gap was pronounced in both clinical and allied health professions and over lower-middle-, upper-middle-and high-income countries, although the largest gender wage gaps were seen in allied healthcare occupations in lower-middle-income countries. Conclusion: These results, if a true reflection of the global health workforce, have significant implications for health policy and planning and highlight tensions between current, purely economic, framing of health workforce dynamics and the need for more extensive gender analysis. They also highlight the value of a more nuanced approach to health workforce planning that is gender sensitive, specific to countries' levels of development, and considers specific health occupations.

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Section: Introductionmentioning

confidence: 99%

Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis

et al. 2019

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“…The world will be short of 18 million health workers by 2030 (Limb ). While low‐and‐middle‐income countries are likely to feel this most acutely, richer countries like the United Kingdom will not be spared, with currently 100 000 vacancies in clinical staffing in the National Health Service.…”

Section: Introductionmentioning

confidence: 99%

Nursing Now 2020: the Nightingale Challenge

Bayliss-Pratt¹,

Daley²,

Bhattacharya-Craven³

2020

International Nursing Review

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Global healthcare expenditure is increasing, along with the numbers of older patients with multiple comorbidities, while the numbers of health workers are hugely decreasing, and many nursing and midwifery vacancies remain unfilled. With the World Health Organization declaring 2020 the Year of the Nurse and Midwife, and commencing the Nursing Now campaign with partners including the International Council of Nurses and the International Confederation of Midwives, has allowed these professions to unite, encourage advocacy and the call for global investment in nursing and midwifery. These actions will permit these professions to address universal health coverage, global inconsistencies of professional practice, and recruitment and retention. The Nightingale Challenge seeks to place early career nurses and midwives at the forefront of transformation, calling on employers worldwide to invest and provide nursing leadership development, and to become a key part of the solution to address the issues of providing universal health coverage, promoting gender equality and supporting economic growth. This will help place them at the heart of tackling 21st century health challenges.

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“…[8] The growing demand for health workers is projected to add an estimated 40 million health sector jobs to the global economy by 2030. [9] Our analysis underscores the importance of investments from both public and private sectors in health worker education, as well as in the creation and filling of funded positions for health care workers once they complete pre-service training. Optimally aligning HRH investments and developing targeted strategies to ensure UHC demands a thorough understanding of unique, country-specific labor dynamics.…”

Section: Discussionmentioning

confidence: 88%

Achieving Universal Health Coverage (UHC): Dominance analysis across 183 countries highlights importance of strengthening health workforce

et al. 2020

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Background Despite increasing political will to achieve Universal Health Coverage (UHC), there is a paucity of empiric data describing what health system indicators are useful surrogates of country-level progress towards UHC. We sought to determine what public health interventions were useful tracers of country-level UHC progress. Methods Across 183 countries we evaluated the extent to which 16 service delivery indicators explained variability in the UHC Service Coverage Index, (UHC SCI) a WHO-validated indicator of country-level health coverage. Dominance analyses, stratifying countries by World Bank income criteria, were used to determine which indicators were most important in in predicting UHC SCI scores. Findings Health workforce density ranked first overall, provision of basic sanitation and access to clean water ranked second, and provision of basic antenatal services ranked third. In analysis stratified by World Bank income criteria, health workforce density ranked first in Lower Middle Income-Countries (LMICs) (n = 45) and third in Upper Middle Income-Countries (UMICs) (n = 51). Conclusions While each country will have a different approach to achieving UHC, strengthening the health workforce will need to be a key priority if they are to be successful in achieving UHC.

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World will lack 18 million health workers by 2030 without adequate investment, warns UN

Cited by 25 publications

References 0 publications

Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis

Feminisation of the health workforce and wage conditions of health professions: an exploratory analysis

Nursing Now 2020: the Nightingale Challenge

Achieving Universal Health Coverage (UHC): Dominance analysis across 183 countries highlights importance of strengthening health workforce

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