Tài liệu No Child out of Reach Time to end the health worker crisis docx

No Child

out of Reach

Time to end the health worker crisis

No Child

out of Reach

Time to end the health worker crisis

Save the Children works in more than 120 countries. We save children’s

lives. We fight for their rights. We help them fulfil their potential.

Published by

Save the Children UK

1 St John’s Lane

London EC1M 4AR

UK

+44 (0)20 7012 6400

savethechildren.org.uk

First published 2011

© The Save the Children Fund 2011

The Save the Children Fund is a charity registered in England and Wales (213890) and

Scotland (SC039570). Registered Company No. 178159

This publication is copyright, but may be reproduced by any method without fee or prior

permission for teaching purposes, but not for resale. For copying in any other circumstances,

prior written permission must be obtained from the publisher, and a fee may be payable.

Cover photo: Midwife Catherine Oluwatoyin Ojo weighs six-month-old Mariam at a clinic in

Nigeria – a country with one of the most severe shortages of health workers in the world.

(Photo: Jane Hahn)

Typeset by Grasshopper Design Company

Printed by Park Communications Ltd

Acknowledgements

This report was written for Save the Children by Patrick Watt, Nouria Brikci,

Lara Brearley and Kathryn Rawe. Thanks are due to colleagues in Save the

Children’s country programmes around the world and at Save the Children

International for the contribution of case studies, testimonies and comments.

We are grateful to Benjamin Hennig at the Worldmapper Project at the

University of Sheffield for his work on the map on pages 6 and 7.

The health worker crisis in numbers iv

Preface vi

Executive summary vii

1 The scale of the health worker crisis 1

No health without health workers 1

The global shortage of health workers 2

Unequal distribution of health workers 8

The health worker crisis hits children hardest 9

Health workers and health systems 9

Time for action 11

2 Causes of the crisis 12

Lack of education and training 12

Poor pay, insufficient incentives 13

Insufficient funding 16

Unmet promises 18

Ineffective aid 18

Under-funded and unimplemented national health workforce plans 19

3 Overcoming the crisis 21

Global political action at the highest level 21

Action at the country level 21

More health workers with appropriate skills 22

Effective health worker deployment 24

A fair wage for all health workers 27

More and better funding 29

Conclusion 30

Appendix 1: International commitments to health workers 31

Appendix 2: Commitments on health workers as part of the

Global Strategy for Women’s and Children’s Health 33

Bibliography 35

References 37

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