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Analysis of human resources for health in Afghanistan
East. Mediterr. health j ; 29(3): 177-185, 2023-03.
Artigo em Inglês | WHO IRIS | ID: who-366790
Biblioteca responsável: CH1.1
ABSTRACT

Background:

Despite large-scale investment in health service delivery outsourcing, few studies have examined human resources for health (HRH) in Afghanistan.

Aims:

To review the HRH situation of outsourced healthcare services in Afghanistan and evaluate nongovernment organization (NGO) investments in the health workforce.

Methods:

Two questionnaires were used for data collection. One gathered information about the characteristics of HRH in 2020 and the other collected budgetary data for 2017–2020 to analyse budget allocation and expenditure by NGOs on the health workforce.

Results:

A total of 25 262 (65% male, 35% female) individuals were employed by NGOs in 31 provinces of Afghanistan. There was a critical shortage of personnel and a prevalence of gender imbalance across all provinces. Healthcare workers were mostly aged 26 to 30 years. Services were mostly provided by local NGOs and their scopes were not limited to outsourced projects. More than 75% of the budget of NGOs was allocated to the health workforce in 2017–2020, and more than 70% of allocations was spent on staff salaries, followed by other health workforce expenditure. Less than 5% was spent on capacity building.

Conclusion:

There is a gross shortage and large gender imbalance in the Afghanistan health workforce. It is essential to maintain and increase current financial and technical investments to ensure sustainability and enhance the fragile health system in Afghanistan.
Assuntos


Texto completo: Disponível Coleções: Bases de dados de organismos internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Problema de saúde: Objetivo 3: Recursos humanos em saúde Base de dados: WHO IRIS Assunto principal: Sistemas de Saúde / Afeganistão / Mão de Obra em Saúde / Serviços de Saúde Tipo de estudo: Fatores de risco Aspecto: Determinantes sociais da saúde País/Região como assunto: Ásia Idioma: Inglês Revista: East. Mediterr. health j Ano de publicação: 2023 Tipo de documento: Artigo

Texto completo: Disponível Coleções: Bases de dados de organismos internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Problema de saúde: Objetivo 3: Recursos humanos em saúde Base de dados: WHO IRIS Assunto principal: Sistemas de Saúde / Afeganistão / Mão de Obra em Saúde / Serviços de Saúde Tipo de estudo: Fatores de risco Aspecto: Determinantes sociais da saúde País/Região como assunto: Ásia Idioma: Inglês Revista: East. Mediterr. health j Ano de publicação: 2023 Tipo de documento: Artigo
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