Budy Fidel C T
Department of Geography, The University of Sheffield, Sheffield S10 2TN, United Kingdom; Global Health Next Generation Network, Willemsbos 52, Hoofddorp, The Netherlands.
Int J MCH AIDS. 2015;4(2):1-7.
Qualified healthcare workers within an effective health system are critical in promoting and achieving greater health outcomes such as those espoused in the Millennium Development Goals. Liberia is currently struggling with the effects of a brutal 14-year long civil war that devastated health infrastructures and caused most qualified health workers to flee and settle in foreign countries. The current output of locally trained health workers is not adequate for the tasks at hand. The recent Ebola Virus Disease (EVD) exposed the failings of the Liberian healthcare system. There is limited evidence of policies that could be replicated in Liberia to encourage qualified diaspora Liberian health workers to return and contribute to managing the phenomenon. This paper reviews the historical context for the human resources for health crisis in Liberia; it critically examines two context-specific health policy options to address the crisis, and recommends reverse brain drain as a policy option to address the immediate and critical crisis facing the health care sector in Liberia.
在有效的卫生系统中，合格的医护人员对于促进并实现更好的健康成果（如千年发展目标中所倡导的成果）至关重要。利比里亚目前正遭受长达14年残酷内战的影响，这场战争摧毁了卫生基础设施，导致大多数合格的医护人员逃离并定居国外。目前当地培训的医护人员数量不足以完成手头的任务。最近的埃博拉病毒病暴露了利比里亚医疗系统的缺陷。几乎没有证据表明利比里亚存在可复制的政策，以鼓励合格的利比里亚侨民医护人员回国并为应对这一现象做出贡献。本文回顾了利比里亚卫生人力资源危机的历史背景；批判性地审视了两种针对具体情况的卫生政策选项以应对危机，并建议人才回流作为一项政策选项，以应对利比里亚医疗部门面临的紧迫而关键的危机。
