Institute for Health Metrics and Evaluation, Population Health Building/Hans Rosling Center, 3980 15th Ave. NE, Seattle, WA, 98195, USA.
Department of Health Metrics Sciences, University of Washington, Seattle, WA, 98195, USA.
Hum Resour Health. 2022 Jun 10;20(1):51. doi: 10.1186/s12960-022-00744-x.
Investing in the health workforce is key to achieving the health-related Sustainable Development Goals. However, achieving these Goals requires addressing a projected global shortage of 18 million health workers (mostly in low- and middle-income countries). Within that context, in 2016, the World Health Assembly adopted the WHO Global Strategy on Human Resources for Health: Workforce 2030. In the Strategy, the role of official development assistance to support the health workforce is an area of interest. The objective of this study is to examine progress on implementing the Global Strategy by updating previous analyses that estimated and examined official development assistance targeted towards human resources for health.
We leveraged data from IHME's Development Assistance for Health database, COVID development assistance database and the OECD's Creditor Reporting System online database. We utilized an updated keyword list to identify the relevant human resources for health-related activities from the project databases. When possible, we also estimated the fraction of human resources for health projects that considered and/or focused on gender as a key factor. We described trends, examined changes in the availability of human resources for health-related development assistance since the adoption of the Global Strategy and compared disease burden and availability of donor resources.
Since 2016, development assistance for human resources for health has increased with a slight dip in 2019. In 2020, fueled by the onset of the COVID-19 pandemic, it reached an all-time high of $4.1 billion, more than double its value in 2016 and a 116.5% increase over 2019. The highest share (42.4%) of support for human resources for health-related activities has been directed towards training. Since the adoption of the Global Strategy, donor resources for health workforce-related activities have on average increased by 13.3% compared to 16.0% from 2000 through 2015. For 47 countries identified by the WHO as having severe workforce shortages, the availability of donor resources remains modest.
Since 2016, donor support for health workforce-related activities has increased. However, there are lingering concerns related to the short-term nature of activities that donor funding supports and its viability for creating sustainable health systems.
投资卫生人力是实现与卫生相关的可持续发展目标的关键。然而，要实现这些目标，就需要解决预计全球范围内将短缺 1800 万名卫生工作者（主要在中低收入国家）这一问题。在此背景下，2016 年世界卫生大会通过了世卫组织《卫生人力全球战略：2030 年工作规划》。该战略关注官方发展援助在支持卫生人力方面的作用。本研究的目的是通过更新之前分析估计和审查针对卫生人力的官方发展援助的分析，来审查实施全球战略的进展情况。
我们利用了卫生计量系统研究所卫生发展援助数据库、COVID 发展援助数据库和经合组织债权国报告系统在线数据库的数据。我们利用更新的关键词列表，从项目数据库中确定与卫生人力有关的相关活动。在可能的情况下，我们还估计了考虑和/或将性别作为关键因素的卫生人力项目的比例。我们描述了趋势，审查了自全球战略通过以来，与卫生人力有关的发展援助的可获得性变化，并比较了疾病负担和捐助资源的可获得性。
自 2016 年以来，用于卫生人力的发展援助有所增加，2019 年略有下降。2020 年，随着 COVID-19 大流行的爆发，发展援助达到了创纪录的 41 亿美元，是 2016 年的两倍多，比 2019 年增长了 116.5%。支持与卫生人力有关的活动的最高份额（42.4%）是培训。自全球战略通过以来，与卫生人力有关的活动的捐助资源平均增长了 13.3%，而 2000 年至 2015 年期间则增长了 16.0%。对于世卫组织确定的 47 个人力资源严重短缺的国家，捐助资源的可获得性仍然有限。
自 2016 年以来，捐助方对与卫生人力有关的活动的支持有所增加。然而，人们仍然对捐助资金支持的活动的短期性质及其为建立可持续卫生系统的可行性感到关切。
