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肯尼亚卫生劳动力市场前景建模:2021 - 2035年卫生工作者的供应、需求及投资需求

Modelling the health labour market outlook in Kenya: Supply, needs and investment requirements for health workers, 2021-2035.

作者信息

Asamani James Avoka, Kwesiga Brendan, Okoroafor Sunny C, Chagina Evalyne, Gondi Joel, Gura Zeinab, Motiri Francis, Jumba Nakato, Ogumbo Teresa, Mutungi Nkatha, Muleshe Stephen, Suraw Yusuf, Gitungo Hanah, Gatimbu Kiogora, Wanyee Mutile, Oyoko Amos, Nyakundi Angela, Kaboro Stephen, Njogu Mary Wanjiru, Monyoncho Maureen, Nyoike Njoroge, Ooga Wesley Ogera, Nabyonga-Orem Juliet, Korir Julius, Marsden Paul, Ahmed Mona Almudhwahi, Ogato Julius, Zurn Pascal, Wamae Annah

机构信息

Health Workforce Unit, Universal Health Coverage-Life Course, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.

出版信息

PLOS Glob Public Health. 2025 Jan 6;5(1):e0003966. doi: 10.1371/journal.pgph.0003966. eCollection 2025.

Abstract

Kenya is committed to achieving Universal Health Coverage (UHC) within its devolved health system in which significant investments have been made in health infrastructure, workforce development, and service delivery. Despite these efforts, the country faces considerable health workforce challenges. To address these, the Ministry of Health undertook a comprehensive Health Labour Market Analysis (HLMA) in 2022 to generate evidence supporting the development of responsive health workforce policies. This paper presents findings of a modelling exercise to understand the health labour market outlook. As part of a comprehensive HLMA, a validated needs-based health workforce modelling framework was applied to project the supply, needs, and investment requirements. Data was triangulated from multiple sources through desk reviews and group modelling by an expert technical working group constituted to undertake the study. The analysis considered disease burden, population growth, service delivery models, and health worker productivity, to assess the future health workforce needed. Kenya's health workforce is growing, with approximately 7,650 new workers added annually, resulting in an estimated 3.4% annual growth. By 2025, the health workforce is projected to reach 226,434, increasing to 263,700 by 2030. However, Kenya required a minimum of 254,220 health workers in 2021 to make substantial progress toward UHC. The cumulative need could rise to 476,278 by 2035. In 2021, Kenya had a needs-based shortage of nearly 60,000 health professionals, which could increase to 114,352 by 2030. The financial space for health workforce was estimated at US$2.29 billion in 2021 and is projected to rise to US$3.58 billion by 2030, but the required wage bill potentially reaching US$3.9 billion. Kenya must significantly increase investments in its health workforce to meet UHC goals. Both public and private sectors need to contribute more, with the public sector requiring a health workforce budget increase of 10.5% annually to bridge the projected funding gap.

摘要

肯尼亚致力于在其分权化卫生系统中实现全民健康覆盖(UHC),该国已在卫生基础设施、劳动力发展和服务提供方面进行了大量投资。尽管做出了这些努力,但该国仍面临着巨大的卫生人力挑战。为应对这些挑战,卫生部在2022年开展了全面的卫生劳动力市场分析(HLMA),以生成支持制定适应性卫生人力政策的证据。本文介绍了一项建模分析的结果,以了解卫生劳动力市场前景。作为全面HLMA的一部分,一个经过验证的基于需求的卫生人力建模框架被用于预测供应、需求和投资需求。通过案头审查和由为开展该研究而组建的专家技术工作组进行的小组建模,从多个来源对数据进行了三角测量。该分析考虑了疾病负担、人口增长、服务提供模式和卫生工作者生产力,以评估未来所需的卫生人力。肯尼亚的卫生人力正在增长,每年新增约7650名工作人员,年增长率估计为3.4%。到2025年,卫生人力预计将达到226434人,到2030年将增至263700人。然而,肯尼亚在2021年至少需要254220名卫生工作者,才能在实现全民健康覆盖方面取得重大进展。到2035年,累计需求可能增至476278人。2021年,肯尼亚基于需求的卫生专业人员短缺近60000人,到2030年可能增至114352人。2021年卫生人力的财政空间估计为22.9亿美元,预计到2030年将增至35.8亿美元,但所需工资支出可能达到39亿美元。肯尼亚必须大幅增加对其卫生人力的投资,以实现全民健康覆盖目标。公共部门和私营部门都需要做出更多贡献,公共部门需要将卫生人力预算每年增加10.5%,以弥补预计的资金缺口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a46f/11703116/adf5e24115f8/pgph.0003966.g001.jpg

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