Asamani James Avoka, Mwinga Kasonde, Okoroafor Sunny C, Chukwujekwu Ogochukwu, Marsden Paul, Christmals Christmal Dela, Titus Maritza, Bediakon San Boris Kouadjo, Ahmat Adam, Nabyonga-Orem Juliet, Titi-Ofei Regina, Zamboni Karen, Hopfe Maren, Tavanxhi Nertila, Dambisya Yoswa, Mabhele Simphiwe, Wuliji Tana, Codjia Laurence, Zurn Pascal, Omaswa Francis, Cabore Joseph, Moeti Matshidiso Rebecca
World Health Organization, Regional Office for Africa, P.O. Box 06, Djouve, Brazzaville, Republic of Congo.
Centre for Health Professions Education, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.
Discov Health Syst. 2025;4(1):108. doi: 10.1007/s44250-025-00297-5. Epub 2025 Sep 8.
Despite improvements in health workforce density, the World Health Organization (WHO) African Region Member States an additional 6.1 million additional health workers by 2030 to achieve universal health coverage (UHC) and health sustainable development goals (SDGs) targets and ensure health security. Additional investments are needed for their education, employment, and retention. However, most countries cannot meet this and require support to secure increased sustainable long-term domestic and external investments in the health workforce to strengthen health systems as part of broader health and national development efforts to improve health, economic, and social outcomes. The Africa Health Workforce Investment Charter, launched by the WHO Africa Regional Office in May 2024, outlines a set of key principles that countries can adapt to stimulate and secure the multisectoral domestic and external investments needed to reduce Africa's health workforce shortages by 2030. This would ultimately increase access and availability of health care workers and primary healthcare services, especially in rural and underserved communities. The Investment Charter sets out the following key principles for coordinating and sustaining investments in education, employment, retention, and public health functions: (1) Enabling government leadership and stewardship; (2) Applying evidence-informed prioritisation investment; (3) Aligning multisectoral investments through partnership and collaboration; (4) Stimulating more and better investments; and (5) Securing sustainable health workforce investments.
尽管卫生人力密度有所提高，但世界卫生组织（世卫组织）非洲区域的成员国到2030年仍需额外增加610万名卫生工作者，以实现全民健康覆盖（UHC）和卫生可持续发展目标（SDGs），并确保卫生安全。需要对他们的教育、就业和留用进行额外投资。然而，大多数国家无法做到这一点，需要获得支持，以确保在卫生人力方面增加可持续的长期国内和外部投资，从而加强卫生系统，这也是更广泛的卫生和国家发展努力的一部分，目的是改善卫生、经济和社会成果。世卫组织非洲区域办事处2024年5月发起的《非洲卫生人力投资宪章》概述了一系列关键原则，各国可以采用这些原则来刺激和确保所需的多部门国内和外部投资，以在2030年前减少非洲卫生人力短缺的情况。这最终将增加卫生保健工作者和初级卫生保健服务的可及性和可得性，特别是在农村和服务不足的社区。《投资宪章》规定了以下用于协调和维持在教育、就业、留用和公共卫生职能方面投资的关键原则：（1）促进政府领导和管理；（2）采用基于证据的优先投资；（3）通过伙伴关系和合作协调多部门投资；（4）刺激更多更好的投资；以及（5）确保可持续的卫生人力投资。
