The Human Resources for Health Crisis in Zambia : An Outcome of Health Worker Entry, Exit, and Performance within the National Health Labor Market

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collection.link.126
https://openknowledge.worldbank.org/handle/10986/5908
collection.name.126
World Bank Working Papers
dc.contributor.author
Herbst, Christopher H.
dc.contributor.author
Vledder, Monique
dc.contributor.author
Campbell, Karen
dc.contributor.author
Sjöblom, Mirja
dc.contributor.author
Soucat, Agnes
dc.date.accessioned
2012-03-19T09:03:41Z
dc.date.accessioned
2012-04-04T07:43:58Z
dc.date.available
2012-03-19T09:03:41Z
dc.date.available
2012-04-04T07:43:58Z
dc.date.issued
2011-04-26
dc.date.lastModified
2021-04-23T14:02:24Z
dc.description.abstract
This report compiles recent evidence on the Zambian health labor market and provides some baseline information on human resources for health (HRH) to help the government address its HRH challenges. Rather than focusing on making policy recommendations, the report is designed to be a source book to benefit and fuel discussions related to HRH in Zambia. Most of the data presented in the report covers the period 2005-08. The report analyzes the national health labor market to better understand the available evidence related to the stock, distribution, and performance of HRH in Zambia (that is, the HRH outcomes). It aims to explain those HRH outcomes by mapping, assessing, and analyzing pre-service education and labor market dynamics, that is, the flow of health workers into, within, and out of the health labor market, as well as the core factors influencing these dynamics. Finally, this report examines the issue of access and equity of HRH. It finds that even if health workers are available, in either urban or rural areas, and performing adequately, the wealthy in Zambia have better access to services than the poor. This situation is found in most if not all other countries. The report finds that as far as access to health workers is concerned, the poor generally loose out. It also reveals that even if health workers are available, wealthier segments of the population often continue to have better access to health workers than poorer segments. Wealthier women have the highest probability of receiving any antenatal care. There is an even steeper pro-rich gradient in delivery attendance in Zambia. In contrast to antenatal care, there is little variation across socioeconomic quintiles among those seeking medical treatment for children with diarrhea or cough and fever. The poor are slightly more likely to be visited by a health worker and receive certain services during visits. The factors linked to these variations in use of services remain to be examined (they could be linked to expense, fear of receiving care from an individual belonging to a higher social stratum, or different gender, and so forth). Either way, they should be taken into consideration when planning to improve access for the poor to health care services and providers.
en
dc.identifier
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20110518003242
dc.identifier.isbn
978-0-8213-8761-0
dc.identifier.uri
http://hdl.handle.net/10986/2303
dc.identifier.uri
http://hdl.handle.net/10986/5938
dc.language
English
dc.publisher
World Bank
dc.relation.ispartofseries
World Bank Working Paper ; No. 214. Africa Human Development Series
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo
dc.subject
AGGRESSIVE
dc.subject
AGING
dc.subject
AID
dc.subject
AIDS RELIEF
dc.subject
ANTENATAL CARE
dc.subject
BEDS
dc.subject
BIRTH ATTENDANT
dc.subject
BLOOD SAMPLES
dc.subject
BULLETIN
dc.subject
CENSUSES
dc.subject
CHILD MORTALITY
dc.subject
CHILDBIRTH
dc.subject
CITIES
dc.subject
CITIZENS
dc.subject
CLINICS
dc.subject
COMMUNICABLE DISEASES
dc.subject
COTS
dc.subject
COUNSELING
dc.subject
COUNTRY OF ORIGIN
dc.subject
DEATH RATE
dc.subject
DEATH RATES
dc.subject
DEATHS
dc.subject
DECISION MAKING
dc.subject
DENTAL ASSISTANT
dc.subject
DENTIST
dc.subject
DENTISTRY
dc.subject
DENTISTS
dc.subject
DIAGNOSIS
dc.subject
DIARRHEA
dc.subject
DIARRHEAL DISEASES
dc.subject
DISSEMINATION
dc.subject
DOCTOR
dc.subject
DOCTORS
dc.subject
DROPOUT
dc.subject
EMERGENCY PLAN
dc.subject
ENVIRONMENTAL HEALTH
dc.subject
ESSENTIAL DRUGS
dc.subject
EXHAUSTION
dc.subject
EXPENDITURES
dc.subject
EXTERNAL MIGRATION
dc.subject
FAMILIES
dc.subject
FEMALE
dc.subject
FEVER
dc.subject
GENDER
dc.subject
GENERAL PRACTITIONERS
dc.subject
GROSS NATIONAL INCOME
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE DELIVERY
dc.subject
HEALTH CARE MANAGEMENT
dc.subject
HEALTH CARE SERVICES
dc.subject
HEALTH CENTERS
dc.subject
HEALTH FACILITIES
dc.subject
HEALTH MANAGEMENT
dc.subject
HEALTH ORGANIZATION
dc.subject
HEALTH OUTCOMES
dc.subject
HEALTH PLANNING
dc.subject
HEALTH POSTS
dc.subject
HEALTH PROFESSIONAL
dc.subject
HEALTH PROFESSIONALS
dc.subject
HEALTH RISKS
dc.subject
HEALTH SECTOR
dc.subject
HEALTH SERVICE
dc.subject
HEALTH SERVICE DELIVERY
dc.subject
HEALTH SERVICE PROVIDERS
dc.subject
HEALTH SERVICE PROVISION
dc.subject
HEALTH SERVICES
dc.subject
HEALTH SPECIALIST
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH SYSTEMS
dc.subject
HEALTH TRAINING
dc.subject
HEALTH WORKFORCE
dc.subject
HIV
dc.subject
HIV INFECTION
dc.subject
HIV/AIDS
dc.subject
HOSPITAL
dc.subject
HOSPITAL MANAGEMENT
dc.subject
HOSPITALS
dc.subject
HUMAN RESOURCES
dc.subject
ILLNESS
dc.subject
ILLNESSES
dc.subject
IMMIGRATION
dc.subject
INCOME
dc.subject
INFORMATION SYSTEM
dc.subject
INTERNAL MIGRATION
dc.subject
INTERVENTION
dc.subject
JOB OPPORTUNITIES
dc.subject
LABOR FORCE
dc.subject
LABOR MARKET
dc.subject
LABOR MARKETS
dc.subject
LABORATORY WORKERS
dc.subject
LEGAL STATUS
dc.subject
LIVE BIRTHS
dc.subject
LIVING CONDITIONS
dc.subject
MALARIA
dc.subject
MALARIAL DRUGS
dc.subject
MATERNAL HEALTH
dc.subject
MATERNAL MORTALITY
dc.subject
MATERNAL MORTALITY RATIO
dc.subject
MEDICAL ASSISTANCE
dc.subject
MEDICAL DOCTORS
dc.subject
MEDICAL PRACTICE
dc.subject
MEDICAL SCHOOL
dc.subject
MEDICAL SCHOOLS
dc.subject
MEDICAL TREATMENT
dc.subject
MIDWIFE
dc.subject
MIDWIVES
dc.subject
MIGRATION
dc.subject
MILLENNIUM DEVELOPMENT GOALS
dc.subject
MINISTRY OF HEALTH
dc.subject
MORBIDITY
dc.subject
MORBIDITY AND MORTALITY
dc.subject
MORTALITY
dc.subject
MORTALITY RATE
dc.subject
MORTALITY RATES
dc.subject
MOTHER
dc.subject
MOTHER-TO-CHILD
dc.subject
MOTHER-TO-CHILD TRANSMISSION
dc.subject
MOTHERS
dc.subject
NATIONAL DEVELOPMENT
dc.subject
NATIONAL DEVELOPMENT PLAN
dc.subject
NATIONAL LEGISLATION
dc.subject
NATIONAL LEVEL
dc.subject
NEONATAL DEATH
dc.subject
NUMBER OF WORKERS
dc.subject
NURSE
dc.subject
NURSES
dc.subject
NURSING
dc.subject
NURSING HOMES
dc.subject
NUTRITION
dc.subject
NUTRITIONISTS
dc.subject
PARASITIC DISEASES
dc.subject
PATIENTS
dc.subject
PERINATAL MORTALITY
dc.subject
PERSONAL COMMUNICATION
dc.subject
PHARMACIST
dc.subject
PHARMACISTS
dc.subject
PHARMACY
dc.subject
PHYSICIAN
dc.subject
PHYSICIANS
dc.subject
PHYSIOTHERAPISTS
dc.subject
PNEUMONIA
dc.subject
POPULATION DENSITY
dc.subject
POPULATION GROWTH
dc.subject
PREGNANCIES
dc.subject
PREGNANCY
dc.subject
PREMATURE DEATH
dc.subject
PREVALENCE
dc.subject
PRIMARY CARE
dc.subject
PRIMARY HEALTH CARE
dc.subject
PRIVATE PHARMACIES
dc.subject
PROBABILITY
dc.subject
PROGRESS
dc.subject
PROVINCIAL HOSPITALS
dc.subject
PROVISION OF ASSISTANCE
dc.subject
PSYCHIATRY
dc.subject
PUBLIC HEALTH
dc.subject
PUBLIC HEALTH WORKERS
dc.subject
PUBLIC HOSPITALS
dc.subject
PUBLIC SERVICE
dc.subject
RADIOGRAPHY
dc.subject
RESOURCE NEEDS
dc.subject
ROOMS
dc.subject
RURAL AREAS
dc.subject
SCHOOL HEALTH
dc.subject
SECONDARY EDUCATION
dc.subject
SECONDARY SCHOOL
dc.subject
SKILLED WORKERS
dc.subject
SPECIALISTS
dc.subject
STILLBIRTH
dc.subject
SURGEONS
dc.subject
THERAPIST
dc.subject
THERAPY
dc.subject
TRAINING OPPORTUNITIES
dc.subject
TROPICAL MEDICINE
dc.subject
TUBERCULOSIS
dc.subject
UNDER-FIVE MORTALITY
dc.subject
UNEMPLOYMENT
dc.subject
UNIVERSAL ACCESS
dc.subject
UNIVERSAL ACCESS TO TREATMENT
dc.subject
UNMET DEMAND
dc.subject
URBAN AREAS
dc.subject
USER FEES
dc.subject
WAR
dc.subject
WORK ENVIRONMENT
dc.subject
WORKERS
dc.subject
WORKING CONDITIONS
dc.subject
WORLD HEALTH ORGANIZATION
dc.title
The Human Resources for Health Crisis in Zambia : An Outcome of Health Worker Entry, Exit, and Performance within the National Health Labor Market
en
okr.crosscuttingsolutionarea
Gender
okr.date.disclosure
2011-05-18
okr.doctype
Publications & Research :: Publication
okr.doctype
Publications & Research :: Publication
okr.docurl
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20110518003242
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/978-0-8213-8761-0
okr.identifier.externaldocumentum
000333037_20110518003242
okr.identifier.internaldocumentum
14209225
okr.identifier.report
61897
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2011/05/18/000333037_20110518003242/Rendered/PDF/618970WP0Healt000public00BOX358355B.pdf
en
okr.region.administrative
Africa
okr.region.country
Zambia
okr.region.geographical
Sub-Saharan Africa
okr.region.geographical
Southern Africa
okr.topic
Health, Nutrition and Population :: Population Policies
okr.topic
Health, Nutrition and Population :: Health Monitoring and Evaluation
okr.topic
Health, Nutrition and Population :: Health Systems Development & Reform
okr.topic
Health, Nutrition and Population :: Disease Control & Prevention
okr.topic
Gender :: Gender and Health
okr.topic
Health, Nutrition and Population
okr.unit
Health
okr.unit
Nutrition & Population (AFTHE)
okr.volume
1 of 1

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