Research Catalog

Title

The human resources for health crisis in Zambia : an outcome of health worker entry, exit, and performance within the national health labor market / Christopher H. Herbst ... [et al.].

Publication

Washington, DC : International Bank for Reconstruction and Development/World Bank, c2011.

Items in the Library & Off-site

Holdings

Details

Additional Authors

• Herbst, Christopher H.
• World Bank

Description

xiii, 91 p. : ill.; 26 cm.

Summary

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.

Subject

• Health Services
• Health Workforce
• Medical care > Zambia
• Health Workforce > Zambia
• Health Services > Zambia
• State Medicine
• Zambia

Genre/Form

Electronic books.

Bibliography (note)

• Includes bibliographical references.

Processing Action (note)

• committed to retain

Contents

• Machine generated contents note: 1.Context and Introduction -- Health Outcomes Overview -- HRH in Context -- Objective of the Report -- Using a Labor Market Angle to Analyze HRH -- Methods and Limitations to Analysis -- Organization of the Report -- 2.HRH Stock -- Stock and Profiles of HRH -- Needs-Based Perspective -- Explaining the Low Stock -- 3.Public/Private Sector Distribution -- Distribution by Sector -- Explaining Public/Private Sector Distribution -- 4.Geographical Distribution -- Provincial and District Distribution (by Number) -- Needs-based Perspective -- Equity Concerns -- Explaining the Uneven Geographical Distribution -- 5.HRH Performance -- Health Worker Performance -- Explaining Performance Outcomes -- 6.Equity in Health Service Provision -- Provision of Antenatal Care -- Delivery Attendance -- Medical Treatment of Children with Diarrhea or Cough/fever -- Health Worker Visits -- 7.Core Factors Affecting Labor Market Dynamics --
• Contents note continued: Centralized HRH Management Capacity -- Training Institution Capacity -- Conditions of Service (Monetary and Nonmonetary Compensation) -- HIV/AIDS -- 8.Available Financing for HRH -- Appendixes -- Appendix A Economics of Health Labor Markets in Sub-Saharan Africa -- Appendix B Ministry of Health Staff Levels against Approved Establishment (2004 and 2008) -- Appendix C Composite Pre-tax Government Monthly Pay of Sample of Health Professionals (2005) -- Appendix D Budget Allocations to District Health Management Teams in Select Provinces (Chessore 2007).

ISBN

• 9780821387610
• 0821387618
• 9780821387627 (e-ISBN)
• 0821387626 (e-ISBN)

LCCN

^^2011012880

OCLC

710813004

Owning Institutions

Harvard Library