Elsevier

The Lancet

Volume 388, Issue 10041, 16–22 July 2016, Pages 220-222
The Lancet

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Human resources for health: time to move out of crisis mode

https://doi.org/10.1016/S0140-6736(16)30952-7Get rights and content

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    Discrete choice experiments (DCEs) are a popular method in health economics used to determine the driving factors behind the relative preferences of health workers for different job attributes, that either can't be observed in real life or service characteristics that haven't yet been introduced. The aim of such DCEs is that findings can be leveraged by policy makers to improve health worker retention and productivity in exchange for the right incentives (Lagarde and Cairns, 2012; Mandeville et al., 2016; Mangham and Hanson, 2008; Saran et al., 2020). For example, one study evaluated the relative importance of material and non-material policy incentives in the motivation and retention of community health workers in Western Kenya, using a DCE (Saran et al., 2020).

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    As more definitive evidence becomes available on the relationship between density of health workers and population health, it may be possible to move to more downstream outcomes. Such dynamic modelling and economic evaluation of different policy options are particularly well suited to health workforce decisions in low- and middle-income countries (LMIC) (Lagarde and Cairns, 2012; Mandeville et al. 2016a). For many cadres of health worker, the lag between training investment and labour production means that costs and effects can only be fully evaluated over the long-term.

  • The path to longer and healthier lives for all Africans by 2030: the Lancet Commission on the future of health in sub-Saharan Africa

    2017, The Lancet
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    We hope that the recommendations from the High-Level Commission on Health Employment and Economic Growth,61 chaired by the Presidents of France and South Africa, and the global strategy on human resources for health296 adopted by the World Health Assembly in 2016, will catalyse action. We also support the refreshing perspective of Mandeville and colleagues,297 who stated that “after a decade of advocacy with limited success, it is time to move out of the crisis mode and towards sustainable solutions” and calling for “long-term local responses aligned with available evidence and resources”. Health workforce shortages vary widely among and within African countries.

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