Informing investment in health workforce in Bangladesh
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/148411 |
Resumo: | Funding Information: Authors would like to acknowledge Dr. Pascal Zurn, WHO HQ; Dr. Valeria De Oliveira Cruz, WHO SEARO and Ms Ai Tanimizu, WHO SEARO for their contribution at the proposal development and data collection stage of this activity. Publisher Copyright: © 2022, The Author(s). |
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Informing investment in health workforce in Bangladesha health labour market analysisHealth labour market analysisHealth workforceInvestment, BangladeshSupply, need and demandWHOQ ScienceR MedicineHV Social pathology. Social and public welfarePublic AdministrationPublic Health, Environmental and Occupational HealthHealth PolicySDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 8 - Decent Work and Economic GrowthFunding Information: Authors would like to acknowledge Dr. Pascal Zurn, WHO HQ; Dr. Valeria De Oliveira Cruz, WHO SEARO and Ms Ai Tanimizu, WHO SEARO for their contribution at the proposal development and data collection stage of this activity. Publisher Copyright: © 2022, The Author(s).Background: As the 2016 Global Strategy on Human Resources for Health: Workforce 2030 (GSHRH) outlines, health systems can only function with health workforce (HWF). Bangladesh is committed to achieving universal health coverage (UHC) hence a comprehensive understanding of the existing HWF was deemed necessary informing policy and funding decisions to the health system. Methods: The health labour market analysis (HLMA) framework for UHC cited in the GSHRH was adopted to analyse the supply, need and demand of all health workers in Bangladesh. Government’s information systems provided data to document the public sector HWF. A national-level assessment (2019) based on a country representative sample of 133 geographical units, served to estimate the composition and distribution of the private sector HWF. Descriptive statistics served to characterize the formal and informal HWF. Results: The density of doctors, nurses and midwives in Bangladesh was only 9.9 per 10 000 population, well below the indicative sustainable development goals index threshold of 44.5 outlined in the GSHRH. Considering all HWFs in Bangladesh, the estimated total density was 49 per 10 000 population. However, one-third of all HWFs did not hold recognized roles and their competencies were unknown, taking only qualified and recognized HWFs into account results in an estimated density 33.2. With an estimate 75 nurses per 100 doctors in Bangladesh, the second area, where policy attention appears to be warranted is on the competencies and skill-mix. Thirdly, an estimated 82% of all HWFs work in the private sector necessitates adequate oversight for patient safety. Finally, a high proportion of unfilled positions in the public sector, especially in rural areas where 67% of the population lives, account only 11% of doctors and nurses. Conclusion: Bangladesh is making progress on many of the milestones of the GSHRH, notably, the establishment of the HWF unit and reporting through the national health workforce accounts. However, particular investment on strengthening the intersectoral HWF coordination across sectors; regulation for assurance of patient safety and adequate oversight of the private sector; establishing accreditation mechanisms for training institutions; and halving inequalities in access to a qualified HWF are important towards advancing UHC in Bangladesh.Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Population health, policies and services (PPS)Universidade NOVA de LisboaRUNNuruzzaman, MdZapata, TomasMcIsaac, MichelleWangmo, SangayIslam, Md JoynulAlmamun, MdAlam, SabinaTalukder, Md Humayun KabirDussault, Gilles2023-01-30T22:18:15Z2022-122022-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10application/pdfhttp://hdl.handle.net/10362/148411eng1478-4491PURE: 50624654https://doi.org/10.1186/s12960-022-00769-2info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:29:48Zoai:run.unl.pt:10362/148411Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:20.802037Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Informing investment in health workforce in Bangladesh a health labour market analysis |
| title |
Informing investment in health workforce in Bangladesh |
| spellingShingle |
Informing investment in health workforce in Bangladesh Nuruzzaman, Md Health labour market analysis Health workforce Investment, Bangladesh Supply, need and demand WHO Q Science R Medicine HV Social pathology. Social and public welfare Public Administration Public Health, Environmental and Occupational Health Health Policy SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 8 - Decent Work and Economic Growth |
| title_short |
Informing investment in health workforce in Bangladesh |
| title_full |
Informing investment in health workforce in Bangladesh |
| title_fullStr |
Informing investment in health workforce in Bangladesh |
| title_full_unstemmed |
Informing investment in health workforce in Bangladesh |
| title_sort |
Informing investment in health workforce in Bangladesh |
| author |
Nuruzzaman, Md |
| author_facet |
Nuruzzaman, Md Zapata, Tomas McIsaac, Michelle Wangmo, Sangay Islam, Md Joynul Almamun, Md Alam, Sabina Talukder, Md Humayun Kabir Dussault, Gilles |
| author_role |
author |
| author2 |
Zapata, Tomas McIsaac, Michelle Wangmo, Sangay Islam, Md Joynul Almamun, Md Alam, Sabina Talukder, Md Humayun Kabir Dussault, Gilles |
| author2_role |
author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Global Health and Tropical Medicine (GHTM) Instituto de Higiene e Medicina Tropical (IHMT) Population health, policies and services (PPS) Universidade NOVA de Lisboa RUN |
| dc.contributor.author.fl_str_mv |
Nuruzzaman, Md Zapata, Tomas McIsaac, Michelle Wangmo, Sangay Islam, Md Joynul Almamun, Md Alam, Sabina Talukder, Md Humayun Kabir Dussault, Gilles |
| dc.subject.por.fl_str_mv |
Health labour market analysis Health workforce Investment, Bangladesh Supply, need and demand WHO Q Science R Medicine HV Social pathology. Social and public welfare Public Administration Public Health, Environmental and Occupational Health Health Policy SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 8 - Decent Work and Economic Growth |
| topic |
Health labour market analysis Health workforce Investment, Bangladesh Supply, need and demand WHO Q Science R Medicine HV Social pathology. Social and public welfare Public Administration Public Health, Environmental and Occupational Health Health Policy SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 8 - Decent Work and Economic Growth |
| description |
Funding Information: Authors would like to acknowledge Dr. Pascal Zurn, WHO HQ; Dr. Valeria De Oliveira Cruz, WHO SEARO and Ms Ai Tanimizu, WHO SEARO for their contribution at the proposal development and data collection stage of this activity. Publisher Copyright: © 2022, The Author(s). |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-12 2022-12-01T00:00:00Z 2023-01-30T22:18:15Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
| format |
article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/148411 |
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http://hdl.handle.net/10362/148411 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
1478-4491 PURE: 50624654 https://doi.org/10.1186/s12960-022-00769-2 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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10 application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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