TAILIEUCHUNG - báo cáo sinh học:" The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution | Ahmed et al. Human Resources for Health 2011 9 3 http content 9 1 3 HUMAN RESOURCES FOR HEALTH RESEARCH Open Access The health workforce crisis in Bangladesh shortage inappropriate skill-mix and inequitable distribution Syed Masud Ahmed1 Md Awlad Hossain1 Ahmed Mushtaque RajaChowdhury2 Abbas Uddin Bhuiya3 Abstract Background Bangladesh is identified as one of the countries with severe health worker shortages. However there is a lack of comprehensive data on human resources for health HRH in the formal and informal sectors in Bangladesh. This data is essential for developing an HRH policy and plan to meet the changing health needs of the population. This paper attempts to fill in this knowledge gap by using data from a nationally representative sample survey conducted in 2007. Methods The study population in this survey comprised all types of currently active health care providers HCPs in the formal and informal sectors. The survey used 60 unions wards from both rural and urban areas with a comparable average population of approximately 25 000 which were proportionally allocated based on a Probability Proportion to Size sampling technique for the six divisions and distribution areas. A simple free listing was done to make an inventory of the practicing HCPs in each of the sampled areas and cross-checking with community was done for confirmation and to avoid duplication. This exercise yielded the required list of different HCPs by union ward. Results HCP density was measured per 10 000 population. There were approximately five physicians and two nurses per 10 000 the ratio of nurse to physician being only . Substantial variation among different divisions was found with gross imbalance in distribution favouring the urban areas. There were around 12 unqualified village doctors and 11 salespeople at drug retail outlets per 10 000 the latter being uniformly spread across the country. Also there were twice as many community health workers

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