The Health Workforce in Latin America and the Caribbean: An Analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay (Directions in Development)

 
9781464805943: The Health Workforce in Latin America and the Caribbean: An Analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay (Directions in Development)
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The health workforce is the foundation of care and affects quality and outcomes; human resources for health
(HRH) constitutes the largest portion of the health care budget of most countries. Latin America and the
Caribbean has been challenged by imbalances in workforce composition, distribution, and skill mix, as well
as by variations in productivity and quality.
The Health Workforce in Latin America and the Caribbean: An Analysis of Colombia, Costa Rica, Jamaica, Panama,
Peru, and Uruguay provides an update on HRH in these six countries. The discussion is structured around five
key areas of the workforce: financing, organization, management, regulation, and performance.
·· Financing: The authors present the variety of contracting mechanisms, salary levels, and financial
incentives, and their roles in attracting and retaining health workers.
·· Organization: The countries have made progress toward achieving HRH targets and making education
more accessible. However, the absorption capacity remains limited for graduates, the primary health care
focus of training programs needs to be strengthened, and the strategies to encourage rural service have
not effectively addressed the distribution gap of health workers.
·· Management: All six countries have adopted the World Health Organization’s Global Code of Practice on
the International Recruitment of Health Personnel to recognize foreign-trained professionals to help
address shortages and fill gaps in rural and remote areas. However, the countries continue to struggle
with implementing self-sufficiency policies to build the capacity to meet needs. Such policies include
promotion plans, nonmonetary incentives, and personnel for recruitment and eventual placement.
·· Regulation: The countries are working to reduce precarious and unprotected employment, introduce
safety policies to decrease occupational diseases and workplace accidents, and enact legislation to
resolve disputes.
·· Performance: Mixed results have been achieved in health outcomes, access and availability, quality of
care and patient satisfaction, professional practice, and productivity and efficiency.

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Book Description World Bank Publications. Paperback. Condition: New. 160 pages. This report provides a status update on the human resources for health (HRH) sub-system in six Latin American and Caribbean countries: Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay. The report structures its discussion around how the health workforce is financed, organized, managed, regulated, and performing. In the area of financing, the study presents the variety of contracting mechanisms, salary levels, and financial incentives offered across the countries and their role in being able to attract and retain health workers. On the organization of the HRH sub-system, the report looks at the skill-mix, training, and distribution of health care workers concluding that although the countries have made progress towards achieving key HRH targets and in making education more accessible, there continues to be limited absorption capacity for graduates, the Primary Health Care focus of training programs needs to be strengthened, and strategies to encourage rural service have not been able to fully address the gap in the distribution of health workers. In reviewing management strategies for HRH, the report presents how all countries have adopted the WHO Global Code of Practice on the International Recruitment of Health Personnel to recognize foreign-trained professionals to help address shortages and fill gaps of health worker presence in rural, remote areas. However, the countries continue to struggle with putting self-sufficiency policies in place to meet HRH needs such as the lack of promotion plans, limited non-monetary incentives, and the shortage of personnel for recruitment and eventual placement. In the area of regulation, the report presents the countries efforts to reduce precarious employment and introduce HRH safety policies and legislation to regulate disputes and negotiations. On performance, the report found mixed results in the areas of accessavailability to health workers and quality of care, factors discouraging dual practice, and unjustified absenteeism of health workers. This item ships from multiple locations. Your book may arrive from Roseburg,OR, La Vergne,TN. Paperback. Seller Inventory # 9781464805943

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