The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution

This article was published in the Human Resources for Health [ © 2011 Ahmed et al; licensee BioMed Central Ltd. ] and the definite version is available at : http://dx.doi.org/10.1186/1478-4491-9-3 The Journal's website is at: http://human-resources-health.biomedcentral.com/articles/10.1186/1478...

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Principais autores:	Ahmed, Syéd Masud, Hossain, Md Awlad, RajaChowdhury, Ahmed Mushtaque, Bhuiya, Abbas Uddin
Outros Autores:	James P Grant School of Public Health, BRAC University
Formato:	Atigo
Idioma:	English
Publicado em:	© 2011 Ahmed et al; licensee BioMed Central Ltd. 2017
Assuntos:	Health workforce crisis
Acesso em linha:	http://hdl.handle.net/10361/7453 http://dx.doi.org/10.1186/1478-4491-9-3

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spelling	10361-74532017-01-02T09:50:42Z The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution Ahmed, Syéd Masud Hossain, Md Awlad RajaChowdhury, Ahmed Mushtaque Bhuiya, Abbas Uddin James P Grant School of Public Health, BRAC University Health workforce crisis This article was published in the Human Resources for Health [ © 2011 Ahmed et al; licensee BioMed Central Ltd. ] and the definite version is available at : http://dx.doi.org/10.1186/1478-4491-9-3 The Journal's website is at: http://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-9-3 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 0.4. 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 (CHWs) from the non-governmental sector than the government sector and an overwhelming number of traditional birth attendants. The village doctors (predominantly males) and the CHWs (predominantly females) were mainly concentrated in the rural areas, while the paraprofessionals were concentrated in the urban areas. Other data revealed the number of faith/traditional healers, homeopaths (qualified and non-qualified) and basic care providers.Conclusions: Bangladesh is suffering from a severe HRH crisis--in terms of a shortage of qualified providers, an inappropriate skills-mix and inequity in distribution--which requires immediate attention from policy makers. Published 2017-01-02T09:48:26Z 2017-01-02T09:48:26Z 2011 2011 Article Ahmed, S. M., Hossain, M. A., RajaChowdhury, A. M., & Bhuiya, A. U. (2011). The health workforce crisis in bangladesh: Shortage, inappropriate skill-mix and inequitable distribution. Human Resources for Health, 9 doi:10.1186/1478-4491-9-3 14784491 http://hdl.handle.net/10361/7453 http://dx.doi.org/10.1186/1478-4491-9-3 en http://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-9-3 © 2011 Ahmed et al; licensee BioMed Central Ltd.
institution	Brac University
collection	Institutional Repository
language	English
topic	Health workforce crisis
spellingShingle	Health workforce crisis Ahmed, Syéd Masud Hossain, Md Awlad RajaChowdhury, Ahmed Mushtaque Bhuiya, Abbas Uddin The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution
description	This article was published in the Human Resources for Health [ © 2011 Ahmed et al; licensee BioMed Central Ltd. ] and the definite version is available at : http://dx.doi.org/10.1186/1478-4491-9-3 The Journal's website is at: http://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-9-3
author2	James P Grant School of Public Health, BRAC University
author_facet	James P Grant School of Public Health, BRAC University Ahmed, Syéd Masud Hossain, Md Awlad RajaChowdhury, Ahmed Mushtaque Bhuiya, Abbas Uddin
format	Article
author	Ahmed, Syéd Masud Hossain, Md Awlad RajaChowdhury, Ahmed Mushtaque Bhuiya, Abbas Uddin
author_sort	Ahmed, Syéd Masud
title	The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution
title_short	The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution
title_full	The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution
title_fullStr	The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution
title_full_unstemmed	The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution
title_sort	health workforce crisis in bangladesh: shortage, inappropriate skill-mix and inequitable distribution
publisher	© 2011 Ahmed et al; licensee BioMed Central Ltd.
publishDate	2017
url	http://hdl.handle.net/10361/7453 http://dx.doi.org/10.1186/1478-4491-9-3
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The health workforce crisis in Bangladesh: shortage, inappropriate skill-mix and inequitable distribution

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