From Health Labor Market Analysis to Result-Based Financing: Insights from a Post-Conflict Country, Cote d'Ivoire
Jan 28 2009
As in most African countries, Cote d’Ivoire is facing a crisis in human resources for health (HRH) worsened by a high HIV-AIDS prevalence (4.7%) and a civil war from 2002 to 2007. Many health workers have fled from the northern regions to seek refuge in the capital city, Abidjan. At a World Bank event on January 14, 2009, Gilbert Kombe shared insights from Health Systems 20/20 work to develop innovative and sustainable interventions to address the health labor crisis.
Health Systems 20/20 facilitated the development of a costed HRH strategy and is now supporting the Ministry of Health in implementing an incentive scheme both for HRH retention in rural areas and for HRH performance improvement. Some interesting facts, notably a major underemployment of doctors and a lack of teaching faculty at nursing institutions were brought to light. Also analyzed was the impact of the growing private sector. Results from the work impacted the recently approved national HRH policy as well the design of rural retention schemes, pre-service nursing school emergency hiring, and management strengthening efforts, as well as the strengthening of human resource information systems at the national and district levels. Full report forthcoming.
