A decade of action on HRH?

A decade of action on HRH_ High income countries

A health worker advises a new mother at Bombo Hospital in Tanzania.
Credit: Sala Lewis/Save the Children

2000
The World Health Report states that human resources are the most important input into a health system.

The Millennium Development Goals include three goals to improve child health, maternal health and tackle infectious diseases.

2004
Joint learning initiative report alerted world to the urgency of responding to the health workforce needs as a critical precondition of achieving the MDGs

2006
World Health Report specifically on issue of HRH, calls for a decade of action on HRH & proposed creation of a global stakeholders’ alliance to advocate and mobilise resources and support for the health workforce development. Identified 57 ‘crisis countries’ with low HRH density and service coverage.

The Global Health Workforce Alliance (GHWA) is officially launched. The Health Workforce Advocacy Initiative (HWAI) is also established by civil society to support advocacy on HRH.

World Health Assembly passes key HRH resolutions on scaling up health workforce production and strengthening nursing and midwifery .

2008
1st Global Forum on Human Resource for Health is held in Uganda. The Kampala Declaration & Agenda for Action agreed a vision that “All people everywhere, shall have access to a skilled, motivated health worker within a robust health system”

The G8 commits to work towards increasing health workforce coverage to meet the recommended threshold of 2.3 midwives, nurses & doctors per 1,000 people.

2010
World Health Report maps out what countries can do to modify their financing systems to move more quickly towards Universal Health Coverage (UHC)

World Health Assembly adopts the Global Code of Practice on the International Recruitment of Health Personnel

UN Secretary General Launches Every Woman, Every Child. To date, 47 countries have made commitments to strengthen the health workforce.

2011
2nd Global Forum on HRH in Thailand reviews progress on the 2011 Agenda for Action recognising key advances made at the country level such as development of national health workforce strategies but major gaps remain

The Health Workers Count movement calls on world leaders to make new, substantial and specific commitments at the UN General Assembly to expand the number of health workers and better support those workers who are already in place.

2012
The UN General Assembly passes a resolution on UHC which recognises the need for a skilled, well-trained and motivated workforce.

2013
Report for the World Health Assembly says that renewed approaches to the health workforce crisis will be critical for moving towards UHC.
Only 36 EU member states and 1 African state reports on progress on Code of Practice.

The G8 assesses own progress against its 2008 commitment as ‘below expectations ’.

UN High Level Panel calls for a new development agenda that provides quality health care for all and makes progress towards UHC.

A report by the Independent Expert Review Group calls for greater efforts to “make health workers count”.

The 3rd Global Forum on HRH is held in Recife, Brazil focusing on Human Resources for Health as a foundation for Universal Health Coverage and the post-2015 development agenda.

2015
How will HRH feature in a post-MDG development framework?