THE Presidents of France & South Africa have called
for urgent investments globally to create new jobs in the health sector
in order to prevent a projected shortfall of 18 million health workers primarily
in low- and lower-middle-income countries, and help countries to maximize the
social and economic benefits of increased health employment.
The High-Level Commission on Health Employment and Economic Growth, chaired
by H.E. François Hollande and H.E. Jacob Zuma, delivered its final report
and recommendations to United Nations Secretary General Ban Ki-moon on the
sidelines of the UN General Assembly in New York.
The Commission concluded that investing in the health workforce is needed to
make progress towards the Sustainable Development Goals, including gains in
health, global security and inclusive economic growth. The commission made
10 recommendations for realising those gains, through appropriate investments
in health employment that can power economies, move countries closer to universal
health coverage and act as a bulwark against outbreaks such as Ebola.
Ageing populations and increasing rates of non-communicable diseases are projected
to generate demand for 40 million new health workers worldwide by 2030, which
would represent a doubling of the current global health workforce. But most
of those jobs will be created in the wealthiest countries. Without action there
will be a shortfall, primarily in low- and lower-middle-income countries, of
18 million health workers needed to achieve and sustain universal health coverage.
Mounting evidence shows that investments in the health sector pay handsome
dividends. The returns on investment in health are estimated to be 9 to 1,
and around one quarter of growth between 2000 and 2011 in low-income and middle-income
countries is estimated to have resulted from improvements to health. Investing
in skills and expanding health employment will also contribute to the economic
empowerment of women and youth.
“For too long countries have seen health workers as just another cost to
be managed, instead of an investment with a triple return for health, economic
growth and global health security,” said Dr Margaret Chan, Director-General
of the World Health Organization.
The need for action is urgent. The Commission calls for immediate actions by
March 2018 to secure commitments and accountability for accelerated health
workforce investments. In response to the Commission’s request, the Vice-Chairs
of the Commission from WHO, ILO and OECD will convene all relevant stakeholders
by the end of 2016 to develop a five-year implementation plan for the 10 recommendations.
Health is a major and growing source of jobs. Across the OECD, employment in
health and social work grew by 48 per cent between 2000 and 2014, while jobs
in industry and agriculture declined.
“These recommendations will chart the course to achieve greater and more effective
investment in the health workforce. This will be a critical element to promote
better lives and help our economies flourish and achieve their full potential,”
said Mr Angel Gurría, Secretary-General of the OECD.
“The report provides solid evidence that investing in the health economy and
progressing towards universal health coverage can strengthen economic growth
and make it more inclusive by generating decent jobs in a wide range of occupations,”
said Mr Guy Ryder, Director-General of the International Labour Organization.
“It offers practical proposals for the implementation of the 2030 Agenda, particularly
Sustainable Development Goal 3 on healthy lives and well-being for all at all
ages, and goal 8 on inclusive growth and decent work.”
The Commission’s vision is for an expanded, transformed and sustainable health
workforce to promote health, prevent disease, meet the needs of populations,
and drive inclusive economic growth.
The commission’s 10 recommendations are:
1. Stimulate investments in creating decent health sector jobs, particularly
for women and youth, with the right skills, in the right numbers and in the
right places.
2. Maximize women’s economic participation and foster their empowerment through
institutionalizing their leadership, addressing gender biases and inequities
in education and the health labour market, and tackling gender concerns in
health reform processes.
3. Scale up transformative, high-quality education and lifelong learning so
that all health workers have skills that match the health needs of populations
and can work to their full potential.
4. Reform service models concentrated on hospital care and focus instead on
prevention and on the efficient provision of high-quality, affordable, integrated,
community-based, people-centred primary and ambulatory care, paying special
attention to underserved areas.
5. Harness the power of cost-effective information and communication technologies
to enhance health education, people-centred health services and health information
systems.
6. Ensure investment in the International Health Regulations core capacities,
including skills development of national and international health workers in
humanitarian settings and public health emergencies, both acute and protracted.
Ensure the protection and security of all health workers and health facilities
in all settings.
7. Raise adequate funding from domestic and international sources, public and
private where appropriate, and consider broad-based health financing reform
where needed, to invest in the right skills, decent working conditions and
an appropriate number of health workers.
8. Promote intersectoral collaboration at national, regional and international
levels; engage civil society, unions and other health workers' organizations
and the private sector; and align international cooperation to support investments
in the health workforce, as part of national health and education strategies
and plans.
9. Advance international recognition of health workers' qualifications to optimize
skills use, increase the benefits from and reduce the negative effects of health
worker migration, and safeguard migrants' rights.
10. Undertake robust research and analysis of health labour markets, using
harmonized metrics and methodologies, to strengthen evidence, accountability
and action.
|