Tanzania's health system and workforce crisis

被引:77
作者
Kwesigabo, Gideon [1 ]
Mwangu, Mughwira A. [1 ]
Kakoko, Deodatus C. [3 ]
Warriner, Ina [4 ]
Mkony, Charles A. [5 ]
Killewo, Japhet [2 ]
Macfarlane, Sarah B. [6 ]
Kaaya, Ephata E. [5 ]
Freeman, Phyllis [7 ]
机构
[1] MUHAS, Sch Publ Hlth & Social Sci, Dept Dev Studies, Dar Es Salaam, Tanzania
[2] MUHAS, Dept Epidemiol & Biostat, Sch Publ Hlth & Social Sci, Dar Es Salaam, Tanzania
[3] MUHAS, Sch Publ Hlth & Social Sci, Dept Behav Sci, Dar Es Salaam, Tanzania
[4] WHO, Geneva, Switzerland
[5] MUHAS, Sch Med, Dar Es Salaam, Tanzania
[6] Univ Calif San Francisco, Sch Med & Global Hlth Sci, San Francisco, CA 94143 USA
[7] Univ Massachusetts, John W McCormack Grad Sch Policy & Global Studies, Ctr Social Policy, Boston, MA 02125 USA
关键词
health system; public health; workforce; Tanzania;
D O I
10.1057/jphp.2012.55
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This introduction to Tanzania's health system and acute workforce shortage familiarizes readers with the context in which health professions education takes place. The paper touches on poverty rates, population growth, and characteristics of the health system. The critical shortage of trained health staff is a major challenge facing the health sector, aggravated by low motivation of the few available staff. Other challenges facing the health sector include lack of effective staff supervision, poor transport and communication infrastructure and shortage of drugs and medical equipment. We recommend appropriate action be taken by the government and other stakeholders to provide more financial and human resources for the sector while ensuring their efficient and effective utilization to improve services delivery. Journal of Public Health Policy (2012) 33, S35-S44. doi:10.1057/jphp.2012.55
引用
收藏
页码:S35 / S44
页数:10
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