The Health Workforce in Latin America and the Caribbean: An Analysis of Colombia, Costa Rica, Jamaica, Panama, Peru, and Uruguay

摘要: This report provides a status update on the human resources for health (HRH) sub-system in six Latin American and Caribbean countries: Colombia, Costa Rica, Jamaica, Panama, Peru, Uruguay. The structures its discussion around how workforce is financed, organized, managed, regulated, performing. In area of financing, study presents variety contracting mechanisms, salary levels, financial incentives offered across countries their role being able to attract retain workers. On organization HRH sub-system, looks at skill-mix, training, distribution care workers concluding that although have made progress towards achieving key targets making education more accessible, there continues be limited absorption capacity graduates, Primary Health Care focus training programs needs strengthened, strategies encourage rural service not been fully address gap reviewing management HRH, all adopted WHO Global Code Practice International Recruitment Personnel recognize foreign-trained professionals help shortages fill gaps worker presence rural, remote areas. However, continue struggle with putting self-sufficiency policies place meet such as lack promotion plans, non-monetary incentives, shortage personnel recruitment eventual placement. regulation, countries' efforts reduce precarious employment introduce safety legislation regulate disputes negotiations. performance, found mixed results areas access/availability quality care, factors discouraging dual practice, unjustified absenteeism