Title
Human resources for health in Peru: Recent trends (2007-2013) in the labour market for physicians, nurses and midwives
Date Issued
2017
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
BioMed Central Ltd.
Abstract
Background: Most analyses of gaps in human resources for health (HRH) do not consider training and the transition of graduates into the labour market. This study aims to explore the labour market for Peru's recent medical, nursing, and midwifery graduates as well as their transition into employment in the Ministry of Health's (MOH) system. Methods: Data from four different datasets, covering 2007-2013, was used to characterize the patterns of recently trained physicians, nurses, midwives, and postgraduate-trained physicians that enter employment in the MOH system, and scenario analyses were used to describe how this rate of entry needs to adapt in order to fill current HRH shortages. Results: HRH graduates have been increasing from 2007 to 2011, but the proportions that enter employment in the MOH system 2 years later range from 8 to 45% and less than 10% of newly trained medical specialists. Scenario analyses indicate that the gap for physicians and nurses will be met in 2027 and 2024, respectively, while midwives in 2017. However, if the number of HRH graduates entering the MOH system doubles, these gaps could be filled as early as 2020 for physicians and 2019 for nurses. In this latter scenario, the MOH system would still only utilize 56% of newly qualified physicians, 74% of nurses, and 66% of midwives available in the labour market. Conclusion: At 2013 training rates, Peru has the number of physicians, nurses, and midwives it needs to address HRH shortages and meet estimated HRH gaps in the national MOH system during the next decade. However, a significant number of newly qualified health professionals do not work for the MOH system within 2 years of graduation. These analyses highlight the importance of building adequate incentive structures to improve the entry and retention of HRH into the public sector. © 2017 The Author(s).
Volume
15
Issue
1
Number
14
Language
English
Subjects
Scopus EID
2-s2.0-85029748792
PubMed ID
Source
Human Resources for Health
ISSN of the container
1478-4491
Sponsor(s)
This study was funded by the Japan-World Bank PHRD Partnership Grant for Universal Health Coverage (UHC) as part of the MoU between the Peruvian Ministry of Health and the World Bank (contract no. 7168680). MMJ and EM were supported by the study’s grant during its duration. JJM has been supported by Alliance for Health Policy and Systems Research (HQHSR1206660); Consejo Nacional de Ciencia; Tecnología e Innovación Tecnológica (CONCYTEC); DFID/MRC/Wellcome Global Health Trials (MR/ M007405/1); Fogarty International Center (R21TW009982); Grand Challenges Canada (0335-04); International Development Research Center Canada (106887, 108167); Inter-American Institute for Global Change Research (IAI CRN3036); National Heart, Lung and Blood Institute (5U01HL114180, HHSN268200900028C); National Institute of Mental Health (1U19MH098780); Swiss National Science Foundation (40P740-160366); Universidad Peruana Cayetano Heredia; and Wellcome Trust (GR074833MA, WT093541AIA, 103994/Z/14/Z). ALB was funded under the UCLA Blum Center on Poverty and Health in Latin America. The funders had no role in the design of the study, data collection, analysis, interpretation, or writing up of the findings. MMJ and EM had full access to all the data, and MMJ and JJM had final responsibility for the decision to submit for publication.
Sources of information:
Directorio de Producción Científica