Columbia International Affairs Online: Working Papers

CIAO DATE: 05/2013

Human Resources for Health, Health Worker Migration, and the Role of the UK and the International Community in Zambia

August 2012

Aspen Institute

Abstract

Zambia’s public health sector (comprising 92% of the health system) operates on half the number of workers suggested by the World Health Organization (WHO), a veritable HRH crisis manifested by the country’s growing burden of both communicable and non-communicable diseases. It is forecasted that with no changes to current training , hiring, and attrition conditions the total number of doctors, clinical officers, nurses, and midwives would decrease to 59% of the minimum necessary staff by 2018.  Several health indicators threaten failure to achieve the global health community’s Millennium Development Goals. The health indicators in Zambia remain high: infant mortality rate (69 per 1,000 live births), under-five mortality rate (111 per 1,000 l ive births) , and maternal mortality rate (470 per 100,000 live births) .  Equally significant, is Zambia’s high prevalence rate for HIV/AIDS (13.5% among adults aged 15 to 49) 4 and low Human Development Index ranked at 164 (0.430), ranking amongst the worst in the world.