Reformulation and strengthening of return-of-service (ROS) schemes could change the narrative on global health workforce distribution and shortages in sub-Saharan Africa

Fam Med Community Health. 2020 Sep;8(4):e000498. doi: 10.1136/fmch-2020-000498.

Abstract

Despite policies for addressing shortages and maldistribution of health professionals, sub-Saharan Africa continues to experience shortages and maldistribution of skilled health professionals. Policies such as return-of-service schemes or state-funded educational initiatives do not seem to be achieving their intended objectives, potentially due to poor design, implementation; and lack of monitoring and evaluation of the strategies. A focus by global health experts on strengthening and reformulating educational initiatives offers potential for producing, retaining and recruiting health professionals.

Keywords: community medicine; education; global health; health policy; healthcare disparities; public health professional.

MeSH terms

  • Africa South of the Sahara
  • Global Health*
  • Health Policy
  • Health Workforce* / legislation & jurisprudence
  • Health Workforce* / organization & administration
  • Healthcare Disparities
  • Humans
  • Models, Organizational