HEALTH ECONOMICS AND HIV AND AIDS RESEARCH DIVISION
Evidence for Impact in Health and HIV
Sign up to our news feeds for automatic alerts whenever new content is added to the website.
Join our mailing list

Keep up to date with our
latest news.

Name: 
Email: 

Available Mailing Lists:
HEARD newsletters
HEARD Disability News
HEARD Latest News

HEARD is an UNAIDS
Collaborating Centre
Economic Reference Group

#########Member Login
Username: Password:  Remember me

Call for rapid response research: Health worker salaries and benefits in low and middle income countries

Project Status: Completed (March 2008 - December 2009)
Lead Researcher : Gavin George
Project Donor : JFA

Overview

The aim of the research is to describe current trends in "salaries and benefits" of health-care workers across different domains in South Africa and Zambia and the mechanisms through which these are effected, and to make recommendations for strategies to promote positive impacts and mitigate or prevent negative outcomes. The study focused on salaries, analysing a wide range of data to provide an assessment of determinants of salary packages. The purpose is to provide baseline empirical information for strategic review of the problem. An initial pilot study was completed in March 2008.

Conducted within South Africa and Zambia this study sought to cover, however crudely, the spectrum of health systems in southern Africa, in terms of capacity, infrastructure and reach. Simply put, Zambia represents one extreme of limited capacity and means. South Africa represents relatively abundant capacity and means. 

The research does not presume that South Africa's health-care capacity functions better than in the other countries. Rather, the expectation is that comparative research will reveal particular local political, economic and social contexts that hinder and stimulate effective responses to the extraordinary demands on health-care personnel. The spectrum framework is simply a practical means to establish a foundation for comparative research.

Study objectives:

  • To describe the health-worker "salaries and benefits" across cadres, within different domains and in the four nominated countries
  • To describe: the macro-economic and fiscal determinants, political factors, public sector reforms and policies affecting the civil service; government decisions about budget allocations; the pattern of health care financing in the four countries
  • To describe the impact of "salaries and benefits" on availability, deployment, morale and degree of stigma in personnel across health systems.

In Africa, 1.3% of the world's health workers contend with 25% of the global disease burden (World Health Organisation 3x5 Report, 2005). In 2004, 38 countries in sub-Saharan Africa (SSA) fell short of the WHO minimum standard of 20 physicians per 100 000 population; 13 of these countries had five or fewer physicians per 100 000 population. Seventeen SSA countries had fewer than 50 nurses per 100 000 population, whereas the WHO standard is 100:100 000. (Physicians for Human Rights, 2004).

This situation is due partly to the migration of individuals to better paid jobs in developed countries. For instance, the number of nurses in the UK from non-EU countries grew from approximately 2 000 in 1994 -1995, to more than 15 000 in 2001 - 2002 (Hamilton et al, 2004). African countries are a source of such professionals. For instance, in 2002 it was estimated that 5 000 doctors emigrated from South Africa. Zambia's public sector retained only 50 of the 600 physicians who had been trained in the country from approximately 1978 to 1999 (Physicians for Human Rights, 2004).

Finding appropriate solutions to this problem is the critical challenge. Improving salaries may be an answer, but there is no solid information on conditions and salaries that can serve as a foundation to guide changes in national policies and plans. Furthermore, the situation is complex, and not simply one of disparities between "developed" and "developing" countries.

Upcoming Events

New workshop dates will be released soon. Please email enquiries to

Previous MonthEvents: Oct 2014Next Month
SMTWTFS
   1234
567891011
12131415161718
19202122232425
262728293031 
Our Development Partners
Sida - Swedish International Development Cooperation Agency
Sida - Swedish International Development Cooperation Agency
UNAIDS: The Joint United Nations Programme on HIV/AIDSUSAID
s
Live Feeds
Zuma: Can Africa be stable and prosperous - New Zimbabwe.com


New Zimbabwe.com
Zuma: Can Africa be stable and prosperous
New Zimbabwe.com
It seems to me that there is a perception in many countries in Africa that in recent years the South African government, and yourself, are no longer deeply passionate about and committed to African unity, cohesion,...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Pharmaceutical industry and economic health - BusinessDay


Pharmaceutical industry and economic health
BusinessDay
This projected growth is a reflection of economic strength accompanied by increased health care spending as the economies of several African countries are growing faster than anywhere else in the World outside China. ... Notwithstanding its...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Analysis: ANC will never take people of SA for granted - Zuma - The New Age Online


Analysis: ANC will never take people of SA for granted - Zuma
The New Age Online
EP: Mr President, allow me first of all to congratulate you and the ANC on your overwhelming electoral victory. However, it has lost some support in certain key metropolitan areas. What does the ANC need to do to...

Google Alerts
Retrieved: Wed, Oct 1, 2014

No Ebola cases confirmed in S. Africa: health authorities - CCTV


No Ebola cases confirmed in S. Africa: health authorities
CCTV
JOHANNESBURG, Aug. 29 (Xinhua) -- No Ebola cases have been reported or confirmed in South Africa, or the Southern African Development Community (SADC) region, the SA Department of Health said on Friday. The National Department of...

Google Alerts
Retrieved: Wed, Oct 1, 2014

We're not ready for Ebola - Noseweek


We're not ready for Ebola
Noseweek
South Africa's record in its initial handling of the HIV/Aids pandemic – without antiretroviral drugs – and the burgeoning spread of extremely/extensively drug-resistant tuberculosis (XDR-TB) casts doubt on the country's capacity to cope with Ebola ...
...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Lesotho PM says army attempted coup, military denies - The Daily Star


The Daily Star
Lesotho PM says army attempted coup, military denies
The Daily Star
He added he would meet South African leaders, representing the regional Southern African Development Community (SADC) later on Saturday to discuss the crisis in Lesotho, which followed tensions between rival...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Zambia Earns Kudos On PMTCT Gains - AllAfrica.com


Zambia Earns Kudos On PMTCT Gains
AllAfrica.com
"Like the Ebola outbreak that our West African brothers and sisters are experiencing, we must work together as a region to tackle the possible or similar health challenges," she said. Meanwhile, SADC community medicine technical adviser in charge...

Google Alerts
Retrieved: Wed, Oct 1, 2014

A Caliphate in Northeastern Nigeria? - Council on Foreign Relations (blog)


Council on Foreign Relations (blog)
A Caliphate in Northeastern Nigeria?
Council on Foreign Relations (blog)
Mike Omeri (R), Coordinator of the National Information Centre, speaks next to Chris Olukolade (L), Nigeria's Director of Defence Information, during a news conference on issues...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Ebola in the Congo - Council on Foreign Relations (blog)


Ebola in the Congo
Council on Foreign Relations (blog)
Medical workers in protective clothings work in the Ebola isolation zone at a makeshift health clinic run by the medical charity Doctors Without Borders at the village of Kampungu, near Kananga in western Kasai province in south-central...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Plight of the Deaf - AllAfrica.com


Plight of the Deaf
AllAfrica.com
Increasingly, sign language is being recognised as the first language of deaf people and has been formally recognised in the constitutions of Sweden, South Africa, Uganda and the draft constitution of Zambia which I feel has addressed a number of ...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Zuma: Can Africa be stable and prosperous - New Zimbabwe.com


New Zimbabwe.com
Zuma: Can Africa be stable and prosperous
New Zimbabwe.com
It seems to me that there is a perception in many countries in Africa that in recent years the South African government, and yourself, are no longer deeply passionate about and committed to African unity, cohesion,...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Pharmaceutical industry and economic health - BusinessDay


Pharmaceutical industry and economic health
BusinessDay
This projected growth is a reflection of economic strength accompanied by increased health care spending as the economies of several African countries are growing faster than anywhere else in the World outside China. ... Notwithstanding its...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Analysis: ANC will never take people of SA for granted - Zuma - The New Age Online


Analysis: ANC will never take people of SA for granted - Zuma
The New Age Online
EP: Mr President, allow me first of all to congratulate you and the ANC on your overwhelming electoral victory. However, it has lost some support in certain key metropolitan areas. What does the ANC need to do to...

Google Alerts
Retrieved: Wed, Oct 1, 2014

No Ebola cases confirmed in S. Africa: health authorities - CCTV


No Ebola cases confirmed in S. Africa: health authorities
CCTV
JOHANNESBURG, Aug. 29 (Xinhua) -- No Ebola cases have been reported or confirmed in South Africa, or the Southern African Development Community (SADC) region, the SA Department of Health said on Friday. The National Department of...

Google Alerts
Retrieved: Wed, Oct 1, 2014

Lesotho PM says army attempted coup, military denies - The Daily Star


The Daily Star
Lesotho PM says army attempted coup, military denies
The Daily Star
He added he would meet South African leaders, representing the regional Southern African Development Community (SADC) later on Saturday to discuss the crisis in Lesotho, which followed tensions between rival...

Google Alerts
Retrieved: Wed, Oct 1, 2014


This page was last updated : Thursday, April 24, 2014
Sitemap  |  Terms and Conditions  |  Privacy Policy  |  Contact Us
 


All information © HEARD - Health Economics and HIV and AIDS Research Division