Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Doubling the number of health graduates in Zambia: estimating feasibility and costs | Tjoa et al. Human Resources for Health 2010 8 22 http content 8 1 22 ffWJ HUMAN RESOURCES h Ể L J FOR HEALTH RESEARCH Open Access Doubling the number of health graduates in Zambia estimating feasibility and costs 1 2 2 3 3 1 Aaron Tjoa Margaret Kapihya Miriam Libetwa Joanne Lee Charmaine Pattinson Elizabeth McCarthy Kate Schroder 1 Abstract Background The Ministry of Health MoH in Zambia is operating with fewer than half of the human resources for health HRH necessary to meet basic population health needs. Responding urgently to address this HRH crisis the MoH plans to double the annual number of health training graduates in the next five years to increase the supply of health workers. The feasibility and costs of achieving this initiative however are unclear. Methods We determined the feasibility and costs of doubling training institution output through an individual school assessment framework. Assessment teams comprised of four staff from the MoH and Clinton Health Access Initiative visited all of Zambia s 39 public and private health training institutions from 17 April to 19 June 2008. Teams consulted with faculty and managers at each training institution to determine if student enrollment could double within five years an operational planning exercise carried out with school staff determined the investments and additional operating costs necessary to achieve expansion. Cost assumptions were developed using historical cost data. Results The individual school assessments affirmed the MoH s ability to double the graduate output of Zambia s public health training institutions. Lack of infrastructure was determined as a key bottleneck in achieving this increase while meeting national training quality standards. A total investment of US million is required to meet expansion infrastructure needs with US million allocated to expanding student accommodation and US million allocated to expanding teaching studying .
