training of new health staff is limited to production of general medical doctors and nurses. there is little systematic production of other essential health cadres such as midwives, community midwives, sanitarians and pharmacists, or health system management professionals. For those who are newly-trained, few systems are in place for planned deployment within the public system, and there is a lack of mechanisms for retention. the lack of professional staff, including the imbalance in under-production of specific cadres and the lack of managerial functions, means that staff bodies are inadequately organized managed and hence are underperforming. The reform of the health workforce.
