The lack of a strategy for developing HRH combined with suspension of recruitment in the public health service for nearly 20 years has led to declining health worker densities in the Republic of Congo. The country has 0.28 physicians, and 1.91 nurses and midwives per 10,000 population. The health sector workforce is also aging and the quality of work has diminished (Direction Générale de la Santé, 2009). Other challenges include:
- inequitable geographic distribution, with 66% of physicians, 42% of allied health professionals, and 28% of hospital beds located in Brazzaville, where 37% of the population lives. The northern rural areas of the country have the fewest health workers, particularly physicians (1.1-2.6%).
- low capacity of HRH management
- lack of coordination among multiple structures involved in the planning and management of HRH
- lack of a reliable HRH database
- lack of a coordination framework to allow health worker training institutions to take into account current health system needs
- lack of physical and financial resources in training schools
- ineffective or obsolete legal texts relating to HRH personnel planning and management. (DEP, Ministère de la Santé, des Affaires Sociales et de la Famille,2009; WHO African Health Observatory, 2012)
The Republic of Congo has recently developed a draft HRH strategic plan (Plan National de Developpement des Ressources Humaines Pour la Sante (PNDRHS), 2011 – 2020) the overall objective of which is to improve the production system, recruitment, and management of health workers. The plan is meant to improve the national health care system by strengthening capacities and putting in place mechanisms for intersectoral coordination at both central and decentralized levels. Specific objectives include:
- Strengthening capacities of health worker educational institutions and on- the-job training to meet the health needs of the population and those identified in the current health sector policy
- Strengthening capacities of the directorate in charge of HRH in terms of health worker planning, career management , skills development, and HRH remuneration
- Implementing motivational measures and incentives to ensure health worker availability and quality.
The Republic of Congo has completed Phase 1 of the CCF Process: Establishment of an HRH Coordination Mechanism, and is currently involved in Phases 2 and 3: Development of an HRH Situation Analysis, and Development of an HRH Plan. Representatives from the following stakeholder constituencies are represented in the CFF process: bilateral (Italy, France, China), multilateral (WHO, UNFPA, EU, ADB, BADEA, World Bank), and the public sector. The Republic of Congo has reported donor funding to support further development and implementation of its HRH plan.
HEALTH WORKFORCE DATA
- The latest data from multiple WHO source
- Latest Data from Africa Health Observatory available from:
For more in depth information: "Rapport d’Analyse des parties prenantes"
HUMAN RESOURCES FOR HEALTH PLAN
The HRH plan is being developed and will be made available here shortly.
HEALTH SECTOR STRATEGIES / PLANS
COUNTRY CASE STUDIES & OTHER DOCUMENTS
- Profil en ressources humaines pour la santé du Congo (2009)
- Le Chemin d'Avenir : projet de société de Denis Sassou-Nguesso, président de la République du Congo. Mandat 2009 - 2016