Financing and economic aspects of health workforce scale-up and improvement: framework paper

Technical brief

World Health Organization, Global Health Workforce Alliance

Publication details

Number of pages: 76
Publication date: 2008
Languages: English
ISBN: 9789241598286


This paper synthesizes the human resources for health (HRH) financing work conducted to date and sets out the topics requiring additional academic and field research.

The purpose of this paper is to provide a single synthesis of all available information concerning financial and economic issues around HRH in low-income countries. In addition, the paper suggests what could and should be done with the information and the tools in hand, and what additional work is desirable in this domain.

The paper is structured in seven sections, each presenting a distinct issue area. Each section consists of information on the issue background, including the key issue questions and basic definitions. The seven issue areas below were identified upon a review of the HRH literature and programs in the field:

  • Employment costs and fiscal space constraints
  • Pre-service training/production costs
  • Equitable deployment costs
  • Retention costs
  • Efficiency/productivity costs and savings
  • Human resource management costs
  • Private sector engagement costs and savings