Recursos humanos em saúde: crise global e cooperação internacional

Abstract

From the 1990s onwards, national economies became connected and globalized. Changes in the demographic and epidemiological profile of the population highlighted the need for further discussions and strategies on Human Resources for Health (HRH). The health workforce crisis is a worldwide phenomenon. It includes: difficulties in attracting and retaining health professionals to work in rural and remote areas, poor distribution and high turnover of health staff particularly physicians, poor training of health workforces in new sanitation and demographic conditions and the production of scientific evidence to support HRH decision making, policy management, programs and interventions. In this scenario, technical cooperation activities may contribute to the development of the countries involved, strengthening relationships and expanding exchanges as well as contributing to the production, dissemination and use of technical scientific knowledge and evidence and the training of workers and institutional strengthening. This article aims to explore this context highlighting the participation of Brazil in the international cooperation arena on HRH and emphasizing the role of the World Health Organization in confronting this crisis that limits the ability of countries and their health systems to improve the health and lives of their populations.

Reviewing reliance on overseas-trained doctors in rural Australia and planning for self-sufficiency: applying 10 years' MABEL evidence

“…Notably, this relies on good longitudinal evidence differentiating types of health workers (locally or overseas trained) and practice patterns which is regularly and transparently published. Workforce data as a resource needs to be sustainably funded in all countries for objectively informing both national and global health workforce planning policies [56–58].…”

Dimensiones claves para fortalecer la atención primaria en el Perú a cuarenta años de Alma Ata

“…La densidad de recursos humanos en el sector salud al año 2016 fue de 31 (12,7 médicos; 13,5 enfermeros y 4,8 obstetras por 10,000 habitantes) 18 . En el caso de los médicos, la densidad fue similar a la registrada a nivel global, pero menor a las registradas en la región de las Américas 19 . La distribución de los recursos humanos en el Perú varía en función a las características del ámbito donde se ejerce la profesión, tales como quintil de pobreza, altitud geográfica, ubicación en zona alejada o de frontera, entre otras.…”

Strategic directions for strengthening nursing and midwifery: potentialities and connections in the complex perspective

“…Thus, nursing and midwifery must be understood as professions that, within the scope of human resources for health, assume and practice valuable contributions to ensure access to health services and practices for people and their families in different care contexts (6)(7) . However, it is essential to understand it beyond the profession itself and its reach, significantly, different leaders, which can result in unfolding actions performed by nursing and midwifery, so that they can reach the understanding that investing in these professionals is equivalent to investing in people's quality of life, as well as efficient management of resources to reduce expenses with the fight against diseases (8)(9) .…”