Unsalaried health workers in Sierra Leone: a scoping review of the literature to establish their impact on healthcare delivery.

ABSTRACT: The World Health Organisation (WHO) estimates a 10 million health worker shortage by 2030. Despite this shortage, some low-income African countries paradoxically struggle with health worker surpluses. Technically, these health workers are needed to meet the minimum health worker-population ratio, but insufficient job opportunities in the public and private sector leaves available health workers unemployed. This results in emigration and un- or underemployment, as few countries have policies or plans in place to absorb this excess capacity. Sierra Leone, Liberia and Guinea have taken a different approach; health authorities and/or public hospitals 'recruit' medical and nursing graduates on an unsalaried basis, promising eventual paid public employment. 50% Sierra Leone's health workforce is

SUBMITTER: Pieterse P 

PROVIDER: S-EPMC10709924 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature