Opinion - Health services don't deliver themselves. It is the nurse who triages in the emergency department, the midwife who delivers babies and cares for mothers, the community health worker who gives babies vaccines, the care assistant who bathes someone at home, the surgeon who performs the operation, the anesthetist who blocks the pain, the pharmacist who matches the script to the medication, and the physiotherapist who restores movement.
Washington DC/ Chapel Hill, North Carolina/ Geneva — Health services don't deliver themselves. It is the nurse who triages in the emergency department, the midwife who delivers babies and cares for mothers, the community health worker who gives babies vaccines, the care assistant who bathes someone at home, the surgeon who performs the operation, the anesthetist who blocks the pain, the pharmacist who matches the script to the medication, and the physiotherapist who restores movement.
Taken together, there are four alarming trends currently affecting health workers' ability to deliver health services for all and hindering our advancement towards UHC.WHO figures released in April this year estimated a projected global shortage of 10 million health workers in 2030 based on current trends .
Advocates for health equity have a responsibility too, to bring the same passion that we see, for instance, in the global struggle for access to COVID vaccines, to the cause of equity and fairness for health workers who deliver these vaccines.A June 2022 Women in Global Health report estimated that upwards of six million women health workers worldwide were either underpaid or not paid at all despite working in core health system roles.
There are serious implications as nurses from low-income countries leave their health systems to prop up others in wealthier countries that have failed to train health workers of their own. It is estimated that this Great Migration of health workers costs LMICs an estimated $15.85 billion annually in excess mortality.
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