FRONTESPIZIO - Cooperazione Italiana allo Sviluppo
FRONTESPIZIO - Cooperazione Italiana allo Sviluppo
FRONTESPIZIO - Cooperazione Italiana allo Sviluppo
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5. Human resources for health (HRH): a crucial element for achieving international MDGs. 73Table 3 – Brain Drain of Health Professionals (Mengesha and Kebede, 2006)Year Institution Field Persons Non- % lossof Study leaving returnees1968/69- MOH Medical 2013 423 211995/96 and AAU sciences1980 - 2001 AAU MF All disciplines 121 85 70Attrition due to migration out of public sectorPharmacists and druggists seem to have been proportionally more affected byinternal migration from public to private sector. There is a huge shortage ofpharmacists in the public sector institutions. For instance, from a total ofabout 500 pharmacists, only 24% were working in the public sector. Eventhough there are attempts to replace pharmacy technicians in places that usedto be staffed by pharmacists, even the number of technicians within the publicsector is not still adequate with the result that nurses, health assistants aswell as other junior staff are getting assigned in these positions.Health workers who migrated internally continue to serve the country’s population,even though those with higher socio-economic status and usually urbanresidents. On the other hand, there also seem to be inefficiencies due toinappropriate and underutilization of highly trained health workers by theprivate sector institutions as well as vertical health programs.As shown in table 4, there seems to be an increasing trend in the attrition ofphysicians from the public sector.Table 4 – Trends in the Proportion of Physicians within the Public sectorYear Total number of Number of physicians Attrition per yearregistered physicians working with MOH1997 1,634 1,483 151 (10.2%)1998 1,743 1,415 328 (23.2%)1999 1,617 1,283 334 (26.0%)2000 1,434 1,263 171 (13.5%)2001 1,424 1,366 58 (4.2%)2002 2,374 1,888 486 (20.4%)2003 2,663 2,032 631 (23.7%)2005 2,063 1,527 536 (26%)