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Rising to the challenges of human resources for health in Kenya and Nigeria: Developing empirical evidence for policy making

Slavea Chankova, MPA1, Steve Muchiri, PhD2, Gilbert Kombe, MD, MPH1, Geoffrey Kimani, MSc2, and Catherine B. Decker3. (1) International Health Division, Abt Associates, 4800 Montgomery Lane, Suite 600, Bethesda, MD 20814, 301-347-5625, slavea_chankova@abtassoc.com, (2) Ministry of Health - Kenya, Afya House, Cathedral Road, Nairobi, Kenya, (3) University Research Co., 7200 Wisconsin Avenue, Suite 600, Bethesda, MD 20814


Kenya and Nigeria, like many countries in Sub-Saharan Africa, are striving to scale up HIV/AIDS, TB, and malaria treatment and prevention services and to improve maternal and child health outcomes. Mobilization of the human resources needed in the health sector for achieving these goals has been a key problem in many countries in the region. This study provides a comprehensive quantification of HRH availability and requirements to reach the set population health targets in Kenya and Nigeria, and presents a set of policy recommendations for HRH planning in these two countries in the next decade.


The study uses data on health service provision from a facility survey conducted in 104 public sector health facilities in Kenya and 290 in Nigeria. A model is developed to estimate HRH needs for reaching specific treatment and prevention targets in HIV/AIDS, TB, malaria, and maternal and child health. The model uses the facility survey data to quantify the HRH needed for achieving a set of PEPFAR and MDG-related targets, and to compare this result with projected HRH resources expected to be available over the next 10 years.


The results of the HRH estimation model quantify expected discrepancies between HRH requirements to reach population health targets and projected availability of health workers. Findings from the study are used to formulate policy recommendations for HRH planning in Kenya and Nigeria. The methodology used to develop the model for these two countries can be used to estimate HRH needs for reaching health-related goals in other countries.

Learning Objectives:

Presenting author's disclosure statement:

Any relevant financial relationships? No

Building Human Capacity in Resource Poor Settings

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA