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Figure 2.4. Vacancy rates (against 2006 establishment) in health facilities, by cadre (public sector only)

Source: Picazo 2008. Note: These data are from a representative survey and are not universal.

projections. In a representative survey, Picazo (2008) found that in 2006 the percentage of vacant established posts against the 2006 establishment was 33.6 percent overall. All key established posts left vacant involved professional staff (figure 2.4). Following the new establishments2 set for health worker cadres in 2008, the number of human resources for health in 2008 was still well below that “required” by the government for public health facilities. Public sector staffing levels are significantly below the fixed facility staff established by the MoH. Figure 2.5 shows the approved staff establishment from 2008 and compares them with the actual number of staff.

Figure 2.5. Number of health professionals and vacancy rates against 2008 establishment 16,000 14,063

Number of health professionals

14,000

Existing staff Approved Ministry of Health establishment

12,000 10,000 8,000

6,480 6,000 4,751 3,737

4,000 2,000 0

1,778 245 Medical doctors (42%)

Source: ZMoH 2009.

2,273 1,331 Clinical officers (36%)

1,403

1,238 204 Midwives (48%)

Nurses (46%)

Pharmacy staff (16%)

449 Laboratory staff (32%)

The Human Resources for Health Crisis in Zambia  

Despite reporting some health gains since the 1990s, health outcomes remain poor in Zambia and it will be very challenging to achieve the he...

The Human Resources for Health Crisis in Zambia  

Despite reporting some health gains since the 1990s, health outcomes remain poor in Zambia and it will be very challenging to achieve the he...