Evidence map›Paper›PMID 35675966›Full record

ArticleBMJ global health2022

The health workforce status in the WHO African Region: findings of a cross-sectional study.

Adam Ahmat, Sunny C Okoroafor, Isabel Kazanga, James Avoka Asamani, Jean Jacques Salvador Millogo, Mourtala Mahaman Abdou Illou, Kasonde Mwinga, Jennifer Nyoni

Abstract read
In one paragraph

Article in BMJ global health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Pooled it
  5. Emergency triage in coastal Kenya: a survey of public Emergency Departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
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  18. A Descriptive Assessment of Healthcare Workers' Preparedness for Digital Health Systems in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2026
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71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Adam AhmatHealth Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo adam.ahmat@gmail.com.ORCID 0000-0002-3708-264X
Sunny C OkoroaforHealth Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.ORCID 0000-0003-4690-485X
Isabel KazangaDepartment of Health Systems and Policy, University of Malawi College of Medicine, Blantyre, Malawi.
James Avoka AsamaniHealth Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.
Jean Jacques Salvador MillogoHealth Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.
Mourtala Mahaman Abdou IllouHealth Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.
Kasonde MwingaUniversal Health Coverage - Life Course Cluster, World Health Organization Regional Office for Africa, Brazzaville, Congo.
Jennifer NyoniHealth Workforce Unit, World Health Organization Regional Office for Africa, Brazzaville, Congo.

Funding

World Health Organization 001
6 · The paper itself

Abstract

introductionSeveral efforts have been made globally to strengthen the health workforce (HWF); however, significant challenges still persist especially in the African Region. This study was conducted by the WHO Regional Office for Africa to present the status of the HWF in 47 countries as a baseline in measuring countries' progress in implementing the Global Strategy for HWF by 2030.

methodsThis was a cross-sectional survey of 47 countries in the African Region using a semistructured questionnaire. Data were collected from January 2018 to April 2019. Before data collection, a tool was developed and piloted in four countries. The completed tools were validated in the countries by relevant stakeholders in the 47 countries. Data were collated and analysed in Epi Info and Microsoft Excel.

resultsThe total stock of health workers was approximately 3.6 million across 47 countries. Among these, 37% of the health workers were nurses and midwives, 9% were medical doctors, 10% were laboratory personnel, 14% were community health workers, 14% were other health workers, and 12% were administrative and support staff. Results show uneven distribution of health workers within the African Region. Most health workers (85%) are in the public sector. Regional density of physicians, nurses and midwives per 1000 population was 1.55, only 4 countries had densities of more than 4.45 physicians, nurses and midwives per 1000 population.

conclusionThis survey has demonstrated that the shortage and maldistribution of health workers in the WHO African Region remain a big challenge towards the attainment of universal access to health services. This calls for the need to substantially increase investment in the HWF based on contextual evidence in line with the current and future health needs.

Indexed as

Health Services AccessibilityHealth WorkforceCommunity Health WorkersCross-Sectional StudiesHumansWorld Health OrganizationHealth policyHealth systemsPublic Health

Identifiers

PMID35675966
PMCPMC9109011

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.