C R E A T I N G A H E A L T HW O R K F O R C E :
L E V E R A G I N G Y O U T H
A L A N D S C A P E A N A L Y S I S
J o s h u a A . C o l e
H e a l t h W o r k f o r c e & E c o n o m i c s i n t e r n ,
U S A I D / G H / O H SS e p 2 9 T H , 2 0 1 6
F o r I n t e r n a l U S A I D p u r p o s e s o n l y
T O P R E S E N T O N T H E H R H A C T I V I T I E S W I T H I NM Y S C O P E O F W O R K , W I T H A N E M P H A S I S O NT H E L A N D S C A P E A N A L Y S I S
T O R E Q U E S T F E E D B A C K A N D S U G G E S T I O N SO N T H E D E V E L O P M E N T O F S A I D A N A L Y S I S
P R E S E N T A T I O NO B J E C T I V E S
01
3 K E Y A C T I V I T I E SF O R H R H
HRH profile mockupHealth systemsbenchmarking toolHRH analysis & webinarYouth & health labormarket landscapeanalysis
02
D E V E L O P I N G AL A N D S C A P EA N A L Y S I S O NY O U T H & H E A L T HL A B O R M A R K E T S
A C T I V I T Y # 3
0605
WHAT LEDTO THISANALYSIS?
Global HRH StrategyCommission on HealthEmployment and EconomicGrowthHRH2030Discussions with field missions
B A C K G R O U N D
Health workforce need Global need for 18 million additional health workers by 2030, primarily in lowresource
settings, to attain high and effective coverage of health services
By 2030, low income countries are projected to face widening gap between # of health
workers needed and capacity to employ them
LICs will need 3.4 million health workers and increase supply by 11% per year until 2030
Middle income countries will face increasing demand for healthcare due to economic
growth; health workforce must increase by 8% per year
Health labor markets
Supply of healthcare workers and the demand for healthcare workers
Labor market forces determine compensation, employment settings, geographic location
and specialty choice of workers
Labor markets of many countries, particularly in Africa, are biased against youth
06
B A C K G R O U N D - C O N T ' D
Youth bulge and workforce development 1.2 billion people aged 1524 years globally in
2015, most live in LMICs
71 countries experiencing the youth bulge
600 million jobs to create over the next 10 years to
meet rising workforce supply
Effective youth employment associated with
political and social stability
Expand regionaleconomy by 22% andreduce poverty by 51
million people
Increase Africa's skilledyouth labor supply from25% to 50% by 2030
08
C A S E S T U D I E S MSI GENERATION (2014-)
Develop a 812 weektraining curriculum withemployers (8 privatehospitals & institutes) Train youth as general dutyassistants Students apply to program**selection bias** Requirements: Class 8thpass or 10th pass; ages of1829 unemployed
11
Impact
GDAs save 16 minutes of nurses’ time per 8hours [Productivity gains] GenerationGDAhave performance scores [Performance gains]New employers are signing up to pay 30% of therecruiting and training costs [Partnership gains]
C A S E S T U D I E S Kenya Youth Empowerment Program (2010-16)
3 components: Capacity Building and Policy Development, Private Sector Internships and
Training, Laborintensive works and social services
Mandated Kenya Private Sector Alliance to implement KYEP and coordinate stakeholders
Implemented in Nairobi, Mombasa, and Kisumu
8 week training + 4 months of work experience.
Youth, stipend KES 6,000 per month; employers, KES 3,000 per intern monthly
allowance
Requirements: at least 8 years of education ; ages of 1829 unemployed
12
Impactmonthly earnings for men were KSh 6,700 higher than for program nonparticipants [Income gains] 14months after internship, 80% of young men had paid work compared with 69% inthe control group. Men who completed the full training program experienced a 14.2%gain. For women, a 6.7% and an 8.7% respective increases [Employability gains]
L E S S O N S L E A R N E D A N DR E C O M M E N D A T I O N S
Encourage and promote publicprivate partnership, whileensuring government ownership Youthemployer matching process can be cumbersome Emphasize the importance of soft skills training Promote demanddriven technical skills training/ linkagesto business development services for increased impact
13
G A P S
Applicability of youth workforce development programs inpublic healthcare. Can similar results be achieved in lessdynamic health labor markets? Role and involvement of medical associations Strategies for less ideal situations of low marketabsorptive capacity, fragile states, or rural areas Data on youth not targeted by these programs or thosewho dropout, longitudinal data Lack of costbenefit analyses; projected economic andhealth gains
14