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CONCLUSION
on which to develop well-thought-out workforce plans and
recruitment and retention strategies.
Accordingly, it is recommended that donors and international
agencies provide technical and financial support to assist in
building HRH information systems within the Pacific region.
In response to the expressed concerns over the quality
of secondary school leavers, donors and international
agencies could strengthen the potential for national HRH
capacity building by supporting secondary education and
pre-vocational education systems in providing adequately
prepared students for health care education programs.
This analysis has identified common issues and needs,
as presented by PHRHA participants, which need to be
addressed if health systems are to be strengthened through
HRH strategies. While the issues and contexts identified
varied from country to country, broad agreement was
achieved on measures and strategies which would alleviate
shortages of trained and experienced health workers and
reduce the exit of health workers from the health sector.
A proposed initiative for donors support could focus on
developing connections between the Pacific Island diaspora
in Australia and New Zealand by establishing registers of
‘deployable’ health workers willing to contribute to health
systems in their home country on short, medium or longer
term assignments. Current and reliable information on the
Pacific Island health diaspora populations would provide
some of the necessary input required to develop realistic
re-engagement strategies and mechanisms designed to help
ease staff shortages within PICs.
To expand the capacity and potential for Pacific regional
health professions training will require substantial support
from donors to meet the costs of travel, student allowances
and course fees.
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HRH issues and challenges in 13 Pacific Islands countries: 2011
Doyle et al.