The Asia Pacific Action Alliance on Human Resources for Health (AAAH) has been initiated since 2005 and was officially established in 2006 in response to international recognition of the need for global and regional action
to strengthen country capacity for health (HRH) planning and actions. The 6th AAAH Annual Conference during November, 9th-11th, 2011 in Cebu, the Philippines, serving as a regional platform for HRH knowledge sharing,
brought a better understanding on HRH situation in 16 AAAH member countries. Having discussed in the
conference, a number of challenges in HRH development were raised into attention.
In 2010, 7 out of 16 AAAH countries had a number of health workforces (HWF) below the World Health
Organization (WHO) benchmark of 2.28 per 1,000 populations, in addition to critical shortage, mal-distribution
between rural and urban area was still pronounced in most countries. Besides that, a substantial growth of private sector in term of HRH production and employment is in an increasing trend. The HRH situation in AAAH members, reported by the AAAH secretariat in the 6 th AAAH Annual Conference showed that doctors in Myanmar, India, Nepal and Bangladesh were more concentrated in private health facilities than public health
facilities, likewise, nurse also concentrated more in private health sector in Nepal, Myanmar, Cambodia, the Philippines and Bangladesh. In HRH production, there have been mushrooming of private health professional
schools in many countries e.g. of the total 34 medical schools in the Philippines, only 4 are public, and Nepal
had around 90% of new graduates from private medical/nursing schools in 2010 for which there is no
government bonding obligations for young graduates to serve rural and disadvantaged areas. To ensure these
graduates trained in public and private colleges serving the public interests and contributing to the health systems development, there is a need for better understanding of policy dynamics in both public and private health sectors.
In the summary session of the 6th AAAH Annual Conference, realizing these problems, there is a need for investigating and generating better understanding on a number of common challenges in the region. The AAAH
member countries will report the progress and result of the research findings in the next AAAH Annual
Conference in Bangladesh, in December 2012.
Possible activities to be conducted under the call Activities conducted under this program are likely to focus on the country situation, which comprise;
1. Mapping of public and private health education institutes, trends of production capacity, resources and
financing, teaching staffs where data allows;
2. Assessing and comparing various contextual environment in which public and private health professional
schools are operating where data allows; this includes
a. policy environment
b. economic environment of private health professional education services
c. labour market and demand for health personnel from domestic market, regional and international market which pose demand for doctors and nurses
d. regional trade agreements which facilitate international migration across borders
e. regulatory environment on approval of curriculum and training institutes and quality assurance obligation
public and private employment dynamics;
Eligibility to apply
Team of researchers who is eligible to apply this Expression of Interest (EOI) has to;
1. Work in the AAAH member countries
2. Have expertise in health policy and system research
3. Have ability in both qualitative and quantitative data collection, analysis and writing up
4. Engage with or access to policy makers involved in the HRH and Health Systems Policies and Development
Application form and pre-proposal can be requested at firstname.lastname@example.org. All applications must be
submitted to the AAAH secretariat via email by 16th March 2012, 12.00 pm (Bangkok time) in the header of the
email please put ?EOI: Public and private role in HRH (country name)?. The AAAH secretariat will notify all applicants of receipt of their application. Applications will be selected and reviewed by a group of technical experts approved by the AAAH steering committee.
Applicants will be notified as to whether or not they have been selected for participation in the proposal development workshop tentatively during 22-26 April 2012 in Bangkok, Thailand.