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Análise Dos Recursos Humanos Da Saúde (RHS) Nos Países Africanos De Língua Oficial Portuguesa (PALOP) Catalogação-Na-Fonte: Biblioteca Da OMS

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Análise Dos Recursos Humanos Da Saúde (RHS) Nos Países Africanos De Língua Oficial Portuguesa (PALOP) Catalogação-Na-Fonte: Biblioteca Da OMS Human Resources for Health Observer Issue no 2 Análise dos recursos humanos da saúde (RHS) nos países africanos de língua oficial portuguesa (PALOP) Catalogação-na-fOnte: Biblioteca da OMS: Análise dOs recursos humanOs da saúde (RHS) nOs países africanOs de língua Oficial pOrtuguesa (PALOP) / edited by G. Dussault ... [et al]. (Human Resources fOr Health Observer, 2) 1. Recursos humanOs em saúde. 2. Pessoal de saúde - Organização e administração. 3. Pessoal de saúde - estatística e dadOs numéricos. 4. Administração de recursos humanOs. 5. Análise qualitativa. 6. Países em desenvolvimentO. 7. África. I.Dussault, Gilles. II. FrOnteira, Inês. III. Organização Mundial da Saúde. ISBN 978 92 4 859907 1 (NLM classification: W 76) © Organização Mundial da Saúde 2010 © World Health Organization 2010 TOdOs Os direitOs reservadOs. As publicações da Organização All rights reserved. Publications Of the WOrld Health Organization Mundial da Saúde pOdem ser pedidas a: Publicações da OMS, can be Obtained frOm WHO Press, WOrld Health Organization, Organização Mundial da Saúde, 20 Avenue Appia, 1211 Genebra 20 Avenue Appia, 1211 Geneva 27, Switzerland 27, Suíça (Tel: +41 22 791 3264; fax: +41 22 791 4857; e-mail: (tel.: +41 22 791 3264; fax: +41 22 791 4857; [email protected]). Os pedidOs de autOrização para reprOduzir e-mail: [email protected]). Requests fOr permissiOn tO reprOduce Ou traduzir as publicações da OMS – seja para venda Ou para dis- Or translate WHO publications – whether fOr sale Or fOr nOncom- tribuição sem fins comerciais - devem ser endereçadOs a Publi- mercial distribution – shOuld be addressed tO WHO Press, at the cações da OMS, nO endereço anteriormente indicadO abOve address (fax: +41 22 791 4806; e-mail: [email protected]). (fax: : +41 22 791 4806; e-mail: [email protected]). The designations employed and the presentation Of the material in As denOminações utilizadas nesta publicação e a apresentação dO this publication dO nOt imply the expression Of any Opinion what- material nela contidO não significam, pOr parte da Organização soever On the part Of the WOrld Health Organization concerning Mundial da Saúde, nenhum julgamentO sobre O estatutO jurídico the legal status Of any country, territOry, city Or area Or Of its Ou as autOridades de qualquer país, território, cidade Ou zona, authOrities, Or concerning the delimitation Of its frOntiers Or nem tampOuco sobre a demarcação das suas frOnteiras Ou limites. bOundaries. Dotted lines On maps represent apprOximate bOrder As linhas pOnteadas nOs mapas representam de mOdO aprOxima- lines fOr which there may nOt yet be full agreement. tivo frOnteiras sobre as quais pOde não existir ainda acordO tOtal. 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However, the published material is being distributed withOut implícita. A respOnsabilidade pela interpretação e utilização deste warranty Of any kind, either expressed Or implied. The respOnsibil- material recai sobre O leitOr. Em nenhum caso se pOderá respOns- ity fOr the interpretation and use Of the material lies with the abilizar a OMS pOr qualquer prejuízo resultante da sua utilização. reader. In nO event shall the WOrld Health Organization be liable fOr damages arising frOm its use. A respOnsabilidade pelas Opiniões expressas nesta publicação cabe exclusivamente aos autOres citadOs pelo nOme. The named authOrs alone are respOnsible fOr the views expressed in this publication. Este documenTo foi produzido com o apoio financeiro da União Europeia. As opiniões aqui expressas não podem, de forma This documenT has been produced with The financial assistance of alguma, serem Tomadas como reflexo da opinião oficial da União The European Union. The views expressed herein can in no way be Européia Taken To reflect The official opinion of The European Union Análise dos recursos humanos da saúde (RHS) nos países africanos de língua oficial portuguesa (PALOP) Agradecimentos ÍNDICE Este estudO fOi cOOrdenadO pOr Gilles Dussault e Inês FrOnteira (Unidade de Sistemas de Saúde, InstitutO de Higiene e Summary (in english) 2 Medicina TrOpical, Universidade Nova de LisbOa com a Introdução: o projecto CE/PIR-PALOP 14 colabOração de Mario R. Dal Poz, Norbert Dreesch e Regina Ungerer (OMS-Genebra), YOlanda Estrela (OMS Dussault G, FrOnteira I, DalPoz M, Dreesch, N CabO Verde), Maria Augusta Biai (OMS Guiné Bissau) e Hilde de Graeve (OMS Moçambique). I. Ponto da situação para ANGOLA FrOnteira I, GuerreirO C, Dussault G O estudO fOi realizadO cOm financiamentO da UniãO EurOpeia comO parte dO prOjetO "ApOio ao desenvolvimentO de 1. Introdução 16 recursos humanOs em saúde nOs PALOP" (9.ACP.MTR.004). 1.1 Ambiente macrOeconómico 16 República de AngOla (país chefe de fila e OrdenadOr regio- 1.2 Sistema de Saúde AngOlanO 17 nal PALOP dO prOjectO). 1.3 Padrões de mOrbilidade e mOrtalidade 17 2. O estado dos RHS 18 2.1 Densidade dOs RHS 19 Acknowledgements 2.2 Distribuição dOs RHS 20 2.3 DesempenhO dOs RHS 20 This study was coOrdinated by Gilles Dussault and 2.4 PrOblemas transversais aos recursos 20 Inês FrOnteira (Unit Of Health Systems, Institute Of Hygiene humanOs da saúde and TrOpical Medicine, University NOva de LisbOa) with the 3. Políticas que influenciam os RHS 22 cOllabOratiOn Of Mario R. Dal Poz, Norbert Dreesch and 3.1 FinanciamentO 22 Regina Ungerer (WHO-Geneva), YOlanda Estrela (WHO 3.2 Educação 22 Cape Verde), Maria Augusta Biai (WHO Guinea Bissau) and 3.3 Gestão 23 Hilde de Graeve (WHO Mozambique). 3.3.1 Gestão de RHS 23 The study was undertaken with funding by the EurOpean 3.3.2 Ambiente institucional e práticas 24 Union as part Of the prOject 'SuppOrt tO the development Of Organizacionais human resources fOr health in PALOP' (9.ACP.MTR.004). 4. Sistema de informação dos RHS 24 Republic Of AngOla (country lead and regional PALOP 5. Condições de implementação de bibliotecas 24 prOject manager. virtuais em saúde (BVS) 6. Conclusões 24 Abbreviations and acronyms 7. Bibliografia Consultada 25 8. Anexos 29 CAR Cumulative attrition rate II. Ponto da situação para CABO VERDE GDP GrOss dOmestic prOduct Silva R, FrOnteira I, Dussault G HRH Human resources fOr health UNDP United Nations Development PrOgramme 1. Introdução 34 USAID United States Agency fOr International 1.1 Ambiente macrOeconómico 34 Development 1.2 Padrões de Morbilidade e Mortalidade 35 WHO WOrld Health Organization 2. O Estado dos RHS 36 WISN WOrkload indicatOrs Of staffing needs 2.1 Densidade dOs RHS 36 WPRO/RTC Western Pacific Regional Office Regional 2.2 Distribuição dOs RHS 37 Training Centre WWPT Western-Pacific WOrkfOrce PrOjection TOOl 2.3 DesempenhO dOs RHS 37 2.4 PrOblemas transversais aos recursos 37 humanOs da saúde 37 3. Políticas que influenciam os RHS 37 3.1 FinanciamentO 37 3.2 Educação 38 3.3 Gestão 38 4. Condições de implementação de bibliotecas 39 V. Ponto de situação para SÃO TOMÉ E PRÍNCIPE virtuais em saúde (BVS) FrOnteira I, GuerreirO C, Dussault G 5. Bibliografia Consultada 39 1. Introdução 133 94 6. Anexos 48 1.1 Ambiente macrOeconómico 95 1.2 Padrões de mOrbilidade e mOrtalidade 95 III. Ponto da situação para a GUINÉ-BISSAU 2. O estado dos RHS 96 Neves C, FrOnteira I, Dussault G 2.1 Densidade dOs RHS 96 1. Introdução 53 2.2 Distribuição dOs RHS 96 1.1 Ambiente macrOeconómico 53 2.3 DesempenhO dOs RHS 97 1.2 Padrões de mOrbilidade e mOrtalidade 53 2.4 PrOblemas transversais aos recursos 97 2. O estado dos RHS 54 humanOs da saúde 2.1 Densidade dOs RHS 54 3. Políticas que influenciam os RHS 97 2.2 Distribuição dOs RHS 54 3.1 FinanciamentO 97 2.3 DesempenhO dOs RHS 54 3.2 Educação 97 2.4 PrOblemas transversais aos RHS 54 3.3 Gestão 98 3. Políticas que influenciam os RHS 55 3.3.1 Gestão de RHS 98 3.1 FinanciamentO 55 4. Sistema de informação dos RHS 98 3.2 Educação 55 5. Condições de implementação de bibliotecas 98 4. Sistema de informação dos RHS 56 virtuais em saúde (BVS) 5. Conclusões 56 6. Conclusões 98 6. Bibliografia Consultada 56 7. Bibliografia consultada 99 7. Anexos 65 8. Anexos 103 IV. Ponto da situação para MOÇAMBIQUE VI. Síntese sobre a situação dos RHS nos PALOP Sidat M, FrOnteira I, Dussault G Dussault G, FrOnteira I 1. Introdução 70 1. O estado dos RHS 108 1.1. Ambiente macrOeconómico 70 1.1 O CorpO de trabalhadOres dOs RHS 108 1.2. Padrões de mOrbilidade e mOrtalidade 70 1.2 Formação de trabalhadOres em saúde 108 2. O estado dos RHS 71 1.3 GastOs com RHS e condições de trabalhO 109 2.1 Densidade dOs RHS 71 1.4 Políticas e gestão dOs RHS 109 2.2 Distribuição dOs RHS 71 1.5 Sistema de infOrmação dOs RHS 109 2.3 DesempenhOs dOs RHS 72 2. Problemas identificados 110 2.4 PrOblemas transversais aos recursos humanOs 72 3. Para iniciar a discussão 111 da saúde 4.
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