ALBANIA
MoH Overview
The ratio of Albanian doctors per 100.000 inhabitants in our country is 132,9.
The ratio of nurses/midwifes is 408 per 100.000 inhabitants in our country.
We have 1625 family doctors in Albanian region overview
In general:
501 health workers per 100,000 habitants (physician, midwife, nurse and technical staff). Health workforce (March 2008, MoH)
6572
7000 5404 6000 total 4081 5000 female 3250 4000 2838
3000 1810 962 869 2000 498 543 1000
0 director specialist high tecbhni admins staff other level of education Health workforce in health institutions, 2008
PHC
Public Health
Hospitals
1000 900 800 700 600 500 400 300 200
100 re o
e ne Vl 0 le e Kruj e onje e nj par b Has l s h t a p ta e e Dir n a ezh e Puke r in e Ko T v uk L Lus r Skr Be K MallakasteMirditPerme Del ElbasaGramsh Health workforce in Tirana, (2008)
3000 2500 2000 1500 1000 500 0
i k sH T iu P mi QS r Ir G A e omi e r Ra t r s QSU r.1 r.2 ive t l.B ari KCS o a t l r s je v UT n MinistQ na Qeverit ta so o ten a r i io o op nte n tna i j S jak de a n at.U lektro Mjek n MZH Fe rat e M ate rnM iteti ate rnn iteti n m a ializ o h ran sp m e h el i t S t KR c Dhurimi e Kl inik aS e Ap Q . a Sp r te t i ia e Kl i d s Ofic ina E r Q.K .Zhvi llim it Profe s o e Laborat.Ko t en Nj Q Au
Number of Registered Nurses Service Availability Mapping Survey, 2005 Albania
MALËSI E MADHE TROPOJË
HAS
SHKODËR PUKË KUKËS
LEZHË MIRDITË
DIBËR
KURBIN MAT KRUJË BULQIZË DURRËS TIRANË Legend
KAVAJË LIBRAZHD Number of Registered Nurses PEQIN ELBASAN 22 - 75 LUSHNJE POGRADEC KUÇOVË GRAMSH 75 - 149 FIER BERAT KORÇË 149 - 257 DEVOLL MALLAKASTËR SKRAPAR 257 - 384
VLORË TEPELENË KOLONJË 384 - 900 PËRMET Districts GJIROKASTËR
DELVINË
SARANDË
0408020 Kilometers¯
The boundaries and names shown and the designations used on Data source: Institute of Public Health, Albania this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Map production: WHO EURO Communicable Dotted lines on maps represent approximate border lines for which Diseases Surveillance and Response (CSR) there may not yet be full agreement. © WHO 2005. All rights reserved. Health workforce in private sector
6 Lab./ortope d 25 24 Fizioterap/lab 34 10 Opticien 215 105 laborants 257 123 vi ce /de nstis 1099 341 lab/farmac 1210 physician 1217 0 200 400 600 800 1000 1200 1400 Percent of Facilities with Health Workers Trained in Neonatal Care by District Service Availability Mapping Survey, 2005 Albania
MALËSI E MADHE TROPOJË
HAS
SHKODËR PUKË KUKËS
LEZHË MIRDITË
DIBËR
KURBIN MAT KRUJË BULQIZË DURRËS TIRANË Legend
KAVAJË LIBRAZHD Health workers trained in neonatal care PEQIN ELBASAN % of facility with health workers trained LUSHNJE POGRADEC KUÇOVË GRAMSH None FIER BERAT KORÇË <50% DEVOLL MALLAKASTËR SKRAPAR >50%
VLORË TEPELENË KOLONJË All PËRMET Districts GJIROKASTËR
DELVINË
SARANDË
0408020 Kilometers¯
The boundaries and names shown and the designations used on Data source: Institute of Public Health, Albania this map do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Map production: WHO EURO Communicable Dotted lines on maps represent approximate border lines for which Diseases Surveillance and Response (CSR) there may not yet be full agreement. © WHO 2005. All rights reserved. Problems (1)
Limited number of the health human resources,
No equal distribution (not only geographical) of the medical staff, (external & internal migration),
Decrease of the professional elite (motivation),
Insufficient number of the family physicians, Problems (2)
Traditionally lack in experts in different fields of Public health management, health economy, health promotion, policies and health planning.
Standard fulfillment at the nursery service level according to the profile of the service that they offer. (Basic professional education in nursery field continue to have oscillations and to be without standardization)
Lack of the professional creditation system, Problems
Lack of the continuous professional educaction system,
Lack of the national strategy (associated with a national plan) for human resources??? Our objective
To establish a national system for human resources based on the evidence, using the European experience and WHO recommendations. Actually:
1. We don’t have a integrated information 1. We can’t use system for human the information in resources; the decision- 2. We collect the data making process from different information sources; 2. Difficulties in 3. We can’t have the planning human information in time; resources and 4. The information is in needs hard copy. 3.High cost … In the future… (1)
To prepare a national plan for human resurces in health sector. In this process, is absolutly nessessary to invate experts from the Ministry of Finance (very important component), In the future… (2)
To ameliorate the geographical distribution (or to re-distribute) of human resources, aplying the rules of labour market, In the future… (3)
Administrative harmonized collaboration (between institutions)
National integrated health information system
To establish a system of Accreditation of teaching/education system, continuous education with adequate curricula harmonized with European standards. Thank you This paper was produced for a meeting organized by Health & Consumer Protection DG and represents the views of its author on the subject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumer Protection DG's views. The European Commission does not guarantee the accuracy of the data included in this paper, nor does it accept responsibility for any use made thereof.