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13 Albania Bruksel 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) 7000 6572 6000 5404 5000 4081 4000 3250 total 2838 3000 female 1810 2000 962 869 1000 498 543 0 director specialist high tecbhni admins staff other level of education 1000 900 800 700 600 Health workforce in health institutions, 2008 500 400 300 200 100 0 Berat Delvin e Diber Elbasan Gramsh PHC Has Public Health Hospitals Kolonje Kruja K ukes Lezhe Lushnje Mallakaster Mirdite Permet Puke Skrapar Tepelene Vlore 3000 2500 2000 Health workforce in Tirana, (2008) 1500 1000 500 0 Autori te t i Sh en dete sor Rajon Nje sia e tran sp m e h el ikop QKRMZH Femije v QSUT Sp ec ializante ne QSUT M ate rn iteti n r.1 M ate rn iteti n r.2 Sanatoriu mi Kl inik a Qeveritar Kl.Stomat.Unive r sita IP H Qend ra e Dhurimit te Gjak Ofic ina E lektro Mjekso Laborat.Kon tr oll.B arna Aparati i Ministr is QKCSA Q.K .Zhvi llim it Profe sio 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 LIBRAZHD KAVAJË Number of Registered Nurses PEQIN ELBASAN LUSHNJE 22 - 75 POGRADEC KUÇOVË GRAMSH 75 - 149 FIER BERAT KORÇË 149 - 257 DEVOLL MALLAKASTËR SKRAPAR 257 - 384 VLORË TEPELENË 384 - 900 KOLONJË 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 Lab./ortope d 6 25 Fizioterap/lab 24 34 Opticien 10 215 laborants 105 257 vi ce /de nstis 123 1099 lab/farmac 341 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 LIBRAZHD KAVAJË Health workers trained in neonatal care PEQIN ELBASAN LUSHNJE % of facility with health workers trained POGRADEC KUÇOVË GRAMSH None FIER BERAT KORÇË <50% DEVOLL MALLAKASTËR SKRAPAR >50% VLORË TEPELENË All KOLONJË 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..
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