A/HRC/7/11
page 20
1. A health workforce
75. While human resources in health have attracted increasing attention in recent years, the
human rights dimensions of the issue rarely receive significant consideration. If the general
approach outlined in section C were applied to health workers, the following points would be
among those that need detailed examination.
76. A State should have an up-to-date development plan for human resources in preventive,
curative and rehabilitative health; it should encompass physical and mental health.
77. When planning, the State should consider providing a role for mid-level providers, such as
assistant medical officers and surgical technicians, as well as public health workers. Described as
a key strategy to uphold the fundamental human right to health, mid-level providers are already
an essential part of the health systems in some countries, such as Mozambique.31
78. Recruitment of health workers must include outreach programmes to disadvantaged
individuals, communities and populations, such as indigenous peoples.32
79. Effective measures are required towards achieving a gender balance among health workers
in all fields.
80. The State should ensure that the number of domestically trained health workers is
commensurate with the health needs of the population, subject to progressive realization and
resource availability. In this context, appropriate balances must be struck between, for example,
the number of health workers at the community or primary level and specialists at the tertiary
level.
81. The number of health workers should be collected, centralized and made publicly
available. The data should be broken down by category, e.g. nurse, public health professional
and so on. The various categories should be disaggregated, as a minimum, by gender.
82. Health workers’ training must include human rights, including respect for cultural
diversity, as well as the importance of treating patients and others with courtesy. This issue is
explored in the Special Rapporteur’s report on health workers and human rights education.33
83. After qualifying, all health workers must have opportunities, without discrimination, for
further professional training.
31
See Health Systems Strengthening for Equity (HSSE): The Power and Potential of Mid-Level
Providers at www.midlevelproviders.org
32
“Health workers” include all those developing, managing, delivering, monitoring and
evaluating preventive, curative and rehabilitative health in the private and public health sectors,
including traditional healers.
33
A/60/348.
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