Table 2.
Global Fund-recipient countries and human resources for health data
| Country | 1st year of Global Fund grant | Most recent year of Global Fund grant | Physicians per 1000 pop. (year)a [pre funding] | Physicians per 1000 pop. (year)a [most recent] | Nurses/midwives per 1000 pop. (year)b [pre funding] | Nurses/midwives per 1000 pop. (year)b (most recent) | HR/training investment as percentage of total expenditurec | Regiond | Incomee | HSS/RSSH grantf |
|---|---|---|---|---|---|---|---|---|---|---|
| Afghanistan | 2004 | 2017 | 0.20 (2001) | 0.28 (2016) | 0.60 (2005) | 0.32 (2017) | 33.4% | SEA | Low-income | Yes |
| Djibouti | 2007 | 2017 | 0.23 (2006) | 0.22 (2014) | 0.57 (2005) | 0.54 (2014) | 33.5% | MENA | Lower-middle-income | No |
| Egypt | 2004 | 2016 | 0.52 (2003) | 0.79 (2017) | 1.95 (2004) | 1.40 (2017) | 38.1% | MENA | Lower-middle-income | No |
| Iran | 2005 | 2018 | 0.87 (2004) | 1.14 (2015) | 1.38 (2004) | 1.87 (2015) | 34.5% | SEA | Upper-middle-income | No |
| Iraq | 2008 | 2017 | 0.64 (2010) | 0.82 (2017) | No data | 1.68 (2017) | 27.4% | MENA | Upper-middle-income | No |
| Jordan | 2003 | 2014 | 2.22 (2002) | 2.34 (2017) | 2.84 (2002) | 3.39 (2017) | 30.5% | MENA | Upper-middle-income | No |
| Morocco | 2007 | 2017 | 0.53 (2004) | 0.73 (2017) | 0.81 (2004) | 1.10 (2017) | 33.6% | MENA | Lower-middle-income | Yes |
| Pakistan | 2004 | 2018 | 0.68 (2001) | 0.98 (2015) | 0.44 (2001) | 0.50 (2015) | 29.4% | HIA | Lower-middle-income | Yes |
| Somalia | 2004 | 2017 | 0.03 (2006) | 0.02 (2014) | 0.09 (2006) | 0.06 (2014) | 34.0% | MENA | Low-income | No |
| Sudan | 2005 | 2018 | 0.25 (2004) | 0.41 (2015) | 1.04 (2004) | 0.83 (2015) | 20.9% | MENA | Lower-middle-income | Yes |
| Syrian Arab Republic | 2007 | 2016 | 1.54 (2005) | 1.22 (2016) | 1.89 (2005) | 1.46 (2016) | 24.5% | MENA | Low-income | No |
| Tunisia | 2007 | 2017 | 0.93 (2005) | 1.27 (2016) | 2.85 (2004) | 2.64 (2016) | 40.7% | MENA | Lower-middle-income | No |
| Yemen | 2004 | 2016 | 0.34 (2004) | 0.31 (2014) | 0.69 (2004) | 0.73 (2014) | 16.2% | MENA | Low-income | No |
| Average (range for all 21 EMR countries) | 2003–2008 | 2014–2018 | 1.08 (0.03–3.42) | 1.20 (0.001–2.58) | 2.09 (0.09–5.64) | 2.74 (0.06–3.39) | 28.0% |
HSS/RSSH health systems strengthening/resilient and sustainable systems for health
aTotal number of physicians per 1000 population from WHO HRH workforce database and EMR Health Observatory for year with available data most proximate to funding year [19]
bTotal number of nurses/midwives per 1000 population from WHO HRH workforce database and EMR Health Observatory for year with available data most proximate to funding year [19]
cBased on authors’ calculations, expenditures on HR, and training activities as a share of total expenditures from 2002–2017 as categorized by the Global Fund’s Enhanced Reporting Framework
dGlobal Fund regional team groupings: SEA South East Asia, MENA Middle East and North Africa, HIA High Impact Asia
eWorld Bank income-level classification (2018) [17]
fHealth systems strengthening (HSS) or resilient and sustainable systems for health (RSSH) grant awarded by the Global Fund