1. C R E A T I N G A H E A L T H
W O R K F O R C E :
L E V E R A G I N G Y O U T H
A L A N D S C A P E A N A L Y S I S
J o s h u a A . C o l e
H e a l t h W o r k f o r c e & E c o n o m i c s i n t e r n ,
U S A I D / G H / O H S
S e p 2 9 T H , 2 0 1 6
F o r I n t e r n a l U S A I D p u r p o s e s o n l y

2. T O P R E S E N T O N T H E H R H A C T I V I T I E S W I T H I N
M Y S C O P E O F W O R K , W I T H A N E M P H A S I S O N
T H E L A N D S C A P E A N A L Y S I S
T O R E Q U E S T F E E D B A C K A N D S U G G E S T I O N S
O N T H E D E V E L O P M E N T O F S A I D A N A L Y S I S
P R E S E N T A T I O N
O B J E C T I V E S
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3. 3K E Y A C T I V I T I E S
F O R H R H
HRH profile mockup
Health systems
benchmarking tool
HRH analysis & webinar
Youth & health labor
market landscape
analysis
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4. D E V E L O P I N G A
L A N D S C A P E
A N A L Y S I S O N
Y O U T H & H E A L T H
L A B O R M A R K E T S
A C T I V I T Y # 3
0605

5. WHAT LED
TO THIS
ANALYSIS?
Global HRH Strategy
Commission on Health
Employment and Economic
Growth
HRH2030
Discussions with field missions

6. B A C K G R O U N D
Health workforce need
Global need for 18 million additional health workers by 2030, primarily in low­resource
settings, to attain high and effective coverage of health services
By 2030, low income countries are projected to face widening gap between # of health
workers needed and capacity to employ them
LICs will need 3.4 million health workers and increase supply by 11% per year until 2030
Middle income countries will face increasing demand for healthcare due to economic
growth; health workforce must increase by 8% per year
Health labor markets
Supply of health­care workers and the demand for health­care workers
Labor market forces determine compensation, employment settings, geographic location
and specialty choice of workers
Labor markets of many countries, particularly in Africa, are biased against youth
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7. C O M P A N Y . C O M
07
B A C K G R O U N D - C O N T ' D

8. C O M P A N Y . C O M
07
B A C K G R O U N D - C O N T ' D

9. B A C K G R O U N D - C O N T ' D
Youth bulge and workforce development
1.2 billion people aged 15­24 years globally in
2015, most live in LMICs
71 countries experiencing the youth bulge
600 million jobs to create over the next 10 years to
meet rising workforce supply
Effective youth employment associated with
political and social stability
Expand regional
economy by 22% and
reduce poverty by 51
million people
Increase Africa's skilled
youth labor supply from
25% to 50% by 2030
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10. HOW CAN WE LEVERAGE
YOUTH TO
STRENGTHEN THE
HEALTH WORKFORCE?
C O M P A N Y . C O M

12. C A S E S T U D I E S
MSI GENERATION (2014-)
Develop a 8­12 week
training curriculum with
employers (8 private
hospitals & institutes)
Train youth as general duty
assistants
Students apply to program
**selection bias**
Requirements: Class 8th
pass or 10th pass; ages of
18­29 unemployed
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Impact
GDAs save 16 minutes of nurses’ time per 8
hours [Productivity gains]
Generation­GDA
have performance scores [Performance gains]
New employers are signing up to pay 30% of the
recruiting and training costs [Partnership gains]

13. C A S E S T U D I E S
Kenya Youth Empowerment Program (2010-16)
3 components: Capacity Building and Policy Development, Private Sector Internships and
Training, Labor­intensive works and social services
Mandated Kenya Private Sector Alliance to implement KYEP and coordinate stakeholders
Implemented in Nairobi, Mombasa, and Kisumu
8 week training + 4 months of work experience.
Youth, stipend KES 6,000 per month; employers, KES 3,000 per intern monthly
allowance
Requirements: at least 8 years of education ; ages of 18­29 unemployed
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Impact
monthly earnings for men were KSh 6,700 higher than for program non­
participants [Income gains]
14­months after internship, 80% of young men had paid work compared with 69% in
the control group. Men who completed the full training program experienced a 14.2%
gain. For women, a 6.7% and an 8.7% respective increases [Employability gains]

14. L E S S O N S L E A R N E D A N D
R E C O M M E N D A T I O N S
Encourage and promote public­private partnership, while
ensuring government ownership
Youth­employer matching process can be cumbersome
Emphasize the importance of soft skills training
Promote demand­driven technical skills training/ linkages
to business development services for increased impact
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15. G A P S
Applicability of youth workforce development programs in
public healthcare. Can similar results be achieved in less
dynamic health labor markets?
Role and involvement of medical associations
Strategies for less ideal situations of low market
absorptive capacity, fragile states, or rural areas
Data on youth not targeted by these programs or those
who dropout, longitudinal data
Lack of cost­benefit analyses; projected economic and
health gains
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16. Q & A
F E E D B A C K
S U G G E S T I O N S F O R
M O V I N G F O R W A R D ?

17. T H A N K Y O U
J o s h u a A . C o l e
H e a l t h W o r k f o r c e & E c o n o m i c s i n t e r n
U S A I D / G H / O H S