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Table 4 Measures to maintain and increase HRH availability

From: COVID-19 and human resources for health: analysis of planning, policy responses and actions in Latin American and Caribbean countries

Mechanism

Bolivia

Chile

Colombia

Ecuador

Peru

Belize

Grenada

Jamaica

Recruitment of additional HRH

6777

HRH**

19 027 HRH

Recruitment of scarce HRH

3087 HRH***

44 207 HRH***

230 community HRH

118 HRH

1000 community HRH

Temporary reassignment of HRH to COVID-19 treatment

3 600

HRH**

44 of essential non-COVID-19 interventions postponed****

78 300 HRH*

10 000 HRH*

80 202 HRH*

Not quantified

Not quantified

Not quantified

Deployment of students and recent and overseas graduates

520 students and recent graduates contracted (220) and trainee students incorporated (300)**

Recruitment of HRH holding an unvalidated overseas medical qualifications

Students in their final semesters

recruited

1523 students early graduated in general medicine (1328) and specialist medical disciplines (195)*

Accelerated validation

of foreign qualifications

Cooperation agreements with higher education institutions

Rotation of residents

Early completion of residency

Temporary authorization to practice without validation of qualifications

Final-year nursing students

Final-year nursing students

X

Work shift changes

Increased working hours for available HRH, even double shifts

Expansion and adjustment

X

X

11 662 HRH worked overtime*

12-h shifts instead of 8-h shifts

12-h shifts instead of 8-h shifts

X

HRH from international cooperation

X

X

150 HRH recruited through

UNHCR and USAID*

X

92 HRH from Cuba and Médecins sans Frontières*

121 HRH from Cuba

8 HRH from Cuba

140 HRH from Cuba

Volunteers

450 recent graduates through agreements with universities

1000 students recruited and trained by the University of Chile

X

X

X

500 volunteers

59 volunteers

1000 volunteers

Armed forces

X

HRH

to treat COVID-19 patients

Retirees from the armed forces and national police

1523 HRH to strengthen the public network**

X

X

X

X

Retirees

X

1500 professionals released from duty re-entered medical practice

Retired HRH under 60

X

X

X

X

X

  1. Elaboration based on PAHO [16], WHO [12], and Köppen et al. [20]
  2. *August 2020 **October 2020; ***December 2020; ****With reference to 2019