Health workforce strategy & global governance processes
An eventful May, capped by the World Health Assembly, has demonstrated global demand for strategic health and care workforce data, normative guidance and country support. Against health systems under intense pressure and financing tightened, including by ODA cuts (insights from our panel of economists), Member States reaffirmed their support for WHO and for multilateralism, adopted the historic pandemic agreement (Article 7: Health and care workforce), and passed the World Health Assembly Resolution WHA78.16 on Accelerating action on the global health and care workforce by 2030. Additionally, Member States
- decided to extend the Global Strategic Directions for Nursing and Midwifery 2021-2025 by five years to 2030,
- noted the Interim report of the Expert Advisory Group on the WHO Global Code of Practice on the International Recruitment of Health Personnel and requested the Director-General to facilitate regional consultations with Member States in advance of its finalization and submission to the Seventy-ninth World Health Assembly through the Executive Board at its 158th session; and,
- within omnibus reporting, noted the Director General’s progress report on the Global strategy on human resources for health: workforce 2030.
The Accelerating action resolution was led by the government of the Philippines, along with the governments of Germany, Morocco, Nigeria and Thailand.
Within the official consideration of WHA78.16, Member States expressed approval for the substantive increase in data available through the National Health Workforce Accounts, including within the State of the World’s Nursing Report 2025; concerns, evidence and policy prescriptions on the international migration of health personnel; appreciation for normative tools like the health labour market analysis and for the Working for Health Multi-partner Trust Fund; and support for increased uptake of the Global health and care worker compact to protect and safeguard the workforce.
The cross-cutting nature of health and care workforce strategic policy and investment was a thread running through official discussions including WHO global plan of action to strengthen the role of the health system within a national multisectoral response to address interpersonal violence, Global action plan on climate change and health, Antimicrobial resistance, Health in the 2030 Agenda for Sustainable Development and the Comprehensive implementation plan on maternal, infant and young child nutrition.
Health Workforce was a predominant theme within side events, with at least 37 events delving into topics ranging from public health workforce coordination and investment, health financing, community health workers, migration, regulation, early career health professionals, addressing mental health, occupational health and safety, gender, digital pathways and nursing and midwifery. Overarching themes from these discussions reflected the need for collaboration and partnerships that recognize relative strengths; new approaches to financing, led by countries and supported by partners; and the need to protect and invest in the health and care workforce, including by addressing the projected 11 million health workforce shortage by 2030.
Key figures
The estimated stock of health workers now exceeds 70 million. Shortage estimates decreased steadily since the Global Strategy adoption in 2026, trends that may be linked to investment decisions, the adoption of evidence-based policies and improved data availability.
The pace of progress has slowed, however, and masks diverging trends across and within regions, prompting an upward adjustment to the projected workforce shortage by 2030 to 11 million (compared to the 2022 estimate of a projected 10 million shortage by 2030).
Women comprise 67% of the global health workforce.
A brief history
WHO published the World Health Report 2006: working together for health bringing global attention on human resources for health, particularly to the critical shortages of skilled health professionals (midwives, nurses and physicians) in 57 countries and the centrality of health workers for accelerating progress towards the health-related Millennium Development Goals. The global shortage of health professionals was termed a “crisis”, and a decade of action on human resources for health was proposed to overcome the challenges.
This seminal report was followed by a number of World Health Assembly resolutions on human resources for health leading to the development of the Global Strategy on Human Resources for Health: Health workforce 2030 (2016) in response to resolution WHA67.24 (2014) “Follow-up of the Recife Political Declaration on Human Resources for Health: renewed commitments towards universal health coverage”. The Global Strategy estimated a projected shortage of 18 million health workers (doctors, nurses and midwives) to respond to universal health coverage and the Sustainable Development Goals, primarily in low- and middle-income countries.
In 2017, the Commission on Health Employment and Economic Growth published its report Working for health and growth: investing in the health workforce. Resolution WHA70.6 adopted the ILO, OECD, WHO Working for Health programme and the WHO action plan for health employment and inclusive economic growth (2017–2021) as a mechanism for coordinating the intersectoral implementation of the Commission’s recommendations and supporting the Global Strategy on Human Resources for Health: Workforce 2030 and advancing universal health coverage.
Resolutions
- WHA78.16 - Accelerating action on the global health and care workforce by 2030 (2025)
- WHA75.17 – Human resources for health (Working for Health (2022-2030) Action Plan, Global health and care workers compact) (2022)
- WHA74.14 - Protecting, safeguarding and investing in the health and care workforce (2021)
- WHA74.15 - Strengthening nursing and midwifery: investments in education, jobs, leadership and service delivery (2021)
- WHA73.9 - Report of the WHO Expert Advisory Group on the Relevance and Effectiveness of the WHO Global Code of Practice on the International Recruitment of Health Personnel (2020)
- WHA73.30 - Human resources for health (2020)
- WHA72.3 - Community health workers delivering primary health care: opportunities and challenges) (2019
- WHA72.19 - 2020: International Year of the Nurse and the Midwife) (2019
- EB140.3 - Human resources for health and implementation of the outcomes of the United Nations’ High-Level Commission on Health Employment and Economic Growth (2017)
- WHA70.6 - Human resources for health and implementation of the outcomes of the United Nations’ High-Level Commission on Health Employment and Economic Growth (2017)
- WHA 69.19 - Global strategy on human resources for health: workforce 2030 (2016)
- WHA 63.16 - WHO Global Code of Practice on the International Recruitment of Health Personnel (2010)