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Reviews Sub-Saharan Africa human resources for health to suggest how types of political regimes and governance arrangements between state and nonstate actors influence health labor market dynamics and reform policies. Stakeholders such as the ministries of health, professional associations and unions, and international agencies or donors often play a role in reform. Particular regime characteristics relating to health labor markets are financial and management capacity, type of government, and political entrenchment. Decentralization has been widely adopted in Sub-Saharan Africa and can give local authorities greater discretion in using financial resources that affect health labor market outcomes, managing human resources, organizing and delivering services, and targeting rules for coverage or exemption from fees.