Enhancing Healthcare in Afghanistan from 2015 Through 2020: The Impact of Human Resource Management

This study explores the influence of Human Resource Management (HRM) on advancing healthcare in Afghanistan from 2015 to 2020 relying on data collected by international organizations and the government of Afghanistan. During this period HRM became a pivotal strategy for addressing critical workforce shortages, infrastructural gaps, and limited access to essential healthcare services. Using HRM approaches, the Ministry of Public Health leveraged collaborations with international organizations to secure vital financial and technical resources, which facilitated infrastructure development, workforce training, and healthcare service improvements. Despite challenges such as administrative corruption and political influence, HRM initiatives contributed to workforce stabilization and improved healthcare accessibility. An analysis of the data revealed Afghanistan fell much below global health standards regarding healthcare manpower as well as medical facilities and resources. Specialist doctors and healthcare professionals were particularly scarce, especially in rural regions and provinces. The objective of the study is to assess the effectiveness of HRM strategies in improving healthcare delivery, particularly in underserved areas. This study further examines the role of international collaborations and offers recommendations for sustaining and advancing healthcare improvements in Afghanistan. Results indicate that while HRM interventions led to progress in infrastructure, access, and human resource development, significant disparities remain in gender representation, specialty distribution, and rural healthcare coverage.

Human resource management, Healthcare workforce, Healthcare access, Healthcare quality, Gender disparity in Health

Austrian Centre for Country of Origin and Asylum Research and Documentation (ACCORD). (2014, December 9). Afghanistan: Security situation in the Northern provinces. European Country of Origin Information Network. https://www.ecoi.net/en/document/1112275.html

Deputy Ministry for Policy and Planning Office, Ministry of Public Health. (2020). Workforce projection, training schedule and cost summary – Doctors in public and private sectors [Unpublished data]. Ministry of Public Health, Kabul, Afghanistan.

Galustov, M. (2014, February). Afghanistan’s broken healthcare system. TIME. https://time.com/11254/afghanistan-msf-health-care/

Ihsanullah, S., Homayee, S., Fitzwarryne, C., Hoffiani, M., & Sadiq, M. (2012). Planning and reform of human resources for health in Afghanistan. Afghanistan Journal of Public Health, 1(1), 34–40.

Kabul Now. (2020). Bamyan health director accused of corruption. https://kabulnow.com/2020/08/bamyan-health-director-accused-of-corruption

Médecins Sans Frontières. (2022). Persistent barriers to access healthcare in Afghanistan: The ripple effects of a protracted crisis and a staggering situation (p. 22). https://www.doctorswithoutborders.ca/wp-content/uploads/2023/05/healthcare_barriers_afghanistan-2.pdf

Ministry of Public Health. (2016). Sustaining progress and building for tomorrow and beyond: National health strategy 2016–2020. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/afghanistan/afghanistan_mophstrategy2016-2020_final09september2016111201614508950553325325.pdf

Naseri, S., Khalil, M., Sabrah, S., Manochehr, M. H., Sidhu, L. S., Rasekh, A., Abi, M., & Safi, N. (2023). Analysis of human resources for health in Afghanistan. National Library of Medicine. https://pubmed.ncbi.nlm.nih.gov/

Qadir, A. Q., Akhgar, J., & Tan, S. W. Y. (2023). Establishing a state-of-the-art diagnostic and medical imaging center in Afghanistan: Achievements, challenges, and future perspectives. The Journal of Global Radiology, 3–6.

Rahimzai, M., Amiri, M., Burhani, N. H., Leatherman, S., Hiltebeitel, S., & Rahmanzai, A. J. (2013). Afghanistan’s national strategy for improving quality in health care. International Journal for Quality in Health Care, 25(3), 270–276.

Safi, N., Naeem, A., Khalil, M., Anwari, P., & Gedik, G. (2018). Addressing health workforce shortages and maldistribution in Afghanistan. Eastern Mediterranean Health Journal, 24(9), 951–958.

Shaigan, A. (2018). Corruption and abuse of official authority in the Ministry of Public Health. https://www.etilaatroz.com/63978

The Killid Group. (2020). Officials in Afghanistan’s health ministry arrested on bribery charges. https://tkg.af/english/2020/12/29/officials-in-afghanistans-health-ministry-arrested-on-bribery-charges

United Nations Development Programme. (2015). Human development report 2015. https://sustainabledevelopment.un.org/content/documents/22212015_human_development_report.pdf

United Nations International Children’s Emergency Fund. (2022). Maternal health in Afghanistan. https://www.unicef.org/afghanistan/health

United Nations Office for the Coordination of Humanitarian Affairs. (2023). Afghanistan: Humanitarian needs overview 2023. https://reliefweb.int/report/afghanistan

World Bank. (2023). Maternal mortality ratio (modeled estimate, per 100,000 live births) – Afghanistan. https://data.worldbank.org/indicator/SH.STA.MMRT

World Health Organization. (2011). Afghanistan national health workforce plan 2012–2016. WHO. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/afghanistan/afghanistan_hrhplan_2012-2016_draft.pdf

World Health Organization. (2013). Afghanistan health system profile. WHO. https://applications.emro.who.int/docs/Country_profile_2015_EN_16722.pdf

World Health Organization. (2018). Afghanistan: Health system strengthening. WHO. https://www.emro.who.int/afg/programmes/health-system-strengthening.html

World Health Organization. (2018). Country cooperation strategy report. WHO. https://iris.who.int/bitstream/handle/10665/136852/ccsbrief_afg_en.pdf

World Health Organization. (2020). Global strategy on human resources for health: Workforce 2030 (p. 64). https://www.who.int/publications/i/item/9789241511131