Every year, millions of people die from preventable or treatable diseases because health systems lack the expertise, research and analytic capability, information, financing and implementation capacity to deliver effective and affordable interventions. One of the most critical health system challenges in low- and middle-income countries is the lack of health workers. The 2006 World Health Report identified 57 countries facing a health workforce crisis. Each of these countries has fewer than 23 health workers (doctors, nurses, midwives) per 10,000 people (the minimum required by the WHO). To highlight this problem further, sub-Saharan Africa has only 3% of the global health workforce, 11% of the world’s population and bears over 24% of the global disease burden.
DGHI’s research on health systems strengthening is conducted in collaboration with partners from departments and schools across Duke including, economics, public policy, medicine and business, as well as through robust partnerships with the Duke-National University of Singapore Graduate Medical School. DGHI's health systems research initiatives focus on topics like health workforce, service delivery and health financing.