Many national HIV programs face workforce challenges that hinder the sustainable achievement of 95-95-95 targets. Challenges for health and social service workers include: shortages; maldistribution; competency gaps or inappropriate skills mix; poor allocation of staff and tasks; high turnover; inefficient work processes or inadequate conditions; and/or insufficient performance management for the provision of quality, client-centered HIV services. These issues affect the HIV workforce and can limit successful implementation of HIV policies and achievement of long-term, self-reliant epidemic control.
There are timely opportunities to strengthen and optimize the workforce to more effectively implement national HIV policies and more rapidly scale up HIV/AIDS services. However, workforce managers and decision makers require health system information, including from human resource information systems (HRIS), to develop strategic, targeted, and appropriate responses to optimize the HIV workforce towards service delivery improvements. Many national HRIS have been established, but have not been fully scaled and data use has not reached full potential.
Worldwide, countries have begun reporting health workforce data to National Health Workforce Accounts (NHWA), to help achieve human resources for health and other health goals, including reaching epidemic control. This brief, Achieving and Sustaining HIV Epidemic Control with Better Health Workforce Data: Use of National Health Workforce Accounts to Achieve 95-95-95 Targets, provides an overview of NHWA and illustrates opportunities for PEPFAR and implementing partners to optimize PEPFAR investments through use of NHWA for better decision-making.