Human resource challenges in health systems: evidence from 10 African countries.

However, it differed by facility type and health worker cadre and a decreasing trend in health worker competency was seen as the facility level decreased from hospital (63.1%) to health centre (56.7%) to health post (47.8%) and as the health worker level of training decreased from doctor/clinical officer (64.2%) to nurse/midwife (52.1%) to other workers (39.8%).

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