Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot246110.32687/0869-866X-2025-33-6-1446-1454Научная статьяThe Problems of People-Ware of World Health Care in 1995–2024: Appraisals and RecommendationsKhalfinR. A.DeminA. K.YuldoshevA. A.The State Budget Institution of Health Care of the Moscow Oblast The M. F. Vladimirsky Moscow Oblast Research Clinical Institute, 129110, Moscow, RussiaThe All-Russian Public Organization “The Society on Organization of Health Care and Public Health”, 115093, Moscow, RussiaThe Federal State Autonomous Educational Institution of Higher Education “The I. M. Sechenov First Moscow State Medical University” of Minzdrav of Russia (Sechenov University), 119991, Moscow, RussiaThe Federal State Self-Contained Institution “The National Medical Research Center “The Treatment Rehabilitation Center”” of the Minzdrav of Russia, 125367, Moscow, RussiaThe National Children Medical Center”, 100207, Tashkent, the Republic of Uzbekistan151220253361446145419122025Copyright © 2025,2025In 1995–2024, development of health people-ware as the most important resource of health care systems, actively discussed by world community under the WHO leadership. Since 2004, global health people-ware situation is characterized as being in crisis. The significant shortage of personnel is intensifying, first of all in countries with mean and low income. The situation is worsening because of uneven staff distribution, losses due to internal and international migration, shortcomings in staff training and management. About 70% of workers in health care and social care are women who badly need step-up of professional status. Since 2010, movement towards universal health care services coverage started. Since 2011, under leadership of the Russian Federation, struggle with noncommunicable diseases is advanced. The UN “Agenda for Sustainable Development for the period up to 2030” became main guiding document since 2015. The COVID-19 pandemic confirmed key role of health care workers in ensuring population needs in health, as well as global, regional and national security. Since 2023, it is proposed to adapt health people-ware to the post-pandemic situation.sustainable development goalsuniversal health care coveragehuman resourceshealtheducationhiringdevelopmentmotivationretentionцели устойчивого развитиявсеобщий охват услугами здравоохранениякадровые ресурсы здравоохраненияобучение, наем, развитие, мотивация и удержание1.Newman C., Nayebare A., Gacko N. M. N. N. Systemic structural gender discrimination and inequality in the health workforce: theoretical lenses for gender analysis, multi-country evidence and implications for implementation and HRH policy. Hum. Resour. Health. 2023;21(1):37. doi: 10.1186/s12960-023-00813-92.Chen L., Evans T., Anand S. Human resources for health: overcoming the crisis. Lancet. 2004;364(9449):1984—90. doi: 10.1016/S0140-6736(04)17482-53.Frenk J., Chen L., Bhutta Z. A., et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet Commissions. 2010;376(9756):1923—58. doi: 10.1016/S0140-6736(10)61854-54.McQuide P. A., Brown A. N., Diallo K., Siyam A. The transition of human resources for health information systems from the MDGs into the SDGs and the post-pandemic era: reviewing the evidence from 2000—2022. Hum. Resour. Health. 2023;21(1):93. doi: 10.1186/s12960-023-00880-y5.Haakenstad A., Irvine S. C. M., Knight M. Measuring the availability of human resources for health and its relationship to universal health coverage for 204 countries and territories from 1990 to 2019: a systematic analysis for the Global Burden of Disease Study 2019.GBD 2019 Human Resources for Collaborators. Lancet. 2022;399(10341):2129—54. doi: 10.1016/S0140-6736(22)00532-36.Abdul Rahim H. F., Fendt-Newlin M., Al-Harahsheh S. T., Campbell J. Our duty of care: a global call to action to protect the mental health of health and care workers. Doha Qatar: World Innov Summit for Health, 2022. 53 p. ISBN: 978-1-913991-25-87.McIsaac M., Buchan J., Abu-Agla A. Global Strategy on Human Resources for Health: Workforce 2030 — A Five-Year Check-In. Hum. Resour. Health. 2024;22(68):1—3. doi: 10.1186/s12960-024-00940-x8.Boniol M., Kunjumen T., Nair T. S. The global health workforce stock and distribution in 2020 and 2030: a threat to equity and “universal” health coverage? BMJ Global Health. 2022;7(6):e009316. doi: 10.1136/bmjgh-2022-0093169.Sharma M., Akhter M. S., Roy S., Srejon R. Future Issues in Global Health: Challenges and Conundrums. Int. J. Environ. Res. Public Health. 2025;22(3):325. doi: 10.3390/ijerph22030325