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Two explanations may account for the overall less effective scale-up in clinical staff in Zambia: the country may have produced additional clinical staff over 2004-07, but was losing them to better funded posts in the NGO and private for profit sectors (and to emigration) [ 32], or it was not producing sufficient clinical staff to meet replacement needs.
The magnitude of replacement needs is astonishing.
The money would also help operators cover staff replacement costs while they were undertaking professional development.
"The staffing agency requires that we give them 10 days to staff replacements.
This is another reason fears of Mr. Trump's latest staff replacements are misplaced.
An additional pool of four nurses provided support or replacement staffing as needed.
Such replacements need not be uniform.
The rules governing replacements need to be tightened up.
But, he said, the replacements need not be new.
Real staff engagement needs real investment.
Hence, medical staff urgently needs improvement.
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