"In 2006, the World Health Organization alerted the world to a shortfall of 4.3 million trained health workers globally, with the worst shortages in the poorest countries. As a direct result, millions die or are disabled every year andthe Millennium Development Goals will not be achieved unless remedial action is taken. The Global Health Workforce Alliance (GHWA) was launched at the time of World Health Assembly Resolution 59.23 in 2006, to tackle these issues. In turn, GHWA set up task forces to address specific aspects of the problem such as health-worker education and training, migration and financing. Scaling Up, Saving Lives sets out the findings and recommendations of the Task Force for Scaling Up Education and Training for Health Workers. It complements the GHWA Agenda for Global Action. The Task Force has focused on countries with a health workforce crisis, particularly in Africa, and has found that current policies and plans are failing. The number of people being educated and trained is too small to make a difference. This is compounded by the fact that there is little international coordination of effort and, all too often, differential salary scales between public sector, international and private organizations, which drive up costs and lead to movement from the public sector, poor working conditions, and significant international migration of health workers. The situation needs to improve. Traditional approaches will not work – and thousands of people in the poorest countries in the world will continue to suffer unless we implement changes and a better way forward.Yet many leaders in developing countries know what needs to be done. Scaling Up, Saving Lives draws together evidence from countries such as Brazil, Ethiopia and India of what can and has been done practically and effectively to increase the education and training of health workers quickly and on a national scale, by national governments as well as education and training bodies. It sets out the critical success factors and effective strategies for scaling up education and training, based on a review of the evidence. The report also describes the economic background and the decisions that need to be made, and estimates that it will cost an additional US$2.6 billion a year to educate and train 1.5 million additional health workers just in Africa. This is a global problem. Scaling Up, Saving Lives sets out proposals for concerted action on a massive scale – with the international community fully supporting national leaders – to make sure that everyone has access to a suitably trained and motivated health worker as part of a functioning health system, and that:national governments draw up 10-year scale-up plans and implement an immediate and huge increase in community- and mid-level health workers – trained, paid, supervised and able to refer on to more skilled workers –alongside the expansion of education and training for all groups of health workers; education and training curricula are focused on the health needs of the country, are community- and team-based, draw on the resources of the public and private sectors and the skills of international partners, and make greater use of innovative means to increase training capacity, such as information and communication technologies and regional approaches; and development partners and international organizations give strong backing to national scale-up plans, with a big increase in dedicated long-term funding for education and training and much better coordination and cooperation."