While HRH density is one indicator to assess the availability of health workers, another important consideration is the distribution of health workers within a country. More than half the world's population lives in rural areas, but fewer than one-quarter of doctors work there.
In many cases, health workers leave jobs in locations perceived as less desirable, accessible, or safe for more desirable ones (WHO, 2018b). This results in high concentrations of health workers in some parts of the world and other areas with deficient concentrations of health workers.
People living in rural, remote, and underserved areas have a harder time accessing health care delivered by skilled workers. Health workforce maldistribution results in geographic inequities in health (WHO, 2012c).