Health costs are spiralling out of control all over the world in context of global financial crisis while some countries are still struggling to offer basic health services. The health sector in Sub-Saharan Africa is most often unfunded, including the health workforce, which represents the single largest item in health budgets. On the other hand, countries do not meet the minimum health staffing levels to provide essential care.Ministries of Finance and Health need to jointly identify and allocate additional financial resources - for HRH - to maximize the efficiency and effectiveness of current capital and recurrent expenditures