Private Doctors’ Offices 4 Total: Healthcare 10 Facilities Retail 02 Pharmacies 5 193 13 19 3 237 7 254 26 22 4 323 04 02 05 46 128 187 Sources: Main Health Indicators 2014, DISER/MS 3-Health Coverage 181. In spite of this good geographical access in healthcare delivery, the effective use of public health services has reduced considerably in recent years. The attendance rate for curative care at public health facilities is low and fluctuated between 29 % and 31% from 2009 to 2013. 182. The continuous deterioration of infrastructure and equipment, shortages and lack of motivation of staff, poor reception, proliferation of street pharmacies, “illegal” clinics (clinics operating without licences), poor quality healthcare and the relatively prohibitive cost of services, including the development of private healthcare are the reasons underlying the poor patronage of public healthcare facilities. 4-Human Resources 183. The total number of human resources in both public and private health sectors increased from 11,154 in 2013 to 13,855 in 2014. This development was achieved due to regional-based competitive entrance examinations that made it possible to recruit 10, 107 health workers in 2014. 184. To this end, the direct care tracer staff3 increased from 3.425 in 2013 to 4.715 in 2014, accounting for 42% of the total number of staff. This situation calls for staff recruitment to be prioritised to that staff numerical strength, which is supposed to be 2/3 of all the human resources in health delivery, falls in line with accepted standards. Table No. 8 : Situation of direct care tracer staff in 2013 and 2014 3 DRH/MS, Year 2014 56