São Tomé and Príncipe is facing continued pressure to strengthen its health system as the World Health Organization (WHO) warns that a shortage of trained medical professionals remains a major obstacle to delivering quality care.

The warning came from Abdoulaye Diarra, the WHO representative completing his two-year mission in the country. In comments reported by local newspaper Téla Nón on October 17, Diarra called the shortage a persistent weakness and urged authorities to continue expanding the health workforce while improving the quality of services.

During meetings with Foreign Affairs Minister Ilza Amado Vaz and Health Minister Celso Matos in mid-October, Diarra reviewed cooperation in health financing, professional training and diagnostic capacity.

One important achievement highlighted was the training of 39 district medical leaders in leadership, management, planning and monitoring of primary health-care services. Strengthening district-level management can help health facilities organize services and respond more effectively to community needs.

Diarra also stressed the importance of implementing the country's national health financing strategy. A more sustainable financing system could help São Tomé and Príncipe mobilize resources more effectively and gradually reduce dependence on external development partners.

The country has made progress in public health, including efforts to reduce malaria and prevent mother-to-child transmission of HIV. However, the WHO representative said that maintaining these gains will require continued investment, skilled staff and effective coordination.

The challenge now is to turn health-sector progress into dependable care for patients throughout the country. Recruiting and retaining qualified professionals, supporting existing health workers and strengthening diagnostic services will remain important priorities for the national health system.