The gap in the available literature highlights that the importance of the role of health professionals has apparently been underestimated in determining legitimate initiatives for improving healthcare and health outcomes in low-middle income nations. When documenting key health determinants for a developing country, lack of access to healthcare is included among the characteristics of a weak healthcare infrastructure; other characteristics often include underdeveloped technology and low educational and socioeconomic levels in target populations. Common strategies for strengthening health systems, however, usually only include establishing hospital centers in rural areas, providing patient transportation, and increasing disease awareness and prevention. Very few studies are available regarding the status of current or future health workers, the availability of workers, or the use of training new permanent health workers as a resource to improve access to care. Recently, the trend of a decreasing physician population has been identified as a major concern for healthcare systems around the world. Both developing and developed countries are facing a shortage of doctors and nurses now or in the near future. While developing countries are experiencing a loss of investment in the training of doctors and nurses as they emigrate to practice in high-income countries, there are not enough immigrant doctors to reverse the declining doctor-to-patient ratios also seen in the developed world. higher wages, better working conditions and fewer patients in high-income countries, doctor retention has become a major concern in countries already experiencing low health and medical expenditures. European Association of Development Research and Training Institutes (EADI) VIII General Conference, Vienna September 1996. p. 310. Orubuloye, I, OY Oyeyeye. (1982). “Primary healthcare in developing countries: the case of Nigeria, Sri Lanka and Tanzania”. Soc Sci Med 16:675-686.11. Salsberg, E, A Grover. (2006). “Physician Workforce Shortages: Implications and Issues for Academic Health Centers and Policymakers.” Academic Medicine 81(9): 782-787.12. Withanachchi, N, A Okitsu, et al. (2007). “Resource allocation in public hospitals: is it effective?” Health Policy 80(2): 308-13.13. World Health Organization. "Sri Lanka." World Health Organization. 2012. .14. Prostitute, RS, CM Everett. 2012. “The Contributions of Physician Assistants in Primary Care Systems.” Health and social care in the community 20(1): 20-31.