Since doctors and nurses receive relatively high incomes, they can create demand for various types of goods and services that are available locally. To respond to this challenge, their policymakers will have to find ways to stimulate employment creation. In addition, GDP growth rates in the current decade have so far been lower than in the previous decade, and forecasts suggest that this is likely to continue over the next three to five years. Since employment creation was inadequate even in the 2000s, the LDC employment challenge in the present decade is even more overwhelming. The framework is based on the recognition that employment creation without the development of productive capacities is not sustainable. These elements are: the investment-growth-employment nexus, enterprise development and technological change, and the three-pronged approach to employment creation.