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Background Many competencies frameworks exist worldwide and it is well known that competence-based education supports employability. However, little research exists regarding public health graduates' employment outcomes. This paper aims to stir the discussion about the expectations of the global health employment market and the competencies, which should be developed in graduates of public health programs with global orientation. Methods Material from in three different studies is used, including a systematic review of public health competency frameworks, scoping review of employment outcomes of students earning public health degrees, and analysis of 16 years' worth job postings with focus on competencies related to climate change. Results Employers currently value competencies, such as the knowledge of climate mitigation/adaptation, climate-health justice, direct/indirect and downstream effects of climate on health, health impact assessment, risk assessment, pollution-health consequences and causes, Geographic Information System (GIS) mapping, communication/writing, finance/economics, policy analysis, systems thinking, and interdisciplinarity. Conclusions The public health workforce needs to be equipped with the capabilities which trespass disciplines, professional silos and paradigms in order to be effective and able to address multiple challenges and global disruptions including climate change, as well as to lead through insecure contexts. More systematic research is needed on tracking the employment outcomes of the global health workforce, which may help to adapt public health competencies frameworks and education programs to the changing demands of the global health employment market.

Public health competencies in global health education and demand of the global health labour market