Background
Measuring workforce requirements
Purpose of this research
Methods
Study setting
Data collection
Demand calculations
What components are included in community health services?
How much time does it take to deliver each service unit?
Step 1: determining the standard service protocols
Categories | Types | Workload (minutes) | Mean EV |
---|---|---|---|
Essential medical services | Single clinic visit | 15.00 | 1.00 |
Emergency (per visit) | 37.50 | 2.50 | |
Single home visit | 60.00 | 4.00 | |
Inpatient bed day | 90.00 | 6.00 | |
Rehabilitation clinic (per outpatient visit) | 40.00 | 2.67 | |
Nursing services | Intravenous injection | 5.00 | 0.33 |
Intravenous infusion | 12.00 | 0.80 | |
Intravenous injection, venous blood | 7.00 | 0.47 | |
Catheterization | 20.00 | 1.33 | |
Providing prescription (Western medicine) | 3.00 | 0.20 | |
Pharmacy service | Dispensing a prescription (per prescription) | 12.50 | 0.83 |
Advanced pharmacy work, including detailed dosage calculations (per prescription) | 75.00 | 5.00 | |
Auxiliary examination service | Rapid blood sugar test | 3.00 | 0.20 |
Blood, urine, feces test (per test) | 13.00 | 0.87 | |
Biochemical test (per test) | 30.00 | 2.00 | |
Electrocardiogram (per test) | 5.00 | 0.33 | |
B-mode ultrasonography (per test) | 15.00 | 1.00 | |
Public health service | Health record management service (per person year) | 50.00 | 3.33 |
Health education service (per month) | 1400.00 | 93.33 | |
Health services for children aged 0 to 36 months (per person year) | 106.67 | 7.11 | |
Maternal health services (per person year) | 296.00 | 19.73 | |
Older people’s health services (per person year) | 70.00 | 4.67 | |
Immunizations (per visit) | 26.55 | 1.77 | |
Patients with hypertension (per person year) | 310.00 | 20.67 | |
Patients with type II diabetes (per person year) | 310.00 | 20.67 | |
Patients with severe mental illness (per person year) | 510.00 | 34.00 |
Step 2: calculating the workload indicator and the EV of each CHS
What is the total workload required to serve the study population, by staff group?
Supply calculations
Gap and surplus calculations
Results
Staffing sample CHCs
Demand calculations
Categories | Demand (EVs) | Percentage |
---|---|---|
Basic medical services | 4 556 299.2 | 26.5 |
Nursing services | 710 181.84 | 4.1 |
Pharmacy services | 1 271 402.8 | 7.1 |
Auxiliary examinations | 257 315.52 | 1.5 |
Public health services | 8 819 343.5 | 51.3 |
Other servicesa | 1 561 454.3 | 10.0 |
Total | 17 175 997 | 100 |
Supply calculations
No. of community health professionals on the job (a) | Total demand in EV for CHS (b) | Total supply in EV for CHS (c = a × 6000) | Gap/surplus in EV (d = c − b) | No. of additional professionals required (6000 EVs per year per FTE employee) (d/6000) | Ratio (e = c/b) | |
---|---|---|---|---|---|---|
Basic medical services | 695 | 4 556 299.23 | 4 170 000 | −386 299 | 64 | 0.92 |
Nursing services | 519 | 3 355 984.89 | 3 114 000 | −241 985 | 40 | 0.93 |
Public health services | 276 | 6 173 540.45 | 1 656 000 | −4 517 540 | 753 | 0.27 |
Other servicesa | 262 | 1 528 718.36 | 1 572 000 | 43 282 | 7 (surplus) | 1.03 |
Total | 1752 | 15 614 543 | 10 512 000 | −5 102 543 | 850 | 0.67 |