Assessment of Staffing Needs for Frontline Health Workers in Selected Maternal and Child Health Services in 3 Countries of Sub-Saharan West Africa: Cote d'Ivoire, Burkina Faso, and Niger.

Autor:	Kpebo D; Public Health Department, Felix Houphouet Boigny University, Abidjan, Côte d'Ivoire.; African Institute of Public Health, Ouagadougou, Burkina Faso., Ly A; Institut de recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso., Yameogo WME; African Institute of Public Health, Ouagadougou, Burkina Faso., Bijou S; Intrahealth International, Chapel Hill, NC, USA., Bertrand Ivlabèhirè M; Institut de recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso., Tougri H; Institut de recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso., Ndour M; Intrahealth International, Chapel Hill, NC, USA., Tetchi O; Public Health Department, Felix Houphouet Boigny University, Abidjan, Côte d'Ivoire., Sablé SP; Public Health Department, Felix Houphouet Boigny University, Abidjan, Côte d'Ivoire., Kouanda S; African Institute of Public Health, Ouagadougou, Burkina Faso.; Institut de recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso.
Jazyk:	angličtina
Zdroj:	Health services insights [Health Serv Insights] 2022 Dec 21; Vol. 15, pp. 11786329221139417. Date of Electronic Publication: 2022 Dec 21 (Print Publication: 2022).
DOI:	10.1177/11786329221139417
Abstrakt:	Sub-Saharan African countries health systems are generally faced with shortages and inequitable distribution of qualified health workers. The application of provider-population ratio or fixed staff establishments, not considering variation in workload, given contextual variations in service utilization rates, cannot adequately match the human resource needs of different health facilities. The Workload Indicators of Staffing Need (WISN) method uses workload to determine staffing needs in a given facility. The aim of this study was to assess the current workload and staffing needs of maternal and child health services in 12 primary healthcare facilities from Burkina Faso, Niger, and Cote d'Ivoire. We employed the WISN methodology, using document reviews, in-depth interviews with health providers, and observations, to obtain the data needed for estimating the required number of staff in a given facility. Then, we calculated both the WISN difference (current-required staff), and the WISN ratio (current staff/required staff). Using the WISN ratio, we assessed the work pressure that health workers experience. The results showed a shortage of health workers in most services in Cote d'Ivoire and Niger (WISN ratio <1), in contrast to Burkina Faso where services were either adequately staffed or overstaffed (WISN ratio ⩾1). The workload pressure was generally high or very high in Cote d'Ivoire, while in Niger, it was very high in maternity services but rather low in dispensary ones. There was also a geographic discrepancy in health workers staffing, rural areas services being more understaffed, with a higher workload pressure as compared to urban areas ones. This study results strengthens the body of knowledge on the shortage of health workforce in sub-Saharan Africa French speaking countries. Policies and strategies to increase students training capacities and the application of regular WISN studies for a better staff distribution are necessary to address the human resource needs of health facilities in these countries. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022.)
Databáze:	MEDLINE
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