Lessons Learnt during the Implementation of WISN for Comprehensive Primary Health Care in India, South Africa and Peru
Autor: | Buyiswa Swaartbooi, Mona Gupta, Seimer Escobedo, Ntombifikile G. Mtshali, Sikhumbuzo A. Mabunda, María Cuzco, Ciro Echegaray, Rohina Joshi, Felipe Peralta, Wezile Chitha, Onke R. Mnyaka, Veronica Bustos, Javier Loayza, Natasha J. Williams, Claudia Ugarte |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Economic growth
Referral Health Toxicology and Mutagenesis patient referral Staffing India Case Report WISN decision making workload health workforce South Africa Technical support Health systems information system Peru health center human skill Health policy Government learning article government public hospital Public Health Environmental and Occupational Health health policy Health workforce primary health care ComputingMilieux_GENERAL Planning health care policy Workforce Community health Workforce planning Medicine Business InformationSystems_MISCELLANEOUS planning health systems |
Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 12541, p 12541 (2021) International Journal of Environmental Research and Public Health |
ISSN: | 1661-7827 1660-4601 |
Popis: | Introduction: The World Health Organization introduced the workload indicators of staffing needs (WISN) in 1998 to improve country-level health workforce planning. This study presents the primary care health workforce planning experiences of India, South Africa and Peru. Methods: A case study approach was used to explore the lessons learnt in the implementation of WISN in India and South Africa. It also describes the methods developed and implemented to estimate health workforce in Peru. We identify the barriers and facilitators faced by countries during the implementation phase through the triangulation of literature, government reports and accounts of involved health planners in the three countries. Results: India implemented WISN in a referral pathway of three district health facilities, including a primary health centre, community health centre and district hospital. Implementation was impeded by limited technical support, poor stakeholder consultation and information systems challenges. South Africa implemented WISN for health workforce planning in primary care and found the skills mix and staff determinations to be unaffordable. The Peruvian Ministry of Health considered using WISN but decided to develop a context-specific tool to estimate the health workforce needed using its available resources such as the National Register of Health Personnel. The main challenge in using WISN was the insufficient information on its inputs. Conclusion: While India and South Africa had unique experiences with the integration of WISN in their health system, none of the countries has yet benefited from the implementation of WISN due to financial, infrastructure and technical challenges. Since the methodology developed by the Peruvian Ministry of Health is context-specific, its implementation has been promising for health workforce planning. The learnings from these countries’ experiences will prove useful in bringing future changes for the health workforce. |
Databáze: | OpenAIRE |
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