|
HRH-related constraints and possible variables to measure constraints |
||
| Constraint |
Possible indicator |
Data availability and potential source |
|
|
||
| Individual characteristics |
||
| Gender |
Proportion of women in the workforce by skill level |
MoH statistical data and/or workforce census |
| Social class and ethnicity of staff |
Representation of health workers from minority groups |
MoH statistical data and/or workforce census |
| Demand for medical training |
Number of applicants per training position |
Medical training institutions |
| Disease |
HIV/AIDS prevalence rates among health workers |
MoH statistical data and/or surveys |
| Health service level |
||
| Team building and interaction |
Number of team meetings and supervisions |
Survey |
| Surpluses, shortages and skill mix at health service level |
Proportion of health staff working in correctly staffed services |
MoH statistical data and/or surveys |
| Physical working environment |
Proportion of health staff working in correctly equipped services |
MoH statistical data and/or surveys |
| Health sector level |
||
| Salary level and monetary incentives |
Salary grids in absolute terms |
MoH and/or MoF statistical data |
| Performance management and productivity |
Existence of frameworks for managing the collection and use of performance evidence (including carrier plans) |
MoH policy documents surveys on productivity |
| Composition of workforce and skill mix |
Shortages or surpluses of staff in particular occupations or professions / Appropriately skilled workers for addressing priority diseases (e.g. HIV/AIDS, malaria, TB) |
MoH statistical data and/or workforce census |
| Geographical imbalances |
Distribution of appropriately skilled workers across regions |
MoH statistical data and/or workforce census |
| Retention policy |
Existence of retention policy |
MoH policy documents |
| Health sector reform |
Improvements in performance and responsiveness to adjust staff roles |
Surveys |
| HRH policy and planning |
Planning of future HRH availability and requirements |
MoH policy documents |
| Training capacities |
||
| Training |
Number of trainees per skill level |
Medical training institutions |
| Retraining |
Number of re-trainees per skill level |
Continuous medical training institutions |
| Socio-political and economic context of a country |
||
| Multisectoral approaches |
Quality of exchange among different interest groups and ministries |
Policy documents and/or complementary assessments |
| Migration |
Number of health staff migrating |
MoH statistical data and/or workforce census |
| Governance and overall policy framework |
Political stability, priority attached to social sectors, decentralization, civil service rules, etc. |
Policy documents and/or complementary assessments |
Wyss Human Resources for Health 2004 2:11 doi:10.1186/1478-4491-2-11 |
||