Universidad Peruana Cayetano Heredia

Lessons learnt during the implementation of WISN for comprehensive primary health care in India, South Africa and Peru

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dc.contributor.author Mabunda, S.A.
dc.contributor.author Gupta, M.
dc.contributor.author Chitha, W.W.
dc.contributor.author Mtshali, N.G.
dc.contributor.author Ugarte, Claudia
dc.contributor.author Echegaray, C.
dc.contributor.author Cuzco, M.
dc.contributor.author Loayza, J.
dc.contributor.author Peralta, F.
dc.contributor.author Escobedo, S.
dc.contributor.author Bustos, V.
dc.contributor.author Mnyaka, O.R.
dc.contributor.author Swaartbooi, B.
dc.contributor.author Williams, N.
dc.contributor.author Joshi, R.
dc.date.accessioned 2021-12-12T20:24:55Z
dc.date.available 2021-12-12T20:24:55Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/10222
dc.description.abstract 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 en_US
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartofseries International Journal of Environmental Research and Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject article en_US
dc.subject decision making en_US
dc.subject Decision making en_US
dc.subject government en_US
dc.subject health care policy en_US
dc.subject health center en_US
dc.subject Health policy en_US
dc.subject Health systems en_US
dc.subject health workforce en_US
dc.subject Health workforce en_US
dc.subject human en_US
dc.subject India en_US
dc.subject information system en_US
dc.subject learning en_US
dc.subject patient referral en_US
dc.subject Peru en_US
dc.subject Planning en_US
dc.subject primary health care en_US
dc.subject public hospital en_US
dc.subject skill en_US
dc.subject South Africa en_US
dc.subject WISN en_US
dc.subject workload en_US
dc.title Lessons learnt during the implementation of WISN for comprehensive primary health care in India, South Africa and Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.3390/ijerph182312541
dc.relation.issn 1660-4601


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