Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method

This article was published in The BMJ Open [ © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-035183 The Journal's website is at: https://bmjopen.bmj.com/content/10/2/e03518...

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Principais autores:	Joarder, Taufique, Bente Kamal Tune, Samiun Nazrin, Nuruzzaman, Md, Alam, Sabina, de Oliveira Cruz, Valeria, Zapata, Tomas
Outros Autores:	Brac James P. Grant School of Public Health
Formato:	Journal Article
Idioma:	en_US
Publicado em:	BMJ Journals 2022
Assuntos:	Health policy Health services administration & management Human resource management Public health
Acesso em linha:	http://hdl.handle.net/10361/16578 http://dx.doi.org/10.1136/bmjopen-2019-035183

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spelling	10361-165782022-05-09T21:01:29Z Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method Joarder, Taufique Bente Kamal Tune, Samiun Nazrin Nuruzzaman, Md Alam, Sabina de Oliveira Cruz, Valeria Zapata, Tomas Brac James P. Grant School of Public Health Health policy Health services administration & management Human resource management Public health This article was published in The BMJ Open [ © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-035183 The Journal's website is at: https://bmjopen.bmj.com/content/10/2/e035183 Objective This study aimed to assess the current workload and staffing need of physicians and nurses for delivering optimum healthcare services at the Upazila Health Complexes (UpHCs) in Bangladesh. Design Mixed-methods, combining qualitative (eg, document reviews, key informant interviews, in-depth interviews, observations) and quantitative methods (timemotion survey). Setting Study was conducted in 24 health facilities of Bangladesh. However, UpHCs being the nucleus of primary healthcare in Bangladesh, this manuscript limits itself to reporting the findings from the providers at four UpHCs under this project. Participants 18 physicians and 51 nurses, males and females. Primary outcome measures Workload components were defined based on inputs from five experts, refined by nine service providers. Using WHO Workload Indicator of Staffing Need (WISN) software, standard workload, category allowance factor, individual allowance factor, total required number of staff, WISN difference and WISN ratio were calculated. Results Physicians have very high (WISN ratio 0.43) and nurse high (WISN ratio 0.69) workload pressure. 50% of nurses’ time are occupied with support activities, instead of nursing care. There are different workloads among the same staff category in different health facilities. If only the vacant posts are filled, the workload is reduced. In fact, sanctioned number of physicians and nurses is more than actual need. Conclusions It is evident that high workload pressures prevail for physicians and nurses at the UpHCs. This reveals high demand for these health workforces in the respective subdistricts. WISN method can aid the policy-makers in optimising utilisation of existing human resources. Therefore, the government should adopt flexible health workforce planning and recruitment policy to manage the patient load and disease burden. WISN should, thus, be incorporated as a planning tool for health managers. There should be a regular review of health workforce management decisions, and these should be amended based on periodic reviews. Published 2022-05-09T04:38:01Z 2022-05-09T04:38:01Z 2020 2020-02-13 Journal Article Joarder, T., Tune, S. N. B. K., Nuruzzaman, M., Alam, S., De Oliveira Cruz, V., & Zapata, T. (2020). Assessment of staffing needs for physicians and nurses at upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method. BMJ Open, 10(2) doi:10.1136/bmjopen-2019-035183 http://hdl.handle.net/10361/16578 http://dx.doi.org/10.1136/bmjopen-2019-035183 en_US https://bmjopen.bmj.com/content/10/2/e035183 BMJ Open application/pdf BMJ Journals
institution	Brac University
collection	Institutional Repository
language	en_US
topic	Health policy Health services administration & management Human resource management Public health
spellingShingle	Health policy Health services administration & management Human resource management Public health Joarder, Taufique Bente Kamal Tune, Samiun Nazrin Nuruzzaman, Md Alam, Sabina de Oliveira Cruz, Valeria Zapata, Tomas Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method
description	This article was published in The BMJ Open [ © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2019-035183 The Journal's website is at: https://bmjopen.bmj.com/content/10/2/e035183
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Joarder, Taufique Bente Kamal Tune, Samiun Nazrin Nuruzzaman, Md Alam, Sabina de Oliveira Cruz, Valeria Zapata, Tomas
format	Journal Article
author	Joarder, Taufique Bente Kamal Tune, Samiun Nazrin Nuruzzaman, Md Alam, Sabina de Oliveira Cruz, Valeria Zapata, Tomas
author_sort	Joarder, Taufique
title	Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method
title_short	Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method
title_full	Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method
title_fullStr	Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method
title_full_unstemmed	Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method
title_sort	assessment of staffing needs for physicians and nurses at upazila health complexes in bangladesh using who workload indicators of staffing need (wisn) method
publisher	BMJ Journals
publishDate	2022
url	http://hdl.handle.net/10361/16578 http://dx.doi.org/10.1136/bmjopen-2019-035183
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Assessment of staffing needs for physicians and nurses at Upazila health complexes in Bangladesh using WHO workload indicators of staffing need (WISN) method

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