ABSTRACT
OBJECTIVES: To determine whether medical staff at PHC level would have the time to take up additional activities such as 1-day fever camps for active VL case detection. METHODS: This article assessed the workload of health staff of different professional categories working at health facilities in Bangladesh, India and Nepal. Data were collected from different sites in high endemic VL areas. The study population was the health staff of government health facilities at all levels. Workload indicators of staffing need (WISN) software were adopted to carry out the analysis of staff workload and their availability in the selected health facility. The WISN difference and WISN ratio for a particular health facility were calculated from actual staffing available and calculated staffing requirement. RESULTS: The results showed a mixed picture of the availability of health workers. In most settings of Bangladesh and India, physicians with or without laboratory technicians would have time for active case detection. In Nepal, this would be performed by trained nurses and paramedical personnel. CONCLUSION: If all vacant posts were filled, active case detection could be performed more easily. The elimination programme can be scaled up with the current staffing levels in the endemic areas with some short training if and when necessary.
Subject(s)
Health Personnel/organization & administration , Health Services Needs and Demand/organization & administration , Leishmaniasis, Visceral/diagnosis , Workload/standards , Bangladesh , Health Personnel/standards , Health Services Needs and Demand/standards , Humans , India , Nepal , Primary Health Care/organization & administration , Primary Health Care/standardsABSTRACT
The organizational procedures in clinics run by the United Nations Relief and Works Agency for Palestine Refugees in the Near East were studied using the technique of patient flow analysis. As a result it proved possible to diminish patients' waiting times and increase the efficiency of health care providers.
