WHO | Dec 2007 iHTP and human resource needs Dheepa Rajan, Peter Heimann, Andrei Issakov, World...
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WHO | Dec 2007 iHTP and human resource needs Dheepa Rajan, Peter Heimann, Andrei Issakov, World Health Organization, Geneva
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Transcript of WHO | Dec 2007 iHTP and human resource needs Dheepa Rajan, Peter Heimann, Andrei Issakov, World...
WHO | Dec 2007
iHTP and human resource needsiHTP and human resource needs
Dheepa Rajan, Peter Heimann, Andrei Issakov,World Health Organization, Geneva
WHO | Dec 2007
iHTP Concept and MethodologyiHTP Concept and Methodology
The integrated Healthcare Technology Package (iHTP) is an intervention-based healthcare resource planning tool.
Resource = Human resource, medical devices, Resource = Human resource, medical devices, pharmaceuticals, facilitiespharmaceuticals, facilities
It integrates healthcare needs, disease epidemiology, patient demographics, clinical practice, and technology constraints to define the resource requirements necessary to deliver a defined set of health services
WHO | Dec 2007
Providing effective and efficient health care involves putting together many resource inputs
Providing effective and efficient health care involves putting together many resource inputs
WHO | Dec 2007
iHTP ConceptiHTP Concept
Medical Equipment
Drugs
HumanResources
Facilities
What ?
Guidelines
Inter-ventions
How ?
HealthPackage
How much ?
Procedure
WHO | Dec 2007
Clinical guidelinesClinical guidelines
iHTP reference database contains 4500 pre-linked procedurals
Over 300 clinical guidelines (iHTP terminology: scenarios) have been completed and are available on the web;
Scenarios can be adapted to any country situation;
WHO | Dec 2007
Epidemiological profilesEpidemiological profiles
Population indicators Coverage rate and
hospital admissions Target indicators (i.e.
caesarean rates) can be model to over specific years;
Allows scaling up
WHO | Dec 2007
Skills and competenciesSkills and competencies
WHO | Dec 2007
Drill-down CapabilityDrill-down Capability
WHO | Dec 2007
ExamplesDRC (district health package)
Ukraine (perinatal health package)
ExamplesDRC (district health package)
Ukraine (perinatal health package)
WHO | Dec 2007
Results: Democratic Republic of CongoResults: Democratic Republic of Congo
WHO | Dec 2007
Resource planning objectives in DRC
Resource planning objectives in DRC
• What resources (human resources, equipment, drugs, facilities) are necessary to revitalize a health zone and provide basic health services to the population?
• What are the operational costs?
• What resources are necessary to scale up health service delivery from the present state?
Key Q
uesti
on
sIs the DRC's Health Systems Strengthening Strategy
(HSSS) affordable?
WHO | Dec 2007
Scenario development Scenario development
• Mapped by local experts – knowledge transferred
• Local norms and standards incorporated
• Modifications and adaptations to package made easily
WHO | Dec 2007
Distribution of costs by resources, 100% coverage
Distribution of costs by resources, 100% coverage
WHO | Dec 2007
Distribution of costs by resources, 10% coverage
Distribution of costs by resources, 10% coverage
WHO | Dec 2007
HR work load (days) at 100% coverage, DRC
1324
1995
1034
494618
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Age
nt d
em
aint
enan
ce
Cha
uffe
ur
Infir
mie
r A1
Infir
mie
r A2
Rec
eptio
nnis
te
Tech
nici
enLa
bo A
2
No.
of d
ays
WHO | Dec 2007
HR work load (days) at 75% coverage, DRC
922
1049
548
259 232
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Agent
de
main
tenance
Chauff
eur
Infirm
ier
A1
Infirm
ier
A2
Receptionnis
te
Technic
ien
Labo A
2
No
. o
f d
ays
WHO | Dec 2007
HR work load (days) at 50% coverage, DRC
922
701
372
173 155
0
200
400
600
800
1000
1200
1400
1600
1800
2000
Agent
de
main
tenance
Chauff
eur
Infirm
ier
A1
Infirm
ier
A2
Receptionnis
te
Technic
ien
Labo A
2
No
. o
f d
ays
WHO | Dec 2007
Results: UkraineResults: Ukraine
WHO | Dec 2007
iHTP objectives in UkraineiHTP objectives in Ukraine
Which types and quantities of resources are needed in order to enable the essential perinatal package in the Ukraine
What are the ensuing costs per time interval (e.g. one month or one year).
Validate the iHTP mapped perinatal package against a number of existing facilities. What are the main deviations observed? (e.g. is there a major lack or excess of human resources?)
What are key constraints impeding the implementation of the new standards?
Main
Secon
dary
WHO | Dec 2007
Human resource requirements, Lutsk, Ukraine
Human resource requirements, Lutsk, Ukraine
WHO | Dec 2007
Skills and competencies: Midwife in Lutsk, UkraineSkills and competencies: Midwife in Lutsk, Ukraine
WHO | Dec 2007
WHO | Dec 2007
iHTP web supportiHTP web support
