Evaluation of the Adequacy between the Workload and the Number of State Midwives and Maieuticians Practicing in the Gynecology-Obstetrics Departments of the University Hospitals of Burkina Faso
Objective: To evaluate the adequacy between the workload and the number of midwives
and state midwives practicing in the gynecology-obstetrics services of the
university hospitals of Burkina Faso. Methodology: This is a multicenter
study conducted in 4 university hospitals representing this country (for
brevity referred here to as A, B, C, and D) from May 1, 2018, to April 30,
2019. The Workload Indicators of Staffing Need (WISN) method was used to
analyze the workload. Results: Dystocic delivery was the activity that
took the most time. Inpatient activities were the most performed in terms of
volume. At the University Hospitals D and C, there was an over-staffing of
midwives and ma？euticians with a ratio of 1.93 and 2.12 respectively. At
University Hospital B, the workload was in line with the existing number of
State midwives and maieuticians. A low workload pressure (04%) was found at the
University Hospital A. Conclusion: In most of the University Hospital
Centers, there was no match between the workload and the number of midwives and
ma？euticians. These results highlight the need forredeplayment of midwives and ma？euticians in order
to ensure good health coverage for midwives and ma？euticians.
References
[1]
World Health Organization (WHO) (2016) Human Resources for Health: Global Strategy to 2030. Health Workforce Department, World Health Organization, Geneva, 58 p.
[2]
Govule, P., Mugisha, J.F., Katongole, S.P., Maniple, E., Nanyingi, M. and Onzima, R.A. (2015) Application of Workload Indicators of Staffing Needs (WISN) in Determining Health Workers’ Requirements for Mityana General Hospital, Uganda. International Journal of Public Health Research, 3, 254-263.
[3]
Musau, P., Nyongesa, P., Shikhule, A., Birech, E., Kirui, D., Njenga, M., Mbiti, D., Bett, A., Lagat, L. and Kiilu, K. (2008) Workload Indicators of Staffing Need Method in Determining Optimal Staffing Levels at Moi Teaching and Referal Hospital. East African Medical Journal, 85, 232-239. https://doi.org/10.4314/eamj.v85i5.9617
[4]
Ly, A., Kouanda, S. and Ridde, V. (2014) Nursing and Midwife Staffing Needs in Maternity Wards in Burkina Faso Referral Hospitals. Human Resources For Health, 12, Article No. S8. https://doi.org/10.1186/1478-4491-12-S1-S8
[5]
N’Guessan, K.B. (2020) Determination of the Need for Doctors, Midwives and Nurses in the Maternity Department in Level III Public Health Establishments in Senegal Using the WISN Tool: The Case of the Principal Hospital of Dakar. MBA Thesis, Center Africain d’Etude Supérieure en Gestion CESAG, Dakar, 94 p.
[6]
Namaganda, G., Oketcho, V., Maniple, E. and Viadro, C. (2015) Making the Transition to Workload-Based Staffing: Using the Workload Indicators of Staffing Need Method in Uganda. Human Resources for Health, 13, Article No. 89.
https://doi.org/10.1186/s12960-015-0066-7
[7]
McQuide, P.A., Kolehmainen-Aitken, R.-L. and Forster, N. (2013) Applying the Workload Indicators of Staffing Need (WISN) Method in Namibia: Challenges and Implications for Human Resources for Health Policy. Human Resources for Health, 11, Article No. 64. https://doi.org/10.1186/1478-4491-11-64
[8]
World Health Organization (WHO) (2017) Indicators of Health Workforce Needs in Relation to Workload (WISN): The Experience of Implementation in Several Countries, WHO, Geneva, 44 p
[9]
Shivam, S., Roy, R.N., Dasgupta, S., Bhattacharyya, D.K., Misra, R.N., Roy, S. and Saha, I. (2014) Nursing Personnel Planning for Rural Hospitals in Burdwan District, West Bengal, India, Using Workload Indicators of Staffing Needs. Journal of Health, Population and Nutrition, 32, 658-664.
[10]
Das, S., Manna, N., Datta, M., Sengupta, D., Samsuzzaman, M., Baur, B. and Mundle, M. (2008) A Study to Calculate the Nursing Staff Requirement for the Maternity Ward of Medical College Hospital, Kolkata Applying WISN Method. Journal of Dental and Medical Sciences, 8, 1-7. https://doi.org/10.9790/0853-0830107
