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Human resource assessment for scaling up VL active case detection in Bangladesh, India and Nepal.

Naznin, E, Kroeger, Axel, Siddiqui, N A, Sundar, S, Malaviya, P, Mondal, D, Huda, M M, Das, P, Karki, P, Banjara, M R, Dreesch, N and Gedik, G (2013) 'Human resource assessment for scaling up VL active case detection in Bangladesh, India and Nepal.'. Tropical Medicine & International Health, Vol 18, Issue 6, pp. 734-742.

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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.

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 715 Visceral leishmaniasis
WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 203 Medical personnel. Interns. Staff manuals. Ward manuals and precedent books
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1111/tmi.12124
Depositing User: Rachel Dominguez
Date Deposited: 02 Jun 2014 14:46
Last Modified: 31 Oct 2018 14:25
URI: http://archive.lstmed.ac.uk/id/eprint/3725

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