2015-07-30-世界卫生组织-Conducting_a_Sexual,_Reproductive,_Maternal,_Newborn_and_Adolescent_Health_Workforce_Assessment_63页_1mb

Sexual, Reproductive, Maternal, Newborn and Adolescent Health Workforce Assessment: A Handbook

Introduction

• Purpose: Assess the availability, accessibility, acceptability, and quality (AAAQ) of SRMNAH workforce to support evidence-based policy for universal access to essential SRMNAH services.
• Framework: Uses Tanahashi framework (Availability, Accessibility, Acceptability, Quality) based on WHO's Effective Coverage concept.
• Process: Three-phase approach: Preparation (desk review, national assessment team), Population of Core Data Set (field data collection per modules), and Data Analysis & Synthesis (impact modeling, policy options).

Key Modules (6 Sections)

1. Country Context & Population Health Status

• Collect demographic, health status, and SRMNAH service utilization data (e.g., population, TFR, maternal mortality, essential interventions coverage).

2. SRMNAH Workforce Status & Care Needs

• Define stock, skill-mix, facility roles, and EMONC availability (Basic vs Comprehensive).
• Map essential SRMNAH interventions delivery (Figure 2).

3. Policy & Regulatory Context

• Ensure alignment with PMNCH/WHO essential interventions, curricula, and quality standards.
• Check for integrated financing, human resource policies, and legislation.

4. Financing

• Examine budget allocations, salary structures, public-private funding, training costs, and health financing reforms alignment.

5. Supply Analysis

• Inventory workforce density (per capita, per birth), geographic distribution, attrition rates, skill mix, and employment trends.

6. Labour Market & Education/Pipelines

• Analyze secondary education pathways, admission rates, faculty capacity, and employment variables (e.g., salaries, incentives, deployment mechanisms).

Outputs & Impact

• Core Data: Tables and matrices mapping gaps in workforce AAAQ.
• Policy Options: Scenarios to address shortages, recommendations for financing mechanisms and skill-mix adjustments.
• Stakeholder Engagement: Ensures alignment with national health strategies and social protection floors.

Phased Approach

1. Desk Review: Policies, regulations, existing reports.
2. Field Data: Client experiences, service availability, workforce characteristics, education/outcomes.
3. Analysis & Planning: Compare stock/demand, identify equity/gender gaps, propose costed strategies.

Supporting Framework

• Partnership: UNFPA, WHO, World Bank, GHWA.
• Methods: Multi-criteria decision analysis (MCDA), workforce modeling tools, ethical considerations for data collection.

Target Users

Ministries of Health, HRH departments, educational institutions, civil society, development partners, ensuring universal health coverage.