ArticleHealth services insights2022
Assessment of Staffing Needs for Frontline Health Workers in Selected Maternal and Child Health Services in 3 Countries of Sub-Saharan West Africa: Cote d'Ivoire, Burkina Faso, and Niger.
Article in Health services insights, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Knowledge, attitude, and practices on gestational weight gain among pregnant women, partners, female household members, and healthcare providers: a mixed-method study in Tanzania.BMC pregnancy and childbirth · 2026Article
- A decision-tree model to evaluate the impacts of workforce investments aimed at strengthening emergency obstetric and neonatal care (EmONC) facilities in Burundi.Cost effectiveness and resource allocation : C/E · 2026Article
- Core competency gaps among Somalia's disease surveillance workforce: a cross-sectional study.The Pan African medical journal · 2026Article
- Comparative perceptions of wait times for family planning services among contraceptive users and mystery clients in Kisumu, Kenya: a mixed methods analysis.BMC health services research · 2025Article
- To what extent are maternal and child health, family planning, and nutrition policies supporting integrated service delivery in Burkina Faso, Côte d'Ivoire, and Niger?Archives of public health = Archives belges de sante publique · 2025Article
- "We help people change harmful norms": Working with key opinion leaders to influence MNCH+N behaviors in Nigeria.PloS one · 2024Article
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10 authors.
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Abstract
Sub-Saharan African countries health systems are generally faced with shortages and inequitable distribution of qualified health workers. The application of provider-population ratio or fixed staff establishments, not considering variation in workload, given contextual variations in service utilization rates, cannot adequately match the human resource needs of different health facilities. The Workload Indicators of Staffing Need (WISN) method uses workload to determine staffing needs in a given facility. The aim of this study was to assess the current workload and staffing needs of maternal and child health services in 12 primary healthcare facilities from Burkina Faso, Niger, and Cote d'Ivoire. We employed the WISN methodology, using document reviews, in-depth interviews with health providers, and observations, to obtain the data needed for estimating the required number of staff in a given facility. Then, we calculated both the WISN difference (current-required staff), and the WISN ratio (current staff/required staff). Using the WISN ratio, we assessed the work pressure that health workers experience. The results showed a shortage of health workers in most services in Cote d'Ivoire and Niger (WISN ratio <1), in contrast to Burkina Faso where services were either adequately staffed or overstaffed (WISN ratio ⩾1). The workload pressure was generally high or very high in Cote d'Ivoire, while in Niger, it was very high in maternity services but rather low in dispensary ones. There was also a geographic discrepancy in health workers staffing, rural areas services being more understaffed, with a higher workload pressure as compared to urban areas ones. This study results strengthens the body of knowledge on the shortage of health workforce in sub-Saharan Africa French speaking countries. Policies and strategies to increase students training capacities and the application of regular WISN studies for a better staff distribution are necessary to address the human resource needs of health facilities in these countries.
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