Estimación de personal necesario para los Servicios de Atención Integral (SAI) utilizando la metodología WISN

The project aims to empower healthcare workers to better serve communities in need. IntraHealth promotes local relationships to address challenges related to healthcare service provision, including improving healthcare worker performance, strengthening healthcare systems, using technology, and establishing partnerships. The primary objective of this project is to support the Dominican Republic's Ministry of Public Health (MSP) in reorienting and strengthening human resource management systems to create an environment that fosters effective healthcare worker performance. Human resource management systems are defined as the integrated use of systems, policies, and practices required to execute functions necessary for planning, training, utilizing, managing, capacitating, and supporting healthcare workers. The MSP has made progress in establishing an effective human resource management system for healthcare, including developing job descriptions for doctors, nurses, bioanalysts, and supply chain personnel, defining the organizational structure of human resources units and hospital operational structures, and implementing a human resources information system. Additionally, the MSP is working on measuring healthcare worker performance using a tool that evaluates competencies and measures contributions to institutional outcomes through a set of indicators. A significant challenge remains to be addressed: developing a personnel allocation policy, which is currently under construction with the project's support. For the final phase of this policy, a consultant or consultant is required to estimate the quantity of personnel needed to respond to the growing demand for SAI and related services using validated workload standards. The objectives of this consultancy are to estimate the personnel needed for the SAI services supported by PEPFAR. To achieve these objectives, the consultancy conducted a series of meetings at the CapacityPlus office. A first meeting with the Wisn team was held on August 29, 2016, to present the Wisn methodology and define which SAI services would be included, as well as identify the necessary statistics for projecting services and how they are generated. The SAI services agreed upon were: Centro Sanitario, Lotes y Servicios, Hospital Ricardo Limardo, Hospital Francisco Gonzalvo, Clínica de la Familia, La Romana, Instituto de Estudios Virológico, CEPROSH, Puerto Plata, Juan XXIII, Santiago, and COIN. A workshop titled "Building the Standards of Activities of the SAI" was held on August 30, 2016, with the participation of professionals from the SAI (doctors, psychologists, nurses, social workers, and counselors) to define which health services, support, and additional activities would be included, as well as the available working time of SAI professionals, information necessary and relevant for defining workload standards, and inputs needed for applying the Wisn methodology. Visits were made to the different SAI services identified to learn about their functioning, identify the systems of records of the activities they perform, and verify the availability of collecting information from the Tuberculosis, Family Planning, HIV, and Laboratory programs. These visits were accompanied by Dr. Lina José and Dr. Héctor Eusebio Polanco from the Wisn team of CapacityPlus. The SAI services visited were: Sanitario de Santo Domingo, Programa Nacional de Tuberculosis (PNCT) del Ministerio de Salud Pública, Centro de Atención Integral COIN, SAI Hospital Francisco Gonzalvo, La Romana, SAI Hospital Ricardo Limardo, SAI CEPROSH, Puerto Plata, SAI Juan XXIII, Santiago, and SAI Lotes y Servicios. Six continuous monitoring and evaluation meetings were held at the CapacityPlus office, coordinated by Licda. Gisela Quiterio Benítez, Senior Technical Advisor. The consultancy prepared the formats of tables to compile the information on the volume of different types of services offered by the SAI, TB, Family Planning, and Clinical Laboratory. With the information collected during the visits to the different SAI services and provided by the CapacityPlus management, an analysis of the trends of the available years (2013-2016) was performed, and three evaluation hypotheses for future services from 2016 to 2020 were formulated. The hypotheses were based on the assumptions of geometric growth, arithmetic growth, or linear growth, and a growth rate of 5% or 10% for the SAI services with respect to the last available year. The consultancy also calculated the geometric growth rate, also known as compound interest, which is a rate of return that takes into account the effect of compounding on an investment over time. The geometric growth rate is calculated using the formula: A = P (1 + r)^n, where A is the future value of the investment, P is the present value, r is the interest rate, and n is the number of periods. The consultancy used the geometric growth rate to estimate the future demand for SAI services, assuming a growth rate of 5% or 10% per year. The results of the analysis were presented in