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Estimated timeline for toolkit implementation

 

STAGE STEP ESTIMATED TIME
Stage 1: Calculate and compare health workforce productivity at health facilities Step 1: List health facilities to compare

1 day

(If HRH and service statistics data are readily available)

 

1-2 weeks

(If HRH and service statistics data need to be collected from facilities)
Step 2: Specify data time period
Step 3a: Identify health services for productivity calculation
Step 3b: Assign service weights
Step 3c: Enter service outputs data
Step 4: Measure health worker inputs
Step 5: Calculate total health workforce productivity
Step 6: Review the productivity dashboard
Step 7: Select facilities to include in the qualitative assessment phase

 

Stage 2: Understand health workforce productivity problems and their possible underlying causes

 Step 1: Understand health facility inefficiencies 1 day
Step 2: Understand health worker absenteeism
Step 3: Understand low patient demand
Stage 3: Conduct qualitative productivity assessment Step 1: Conduct health worker flow mapping

1-4 weeks

(Depends on number of facilities in sample, and size of data collection team)
Step 2: Conduct focus group discussions with community members 
Step 3: Conduct focus group discussions with health workers
Step 4: Record key findings from data collection
Stage 4: Identify potential productivity improvements  Step 1: Discuss assessment findings with stakeholders ½-1 day
Step 2: Identify potential improvement interventions with stakeholders ½-1 day per facility or district
Step 3: Develop action plans for the facility and district levels ½-1 day per facility or district
Stage 5: Monitor progress

Step 1: Monitor progress using the productivity dashboard

 

½-1 day(If HRH and service statistics data are readily available)

1-2 weeks(If HRH and service statistics data need to be collected from facilities)
Step 2: Ensure measures to monitor quality Ongoing