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Toolkit structure

The toolkit is based on the Health Workforce Productivity Analysis and Improvement Framework which was developed drawing on the authors' practical experiences and a review of the literature (see Introduction for further details).The toolkit covers the following five stages:

Stage 1: Calculate and compare health workforce productivity of health facilities

Using existing service statistics and HRH data, you will calculate and rank total health workforce productivity among comparable health facilities in order to determine which facilities may have a productivity problem.

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

You will examine different types of productivity problems and their underlying or root causes.

Stage 3: Conduct qualitative productivity assessment

You will collect descriptive information at the health facility level using qualitative assessment methodologies in order to analyze productivity problems and their underlying causes.

Stage 4: Identify potential productivity improvements

You will review and consider various interventions to address the underlying causes of low productivity.

Stage 5: Monitor progress

Approximately one year after implementing interventions to improve productivity, you will recalculate and review total health workforce productivity rates to monitor progress at the health facilities while ensuring measures to monitor quality.