Approach | Defining Workforce Requirements | Advantages | Disadvantages | Examples | |
---|---|---|---|---|---|
Less data required, but less sensitive to changing population health needs | Workforce-to-population ratios | Benchmarks of workforce density | Straightforward and less data required | Insensitive to changing population health needs | WHO workforce requirements for UHC21 |
Service utilization/ service target approach | Current levels of service utilization, or future targets in service delivery | Simple but requires availability of data on service utilization | Utilization patterns not necessarily an indicator of met demand | Thailand study by Pagaiya et al.22 | |
More data and resources required, but more accurate in estimating need | Health needs approach | Sociodemographic and epidemiological data | More accurate assessment of health needs based on disease burden | Requires more data (e.g., burden of disease) which may not be readily available | Mental health workforce in LMICs23 |
Workload Indicators of Staffing Need | Workload pressure in a health facility against activity standards | Provides a strong basis for health workforce needs up to health facility level | Requires additional capacity and time to perform data collection and analysis | Philippines study by Aytona et al.24 | |
No approach to guide planning; market forces determine health workforce quantity, skill mix, and distribution. |
Abbreviations: LMICs, low- and middle-income countries; UHC, universal health coverage; WHO, World Health Organization.