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Country’s healthcare system analysis
National Health Workforce Accounts - Indicators
Table Legend:
Indicators
No.
Indicator
Dimension
Module
Desc.
Indicator value type
Data reporting frequency
Numerator
Denominator
Disaggregation
Definition
Helper Questions
Potential data sources
Indecator Priority
Implementation status
Implementation date
Link
Screen Shot
Assumptions
Data Source
Availability
Mart Name
1
Health worker density
Stock
Module 1 - Active health workforce stock
Density of health workers per 10000 population
Numerical
Annual 📅
Number of health workers, defined in headcounts
Total population
Activity level
Occupation
Calculate the density of health worker by dividing per 10000 population. with respect to
@Activity level
In case of WHO population is estimated.
Health workforce registry or database
Aggregate data from health facilities (routine administrative records, Health Management Information System, District Health Information System census and/or survey)
Professional council/chamber/association registers
Labour force surveys
Population census data
United Nations Statistics Division population data
High 🔴
Complete
is implemented on :
Warehouse + General Authority for Statistics
Yes
2
Health worker density at
@Subnational level
Stock
Module 1 - Active health workforce stock
Density of active health workers per 10000 population at subnational level
Numerical
Annual 📅
Number of active health workers at subnational administrative units, defined in headcounts
Total population at subnational level
Occupation
Total number of active health worker with respect to
@Subnational level
Health workforce registry or database
Aggregate data from health facilities (routine administrative records, Health Management Information System, District Health Information System census and/or survey)
Professional council/chamber/association registers
Population census data
Health facility database (with location)
United Nations Statistics Division population data
High 🔴
Partial
Not on , used the whole active health worker
@Occupation
@Yasir Almutairi
what we view right now id the ratio of specialty per
@Subnational level
What we don’t have that is required by this indicator is that it should calculate density of a specific practitioner specialty to the population of that .They use 10,000 we use 1000. This one is not implemented therefore it is partial.
@Subnational level
@Esraa Madi
Warehouse + General Authority for Statistics
Yes
3
Health worker distribution by
@Age groups
Distribution
Module 1 - Active health workforce stock
Percentage of in different age groups
@Active health worker
Numerical
Annual 📅
Number of active health worker in specific age group
Total number of active health workers, defined in headcounts
Occupation
Percentage of active health workers in the given age groups, by occupation. . with respect to
@Age groups
@Occupation
Health workforce registry or database
Aggregate data from health facilities (routine administrative records, Health Management Information System, District Health Information System census and/or survey)
Professional council/chamber/association registers
Population census data
Health facility database (with location)
United Nations Statistics Division population data
High 🔴
Complete
Warehouse
Yes
4
Female health workforce
Distribution
Module 1 - Active health workforce stock
Percentage of female health workforce
Numerical
Annual 📅
number of activate female health workers
Total number of active male and female health workers, defined in headcounts
Occupation
Percentage of female health workers in active health workforce, by
@Occupation
Health workforce registry or database
Aggregate data from health facilities (routine administrative records, Health Management Information System, District Health Information System census and/or survey)
Labour force surveys
Population census data
High 🔴
Complete
Warehouse
Yes
5
Health worker distribution by
@Facility ownership
Distribution
Module 1 - Active health workforce stock
Percentage of active health workers employed by type of facility ownership
Numerical
Annual 📅
Number of active health workers, defined in headcounts, working in facilities owned by the given institutional sector
Total number of active health workers, defined in headcounts
Occupation
Facility ownership
Calculating percentage of active health workers per with respect to
@Facility ownership
@Occupation
Health workforce registry or database
Aggregate data from health facilities (routine administrative records, Health Management Information System, District Health Information System census and/or survey)
High 🔴
Partial
gov or private,
6
Health worker distribution by
@Facility Type
Distribution
Module 1 - Active health workforce stock
Percentage of active health workers employed by type of facility type
Numerical
Annual 📅
Number of active health workers, defined in headcounts, working in a specific facility type
Total Number of active health workers, defined in headcounts, working in facilities owned by the given institutional sector
Occupation
Percentage of active health workers per with respect to
@Facility Type
@Occupation
Health workforce registry or database
Aggregate data from health facilities (routine administrative records, Health Management Information System, District Health Information System census and/or survey)
High 🔴
Not implemented
if works in ( hospitals or transportation... ) hrsd ISEC
7
Share of
@Foreign-born health worker
Migration
Module 1 - Active health workforce stock
Percentage of active foreign-born health workers
Numerical
Annual 📅
Number of active foreign-born health workers
Total number of active health workers, defined in headcounts
Occupation
This indicator will capture the information on health workforce coming from abroad. with respect to .
@Occupation
Health workforce registry or database
Professional council/chamber/association registers
Health Facility data
Population census data
High 🔴
Partial
from practitioners ( Nationality)
8
Share of
@Foreign-trained health worker
Migration
Module 1 - Active health workforce stock
Percentage of active foreign-trained health workers
Numerical
Annual 📅
Percentage of active foreign-trained health workers in the active health workforce.
Total number of active health workers, defined in headcounts
Occupation
Country of Training
Percentage of active foreign-trained health workers in the active health workforce. with respect to and
@Occupation
@Country of Training
Health workforce registry or database
Professional council/chamber/association registers
Health Facility data
High 🔴
Partial
Partiality implemented as showing a distribution of countries of study without using as an disaggregation.
@Occupation
if prac trained outside and practiced here
9
Share of workers across
@Health and social sectors in ISIC codes
Distribution
Module 1 - Active health workforce stock
Percentage of workers in the health and social sector to total civilen workers
Numerical
Annual 📅
Number of persons working in health or social sector, in headcounts
Total number of persons employed, defined in headcounts
Health and social sectors in ISIC codes
Ratio of the number of persons working in health and social sector to the total number of persons employed in the civilian labour force. Total civilian corresponds to the total labour force excluding armed forces.
Percentage of workers in health and social sectors which defined in
@Health and social sectors in ISIC codes
In case of lack of data on ISIC activities, the ratio between health employment and total civilian employment can be used for approximation.
Labour force surveys
Tax registries, insurance or pension fund registries
Medium 🟠
Not implemented
ISEC to know his activity
1
Master list of
@Accreditation
@Health workforce education and training institution
Applications
Module 2 - Education and Training
Existence of a master list of accredited that is up to date and available in the public domain
@Health workforce education and training institution
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Existence of a master list of accredited health workforce education and training institutions that is up to date and available in the public domain
Labour Bureau, Ministry of Labour and Employment
National Statistical Service
Ministry of Education (Higher Education)
Ministry of Labour and Human Resources
Complete
2
Duration of education and training
Applications
Module 2 - Education and Training
Duration of health workforce education and training, by
@Health workforce education and training programme
Does not mentioned
Annual 📅
Not applicable
Not applicable
Health workforce education and training programme
Duration of health workforce education and training is the number of years required to complete a full curriculum for each health workforce education and training programme.
Ministry of Education (Higher Education)
Education and training institutions
Database on education and training statistics
Complete
3
Applications for education and training
Applications
Module 2 - Education and Training
Ratio of applications for
@Health workforce education and training place
Numerical
Annual 📅
Number of applications for education and training places
Total number of places available
Gender
Health workforce education and training programme
Applications for the first year of a health workforce education and training programme divided by the number of training places for this first year.
Ministry of Education (Higher Education)
Education and training institutions
Database on education and training statistics
Not implemented
4
Ratio of admissions to available places
Admissions
Module 2 - Education and Training
Ratio of admissions in to available places ()
@Health workforce education and training programme
@Health workforce education and training place
Numerical
Annual 📅
Total number of admissions in the first year of a health workforce education and training programme
Total number of places available for the first year of a health workforce education and training programme
Gender
Health workforce education and training programme
Ratio of admissions in health workforce education and training programmes to available places (Enrolment)
Education and training institutions
Database on education and training statistics
Complete
Implemented individually for each type of training programs (matching folder)
5
Ratio of students to qualified educators for education and training
Admissions
Module 2 - Education and Training
Ratio of students enrolled in to in a given year
@Health workforce education and training programme
@Qualified educator
Numerical
Annual 📅
Total number of students enrolled in health workforce education and training programmes in a given year
Total number of qualified educators for health workforce education and training programmes in the same year
Health workforce education and training programme
Ratio of students enrolled in health workforce education and training to qualified educators in a given year, by health workforce education and training programme.
Purpose: To measure the level of human resources input in terms of the number of educators in relation to the size of the student population. The results can be compared to established national norms on the number of students per educator for each health workforce education and training programme.
Education and training institutions
Not implemented
6
Exit / drop-out rate from education and training programmes
Exit / drop out
Module 2 - Education and Training
Rate of students from a cohort exiting a without completion
@Health workforce education and training programme
Numerical
Annual 📅
Number of students from a cohort not completing or repeating a year of a health workforce education and training programme
Number of students from the same cohort who enrolled in a health workforce education and training programme the previous year
Gender
Health workforce education and training programme
Rate of students from a cohort leaving a health workforce education and training programme without completion, by health workforce education and training programme, by sex.
The exact drop-out rate can also be calculated from longitudinal information on students following cohorts of students over several years. If such data are available, the drop-out rate estimated on the most recent complete cohort can be reported.
Education and training institutions
Complete
Is implemented in training folder as drop rate for each level in the training program (we need to check formula is used)
7
rate from education and training programmes
@Graduation
Graduation
Module 2 - Education and Training
Ratio of the number of students graduating from a to the number of students enrolled in first year of the same education and training programme
@Health workforce education and training programme
Numerical
Annual 📅
Number of graduates from a cohort of a health workforce education and training programme
Number of students enrolled in first year of the same health workforce education and training programme
Health workforce education and training programme
This indicator aims to approach the graduation rate using data available on an annual basis. The exact graduation rate can also be calculated from longitudinal information on students following cohorts of students. If such data are available, the graduation rate estimated from the most recent complete cohort can be reported.
Education and training institutions
Complete
Is implemented in training folder (we need to check formula is used)
Standards on the duration and content of Training
Regulations
Module 3 - Education and training regulation and accreditation
Existence of National Health Standards for training and education
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Is there a list of mandatory requirement for a trainee to have to be accepted as a trainee. Such as age, professional certifications, voluntary work hours
Requirements on Training hours to be completed, and set of skills to be acquired upon completing the training.
Ministry of Health
Ministry of Education (Higher Education)
Complete
There is a list that mandate each applicant for a training must meet, Such as professional certification, hours of voluntaries, courses, etc.
No Data Source Required
for training centers and their programes
@Accreditation mechanisms
Accreditations
Module 3 - Education and training regulation and accreditation
Existence of national or of for training center and their programs
@Subnational level
@Accreditation mechanisms
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Are there a mandatory list of accreditation to be met by the training center to be qualified and accreted.
Is the list mandatory? Is there an optionally list ?
Ministry of Health
Ministry of Education (Higher Education)
National accreditation authorities
Legitimate bodies, statuary corporations
Professional council/chamber/association registers
Complete
There are accreditation required to be matched by the training center, And includes: mandadutarary, Optionally.
A training center could have a scoring strength of for instant 90% based on mandauary accreditation while not implementing the optionally but still get accredited
No Data Source Required
Standards for
@Social accountability
Accreditations
Module 3 - Education and training regulation and accreditation
Existence of national and/or subnational standards for in accreditation mechanisms (Yes/No/Partly)
@Social accountability
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Did Social accountability been considered in developing the list of accreditation?
Is there a role of the civic society, councils in the making of these regulations and criteria.
Ministry of Health
Ministry of Education (Higher Education)
Partial
The accreditation list is being developed by considering the needs of the community [population].
There is no role of civic society in defining or participating in developing accreditation list.
No Data Source Required
Standards for how is effectively implemented
@Social accountability
Accreditations
Module 3 - Education and training regulation and accreditation
National and/or subnational standards for in accreditation mechanisms are effectively implemented (Yes/No/Partly
@Social accountability
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Is there a mandatory report requested upon the training center to question on how well the accreditation criteria are implemented.
Are the trainee are being trained on the same population that the training center is meant to serve.
Ministry of Health
National accreditation authorities
Professional council/chamber/association registers
Legitimate bodies, statuary corporations
Not implemented
Based on my inquiry there is no direct civilian [public] influence in making the accreditations and evaluating it. However it is worth pointing out that the WHO states scientific committees as part of the public, in our case they are under SCFHS umbrella.
No Data Source Required
Standards for
@Social determinants of Health
Accreditations
Module 3 - Education and training regulation and accreditation
Exitence of these standards either national or in
@Subnational level
@Accreditation mechanisms
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Do we measure the performance of training centers on the community that training center is meant to serve?
Ministry of Health
Legitimate bodies, statuary corporations
Professional council/chamber/association registers
National accreditation authorities
Complete
Training Centers do not provide there own curricula, Curricula is developed and passed on from SCFHS and its scientific committees, They may open programs based on the need of the population health needs, There are circumstances were a training center may request to provide training on a very specialized program.
No Data Source Required
Standards for interprofessional standards
Accreditations
Module 3 - Education and training regulation and accreditation
existence of these standards either at national or
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Are there standards on ensuring practitioners share knowledge an experience in either training and during practicing.
Ministry of Health
Legitimate bodies, statuary corporations
Professional council/chamber/association registers
National accreditation authorities
Complete
It is mandatory as part of training to work under consultants which provided the needs of Knowledge transfer.
No Data Source Required
Agreement on accreditation standards
Accreditations
Module 3 - Education and training regulation and accreditation
The existence of cooperation between regulators and training institutes
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Health workforce education and training programme
Existence of cooperation between regulators ( SCFHS, and its committees ) with training centers regarding issuing accreditations standards?
Ministry of Health
Legitimate bodies, statuary corporations
Professional council/chamber/association registers
National accreditation authorities
Complete
Yes, SCFHS and it’s commities works along with other training centers before mandating regulations on accrediting a training center.
No Data Source Required
continuing professional development
Life long learning
Module 3 - Education and training regulation and accreditation
Is there standards for implementing
@Life long learning
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Occupation
Are there standards on ensuring the practitioners continual training upon completing mandatory courses that cover variety of skills such as technical, behavioral skills?
Ministry of Health
Legitimate bodies, statuary corporations
Professional council/chamber/association registers
National accreditation authorities
Complete
It is mandatory to be licensed as a practitioners to pursue further knowledge and training, even after completing a training/residency in a training center
No Data Source Required
@In-service training
Life long learning
Module 3 - Education and training regulation and accreditation
Existence of as part of national plan to train health workforce.
@In-service training
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Occupation
Are there standards that takes into account that the practitioner enroll in training programs while being actively in health workforce. In-service training
Ministry of Health
Professional council/chamber/association registers
National accreditation authorities
Legitimate bodies, statuary corporations
Complete
There is a mandatory plan on on-going training.
No Data Source Required
1
on
@Total public health expenditure
@Higher education
Financing of higher education
Module 4 - Education finances
Total expenditure on higher health education
Numerical
Annual 📅
Not applicable
Not applicable
public/private (OoP/ODA/other)
Total expenditure on higher education, by public and private sources.
Ministry of Finance
Ministry of Health
Ministry of Education (Higher Education)
National Bureau of Statistics – Government financial statistics departments
National Education Accounts
Not implemented
2
@Total public expenditure on health workforce education
Financing of higher education
Module 4 - Education finances
Total expenditure on health workforce (current and capital)
@Pre-service education
Numerical
Annual 📅
Not applicable
Not applicable
public/private (OoP/ODA/other)
Education here refers to and does not include .
@Pre-service education
@In-service training
Calculation method: divide on health workforce education in a given financial year by the gross national income of the country for the corresponding year and multiply by 100.
@Total public health expenditure
Ministry of Finance
Ministry of Health
Ministry of Education (Higher Education)
National Bureau of Statistics – Government financial statistics departments
National Education Accounts
Not implemented
3
Average per student
@Tuition fee
Financing of higher education
Module 4 - Education finances
Average per student per year in health workforce education and training
@Tuition fee
@Enrolled / Enrolment
Numerical
Annual 📅
Total paid by students in for a given year
@Tuition fee
@Enrolled / Enrolment
@Health workforce education and training programme
Total number of students paying enrolled in for a given year
@Tuition fee
@Health workforce education and training programme
Health workforce education and training programme
on Average per in health workforce education and training per year, by
@Tuition fee
@Student
@Enrolled / Enrolment
@Health workforce education and training programme
This computation should exclude students exonerated from paying tuition fees.
Ministry of Education (Higher Education)
Ministry of Finance
Education and training institutions
Database on education and training statistics
Not implemented
4
Investment in and training
@Transformative (health workforce) education
Investment
Module 4 - Education finances
Investment in and training
@Transformative (health workforce) education
Yes/No/Partly
Annual 📅
Not applicable
Not applicable
Not applicable
Existence of national health workforce strategies and national institutional financing reforms that identify and commit adequate budgetary resources for investment in transformative education.
Has a mechanism been established and/or supported to increase sustainable financing for expanding and transforming the health workforce?
Do national health workforce strategies and institutional financing reforms identify and commit, respectively, adequate funding for investment in the International Health Regulations core capacities, including skills development of national and international health workers in humanitarian settings and public health emergencies?
Is guidance available on financing lifelong learning systems that can strengthen priority health and social workforce cadres (including community-based health workers), and achieve integrated people- centred care?
Ministry of Defence
Ministry of Finance
Ministry of Health
Ministry of Education (Higher Education)
National Bureau of Statistics – Government financial statistics departments
National Education Accounts
National Health Accounts
Not implemented
5
per
@Total public expenditure on health workforce education
@Graduate
Education expenditure
Module 4 - Education finances
Expenditure per in
@Graduate
@Enrolled / Enrolment
@Health workforce education and training programme
Numerical
Annual 📅
@Total public expenditure on health workforce education
Total number of graduates from
@Health workforce education and training programme
Health workforce education and training programme
Institution ownership
Expenditure on health workforce education per graduate, by health workforce education and training programme, by institution ownership (public or private).
Ministry of Defence
Ministry of Finance
Ministry of Health
Ministry of Education (Higher Education)
National Bureau of Statistics – Government financial statistics departments
National Education Accounts
National Health Accounts
Not implemented
6
per of medical specialist education programmes
@Cost
@Graduate
Education expenditure
Module 4 - Education finances
Recurrent costs of specialist medical education per graduate
Numerical
Annual 📅
Total cost of specialist medical education
Number of graduates from medical specialist programmes
public/private (OoP/ODA/other)
Specialty
Recurrent costs of education per graduate, by occupation, and by institutional sector. Specialties follow the OECD/Eurostat/WHO-EURO Joint Questionnaire list of medical specialties.
Ministry of Finance
Ministry of Education (Higher Education)
Database on education and training statistics
Education and training institutions
Not implemented
7
Cost of qualified educators per graduate
Education expenditure
Module 4 - Education finances
Cost of qualified educators per graduate
Numerical
Annual 📅
Total recurrent costs of qualified educators
Total number of graduates from
@Health workforce education and training programme
Health workforce education and training programme
Cost of qualified educators per , by
@Graduate
@Health workforce education and training programme
Ministry of Finance
Ministry of Education (Higher Education)
Database on education and training statistics
Education and training institutions
Not implemented
8
Total expenditure on and
@In-service training
@Continuing professional development
Life long learning
Module 4 - Education finances
Total expenditure on and
@In-service training
@Continuing professional development
Does not mentioned
Annual 📅
Not applicable
Not applicable
Occupation
public/private (OoP/ODA/other)
Total expenditure on and
@In-service training
@Continuing professional development
Ministry of Defence
Ministry of Finance
Ministry of Health
Ministry of Education (Higher Education)
National Bureau of Statistics – Government financial statistics departments
National Education Accounts
National Health Accounts
Not implemented
1
s starting to practice within one year.
@Graduate
Entry into labour market
Module 5 - Health labour market flows
Ratio of previous year graduates who started practice to total number of previous year graduates
Numerical
Annual 📅
Total of graduates who started practicing within one year
Total graduates of previous year
Occupation
Gender
Ratio of starting to practice after one year from graduating to total number of graduates by .
@Graduates
@Occupation
Physicians who starts internship/residency training are included in the list of graduates who practice within a year.
Database on graduates of education and training programmes (individual or aggregate data)
Health workforce registry or database
Professional council/chamber/association registers
Not implemented
Warehouse + Ministry Of Education
Yes - Partially
2
Replenishment rate from domestic efforts
Entry into labour market
Module 5 - Health labour market flows
Ratio of as to total stock of
@Newly active health worker
@Domestic trained health worker
@Active health worker
Numerical
Annual 📅
Number of newly active
@Domestic trained health worker
Total number of , defined in headcounts
@Active health worker
Occupation
Gender
In case data are available only for newly licensed health workers, the total number of licensed health workers should be used as denominator regardless of availability of data on . Only domestic trained health workers should be included. Health workers who started their activity after a temporary leave should also be counted. For total number of active health workers, data at the middle or the end of the reference year should be used.
@Active health worker
Ministry of Health
Health workforce registry or database
Professional council/chamber/association registers
Health Facility data
Not implemented
Warehouse + Ministry Of Education
Yes - Partially
3
Entry rate for foreign health workers
Entry into labour market
Module 5 - Health labour market flows
Percentage of to total stock of
@Newly active health worker
@Foreign-trained health worker
@Active health worker
Numerical
Annual 📅
Number of newly active foreign-trained health workers (in the given year)
Total number of , defined in headcounts
@Active health worker
Occupation
Gender
In the event data are only available on newly licensed health workers, the total number of licensed health workers should be used as denominator regardless of availability of data on active health workers. In the absence of data on , the number of starting practice can be used. For the total number of active health workers, data at the middle or the end of the year should be used
@Foreign-trained health worker
@Foreign-born health worker
Ministry of Health
Health workforce registry or database
Professional council/chamber/association registers
Not implemented
Warehouse
Yes
4
Voluntary exit rate from health labour market
Exit from labour market
Module 5 - Health labour market flows
Ratio of voluntarily leaving the health sector labour market to total stock of active health workers
@Active health worker
Numerical
Annual 📅
Number of health workers who became inactive in the health sector labour market due to emigration, temporary leave, change of sector, early retirement or other voluntary reason (in the given year)
Total number of active health workers, defined in headcounts
Occupation
Gender
For the total number of active health workers, data at the end of the previous year should be used. Only early retirement should be considered as voluntary exit; retirement at standard age is to be counted in the
@Involuntary exit rate from health labour market
Ministry of Health
Health workforce registry or database
Professional council/chamber/association registers
Not implemented
Warehouse + HRSD
Yes - Partially
5
Involuntary exit rate from health labour market
Exit from labour market
Module 5 - Health labour market flows
Ratio of involuntarily leaving the health sector labour market to total stock of active health workers, by occupation, by sex
@Active health worker
Numerical
Annual 📅
Number of health workers who became inactive in the health sector labour market due to death, retirement (excluding early retirement), suspension from work, long-term illness or other involuntary reason (in the given year)
Total number of active health workers, defined in headcounts
Occupation
Gender
For total number of , data at the end of the previous year should be used. Retirement only includes workers stopping their activity at the standard age of retirement. Early retirement is excluded from this indicator and should be counted in the
@Active health worker
@Voluntary exit rate from health labour market
Ministry of Health
Health workforce registry or database
Professional council/chamber/association registers
Data from pension and/or retirement administration units
Mortality records
Not implemented
Warehouse + HRSD
Yes - Partially
6
@Unemployment rate
Labour market imbalances
Module 5 - Health labour market flows
Unemployment rate
Numerical
Annual 📅
Number of trained health workers currently unemployed
Total number of in the labour force and unemployed health workers
@Active health worker
Occupation
Subnational level
Gender
New graduates not in activity should also be included in unemployment rate. For unemployed persons, occupation refers to the last job they held for which they are qualified. If information on the “last job held” is missing, the “occupation in which the jobseeker is seeking work” can be used.
Population census data
Labour force surveys
National Health Accounts
Statistics from employment offices
Not implemented
Warehouse
Yes
7
@Job vacancy rate
Labour market imbalances
Module 5 - Health labour market flows
Ratio of all unfilled posts to all health care posts.
Numerical
Annual 📅
Number of funded full-time posts that have not been filled for at least six months, which employers are actively trying to fill [Hiring opportunities and labour force needs]
Total number of funded full-time posts (filled and unfilled)
Occupation
Subnational level
Ratio of unfilled posts to total number of posts, by occupation and by subnational level.
Labour force surveys
Health Facility surveys
Employment offices and/or job agencies
Not implemented
Warehouse
Yes
1
Standard working hours
Working time
Module 6 - Employment characteristics and working conditions
Number of standard working hours per week as per national law/standards
Numerical
Every three years 3️⃣
Not applicable
Not applicable
Occupation
National level
Report standard working hours at national level, and disaggregate by occupation if regulations on standard working hours vary by occupation.
Collective agreements
Employment laws, policies and regulations
Not implemented
2
Health workers with a contract
@Part-time employment
Working time
Module 6 - Employment characteristics and working conditions
Percentage of employed health workers with a part-time contract
Numerical
Annual 📅
Number of who have an employment contract that is below the national standard working hours, defined in headcounts
@Active health worker
Total number of , defined in headcounts
@Active health worker
Occupation
Facility ownership
Ratio of employed health workers with a part-time contract to the total health workforce.
Labour force surveys
Health workforce registry or database
Health Facility data
Not implemented
3
Regulation on working hours and conditions
Decent Work
Module 6 - Employment characteristics and working conditions
Existence of national/ policies/laws regulating working hours and conditions
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Occupation
The maximum number of working days allowed per week?
The premium for night work, for work on a weekly rest day, for overtime work (as a percentage of hourly pay)?
Whether non-pregnant and non-nursing women can work the same night hours as men?
Whether there are restrictions on night work, overtime or holiday work?
The average paid annual leave for workers with 1, 5 and 10 years of tenure?
Whether regulations, laws or policies differ according to employment status?
Employment laws, policies and regulations
Not implemented
4
Regulation on minimum wage
Decent Work
Module 6 - Employment characteristics and working conditions
Existence of national/ policies/laws regulating minimum wage
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Not applicable
Are health workers eligible to receive a minimal wage according to national/subnational laws?
Employment laws, policies and regulations
5
Regulation on social protection
Decent Work
Module 6 - Employment characteristics and working conditions
Existence of national/ policies/laws regulating social protection
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Not applicable
Is there a national policy or programme regarding maternity leave or pregnancy leave?
Is there a national policy or programme regarding parental leave?
Is there a national policy or programme regarding childcare support?
Is there a national policy or programme regarding leave entitlements to care for sick family members?
Is there a national policy or programme regarding leave entitlements for in-service training and continuing professional development?
Employment laws, policies and regulations
Social security records
Not implemented
6
Health worker
@Status in employment
Labour market characteristics
Module 6 - Employment characteristics and working conditions
Percentage of active health workers who are self-employed
Numerical
Annual 📅
Number of who are self-employed, defined in headcounts
@Active health worker
Total number of active health workers, defined in headcounts
Occupation
Health workforce registry or database
Health Facility data
Labour force surveys
Public service human resources and payroll administrations
Not implemented
7
Regulation on dual practice
Labour market characteristics
Module 6 - Employment characteristics and working conditions
Existence of national/ policies/laws regulating dual practice
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Not applicable
Is there a national policy or programme regarding health workers working in a public service provision role and a role external to public services, i.e. in a completely separate private environment?
Is there a national policy or programme regarding health workers working in a public service provision role and a parallel role, i.e. in a private ward or clinic physically associated with a public facility but run as a separate business?
Is there a national policy or programme regarding health workers working in a public service provision role and another role within the public service, i.e. where private services are offered inside a public facility but outside public service operating hours or space?
Employment laws, policies and regulations
Not implemented
8
Regulation on compulsory service
Labour market characteristics
Module 6 - Employment characteristics and working conditions
Existence of national/ policies/laws regulating compulsory service
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Not applicable
Is there a national policy or programme regarding condition of service/state employment programmes for health workers?
Is there a national policy or programme regarding compulsory service with incentives for health workers?
Is there a national policy or programme regarding compulsory service without incentives for health workers?
Employment laws, policies and regulations
Not implemented
9
Measures to prevent attacks on health workers
Working conditions
Module 6 - Employment characteristics and working conditions
Existence of national/ policies/laws for prevention of attacks on health workers
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Not applicable
This indicator is measured by capability questions on governmental measures to prevent incidents where staff are abused, threatened or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being or health.
Has the government and its competent authorities requested the collection of information and statistical data on the spread, causes and consequences of workplace violence?
Has the government and its competent authorities encouraged the inclusion of provisions to reduce and eliminate workplace violence in national, sectoral and workplace/enterprise agreements?
Has the government and its competent authorities revised labour laws and other legislation and introduced special legislation where necessary, and ensured the enforcement of such legislation?
Has the government and its competent authorities promoted the participation of all parties concerned with such policies and plans?
Has the government and its competent authorities made the reduction/elimination of workplace violence in the health sector an essential part of national/regional/local policies and plans on occupational health and safety, human rights protection, economic sustainability, enterprise development and gender equality?
Government or legislative records
Not implemented
10
Attacks on health-care system
Working conditions
Module 6 - Employment characteristics and working conditions
Number of attacks on health-care system in the past 12 months
Numerical
Annual 📅
Not applicable
Not applicable
Primary object of attack
Number of attacks on health-care system in the past 12 months, by primary object of attack:
For health-care providers and patients, both components of physical and psychological attacks should be considered as follows:
Labour force surveys
ILO/ICN/WHO/PSI Workplace Violence in the Health Sector: Survey Questionnaire
Police records
Not implemented
1
@Total expenditure on the health workforce
Health workforce expenditure
Module 7 - Health workforce spending and remuneration
Total expenditure on health workforce
Numerical
Annual 📅
Not applicable
Not applicable
Facility ownership
Ministry of Finance
Ministry of Health
National Statistical Service
Income tax data
Not implemented
2
Total on health workforce
@Official development assistance
Health workforce expenditure
Module 7 - Health workforce spending and remuneration
Total incoming financial support received from official development assistance allocated to health workforce
Numerical
Annual 📅
Not applicable
Not applicable
Not applicable
Total incoming financial support received from official development assistance, including scholarships and grants allocated to the health workforce, not only for wages but also salaries, training, and social protection
Ministry of Finance
Ministry of Health
National Statistical Service
Not implemented
3
Total expenditure on compensation of health workers
Health workforce Remuneration
Module 7 - Health workforce spending and remuneration
Numerical
Annual 📅
Not applicable
Not applicable
Health-care financing scheme
Total expenditure on compensation of health workers by
@Health-care financing scheme
Ministry of Finance
Ministry of Health
National Statistical Service
Income tax data
Labour force surveys
Public service human resources and payroll administrations
Specific health worker surveys
Public/social health insurance
Not implemented
4
on compensation of health workers
@Public expenditure
Health workforce Remuneration
Module 7 - Health workforce spending and remuneration
Numerical
Annual 📅
Not applicable
Not applicable
Compensation of employees
Expenditure on compensation of health workers from the public sector disaggregated by wages and salaries of employees, social contributions, and all others costs related to employees
Ministry of Finance
Ministry of Health
National Statistical Service
Income tax data
Labour force surveys
Public service human resources and payroll administrations
Specific health worker surveys
Public/social health insurance
Not implemented
5
Entry-level wages and salaries
Health workforce Remuneration
Module 7 - Health workforce spending and remuneration
Average entry-level wage and salary excluding social contributions
Numerical
Annual 📅
Not applicable
Not applicable
Facility ownership
Occupation
Average wage or salary received by health workers when entering the labour market, excluding social contributions. Disaggregation by facility ownership is suggested to distinguish between public versus private wages and salaries.
@Active health worker
Ministry of Finance
Ministry of Health
National Statistical Service
Income tax data
Labour force surveys
Public service human resources and payroll administrations
Specific health worker surveys
Public/social health insurance
Not implemented
6
Policies on public sector wage ceilings
Health workforce Remuneration
Module 7 - Health workforce spending and remuneration
Existence of national/ policies or standards on public sector wage ceilings
@Subnational level
Yes/No/Partly
Every three years 3️⃣
Not applicable
Not applicable
Not applicable
Such policies would generally be applicable not only to the health sector, but to the whole public sector.
Employment laws, policies and regulations
Not implemented
7
Gender wage gap
Decent Work
Module 7 - Health workforce spending and remuneration
Numerical
Annual 📅
Difference between median earnings of men and women
Median earnings of men
Occupation
Gender
Status in employment
The gender wage gap is the unadjusted difference between median earnings of men and women relative to median earnings of men. Data refer to full-time employees and to the self-employed.
Ministry of Finance
Ministry of Health
National Statistical Service
Income tax data
Labour force surveys
Public service human resources and payroll administrations
Specific health worker surveys
Public/social health insurance
Not implemented
Percentage of health workforce working in hospitals
Sectoral workforce composition
Module 8 - Skill-mix composition for models of care
Numerical
Annual 📅
Health workforce working in hospitals
All health workforce headcounts
Not applicable
Ratio of health workers working in hospital.
Labour force surveys
Health workforce registry or database
Warehouse + HRSD
Yes - Partially
Percentage of health workforce working in residential long-term care facilities
Sectoral workforce composition
Module 8 - Skill-mix composition for models of care
Numerical
Annual 📅
Health workers working in long-term care facilities
All health workers headcounts
Not applicable
Ratio of health workers working in long-term care facilities over all health workers.
Labour force surveys
Health workforce registry or database
Warehouse + HRSD + Hospitals Data( NGHA)
Yes - Partially - Not yet
Percentage of health workforce working in ambulatory health care
Sectoral workforce composition
Module 8 - Skill-mix composition for models of care
Numerical
Annual 📅
Health workers working in ambulatory health care
All health workers headcounts.
Not applicable
Ratio of health care workers in ambulatory care facilities to all health care workers
Labour force surveys
Health workforce registry or database
Warehouse + HRSD + Hospitals Data( NGHA)
Yes - Partially - Not yet
Specialist surgical workforce
Skill Distribution
Module 8 - Skill-mix composition for models of care
Numerical
Annual 📅
Surgical specialists workers heacounts
Total population
Not applicable
Density of surgical specialists workers per 100,000 population
Labour force surveys
Health workforce registry or database
Population census data
National medical specialist registries or databases
Warehouse
Yes
Family Medicine Practitioners
Skill Distribution
Module 8 - Skill-mix composition for models of care
Numerical
Annual 📅
Family medicine practitioners headcounts
Total Population
Not applicable
Density of family medicine practitioners per 100,000 populations
Labour force surveys
Health workforce registry or database
National medical specialist registries or databases
Warehouse
Yes
Existence of advanced nursing roles
Skill Distribution
Module 8 - Skill-mix composition for models of care
Yes/No/Partly
Every three years 3️⃣
not applicable
not applicable
Not applicable
Is there a commonly accepted definition for “nurse practitioner”.
Are other accepted definitions of nurse practitioners working in advanced roles.
Are there a formal requirements on being qualified to be a nurse practitioners. Qualification. Training. etc.
Are there methods implemented for nurses on the job to train an acquire advanced roles.
Survey among country experts or informants
Policy and strategic documents of governments and competent authorities
No Data Source Required
Availability of human resources to implement the International Health Regulations
International Health Regulation capacity
Module 8 - Skill-mix composition for models of care
None/Limited/Developed/Demonstrated/Sustainable
Every three years 3️⃣
not applicable
not applicable
Not applicable
This indicator could be measured to the following:
@No capacity
@Limited Capacity
@Developed Capacity
@Sustainable capacity
Ministry of Health
Public Health institutions
No Data Source Required
Applied epidemiology training programme
International Health Regulation capacity
Module 8 - Skill-mix composition for models of care
Existence of standards of training in Applied epidemiology training programme. to None: none existent, Limited, etc.
None/Limited/Developed/Demonstrated/Sustainable
Every three years 3️⃣
not applicable
not applicable
Not applicable
This indicator could be measured to the following:
@No capacity
@Limited Capacity
@Developed Capacity
@Sustainable capacity
Ministry of Health
Public Health institutions
Education and training institutions
No Data Source Required
Mechanisms to coordinate an intersectoral health workforce agenda
Governance
Module 9 - Governance and health workforce policies
Existence of national or bodies to coordinate the intersectoral health workforce agenda.
@Subnational level
Yes/No/Partly
Every three years 3️⃣
not applicable
not applicable
Not applicable
Are there coordination system or mechanism for intersectoral health workforce agenda?
Are stakeholders involved in defining agenda such as ( ministries, committees, etc. ) in intersectoral health workforce agenda
Ministry of Health
Institutions or units responsible for policies on health workforce
Subnational level of ministries of health
Relevant ministries according to the national government structure and constitutional arrangements
No Data Source Required
Centeral health workforce
Governance
Module 9 - Governance and health workforce policies
Yes/No/Partly
Every three years 3️⃣
not applicable
not applicable
Not applicable
Are there functions to monitor health workforce policies?
Are there coordination between relevant ministries on intersectoral health workforce?
Ministry of Health
Subnational level of ministries of health
Institutions or units responsible for policies on health workforce
Relevant ministries according to the national government structure and constitutional arrangements
No Data Source Required
Health workforce planning processes
Governance
Module 9 - Governance and health workforce policies
Existence of policies in defining health workforce planning processes
Yes/No/Partly
Every three years 3️⃣
not applicable
not applicable
Not applicable
Are there clear objectives defined in the health care workforce planning ?
Ministry of Health
Regional ministries of health
Institutions or units responsible for policies on health workforce
No Data Source Required
Education plans aligned with national health plan
Health workforce policies
Module 9 - Governance and health workforce policies
Yes/No/Partly
Every three years 3️⃣
not applicable
not applicable
Not applicable
Are the health workforce plan in sync with needs of the population and the labour market.
Do accreted training centers offer courses for on the implementation and monitoring of all health workforce standards and policies.
Ministry of Health
Ministry of Education (Higher Education)
Ministry of Labour and Human Resources
Education and training institutions
Institutional models for assessing health care staffing needs
Health workforce policies
Module 9 - Governance and health workforce policies
Yes/No/Partly
Every three years 3️⃣
not applicable
not applicable
Not applicable
The existence of mechanism or a body responsible for determining the number of health workforce workers in a particular occupation to effectively meets the needs of health services?
Ministry of Health
Regional ministries of health
Institutions or units responsible for policies on health workforce
Health Facility data
for reporting on
@HRHIS
@IHR
HRHIS for international reporting
Module 10 - Health workforce information systems
Ability of HRHIS to generate information to report on International Health Regulations
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
Ministry of Health
Regional ministries of health
Professional council/chamber/association registers
Institutions or units responsible for policies on health workforce
Ministry of Labour and Human Resources
National Statistical Service
for WHO Code of Practice reporting
@HRHIS
HRHIS for international reporting
Module 10 - Health workforce information systems
Ability of to generate information to report on implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
National Focal Point for WHO Code of Practice
Institutions or units responsible for policies on health workforce
Ministry of Labour and Human Resources
National Statistical Service
for reporting on skill attendance and birth requirements
@HRHIS
HRHIS for international reporting
Module 10 - Health workforce information systems
Ability of to generate information to report on skill attendance and birth requirements.
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
Ministry of Health
Regional ministries of health
Professional council/chamber/association registers
Institutions or units responsible for policies on health workforce
Ministry of Labour and Human Resources
National Statistical Service
for reporting on outputs from education and training institutions.
@HRHIS
HRHIS to track HWF
Module 10 - Health workforce information systems
ability of to generate information on the outputs of education and training institutions.
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
Is there a master list of accredited education and training institutes t National level ?
If yes, is the list geocoded?
Does this master list update regularly?
Do education and training center records graduates by sex?
Ministry of Health
Regional ministries of health
Institutions or units responsible for policies on health workforce
Ministry of Labour and Human Resources
National Statistical Service
for tracking the number of entrants to the labour market
@HRHIS
HRHIS to track HWF
Module 10 - Health workforce information systems
ability of to generate information on the number of entrants to the labour market
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
Is there a system that provides information on the health workforce?
Does the system that provides information on health workforce also provides information on inflows to labour force?
Regional ministries of health
Ministry of Health
Institutions or units responsible for policies on health workforce
Institutes collecting data on labour force
for tracking the number of active stock on the labour market
@HRHIS
HRHIS to track HWF
Module 10 - Health workforce information systems
ability of to generate information on the stock of health labour market.
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
Is there a system that provides information on the health workforce?
Does this system provides information on the stock of health labour workforce?
Regional ministries of health
Ministry of Health
Institutions or units responsible for policies on health workforce
Institutes collecting data on labour force
for tracking the number of exits from the labour market
@HRHIS
HRHIS to track HWF
Module 10 - Health workforce information systems
ability of to generate information on the number of exits from the labour market.
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
Is there a system that provides information on the health workforce?
Does the system that provides information on health workforce also provides information on inflows to labour force?
Regional ministries of health
Ministry of Health
Institutions or units responsible for policies on health workforce
Institutes collecting data on labour force
for producing the geocoded location of health facilities
@HRHIS
HRHIS to track HWF
Module 10 - Health workforce information systems
ability of to generate information on geocoded location of health facilities
@HRHIS
Yes/No/Partly
Annual 📅
not applicable
not applicable
Not applicable
This indicator is related to module 1 indicators with Distribution as dimension.
Is there a system that provides information on health workforce with geocoded data, and last activity?
Ministry of Health
Regional ministries of health
Institutes collecting data on labour force
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