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iHTP and human resource needs

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iHTP and human resource needs. Dheepa Rajan, Peter Heimann, Andrei Issakov, World Health Organization, Geneva. iHTP Concept and Methodology. The integrated Healthcare Technology Package (iHTP) is an intervention-based healthcare resource planning tool.

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iHTP and human resource needs

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  1. iHTP and human resource needs Dheepa Rajan, Peter Heimann, Andrei Issakov, World Health Organization, Geneva

  2. iHTP Concept and Methodology The integrated Healthcare Technology Package (iHTP) is an intervention-based healthcare resource planning tool. Resource = Human resource, medical devices, pharmaceuticals, facilities It integrates healthcare needs, disease epidemiology, patient demographics, clinical practice, and technology constraints to define the resource requirements necessary to deliver a defined set of health services

  3. Providing effective and efficient health care involves putting together many resource inputs

  4. iHTP Concept What ? How ? How much ? Medical Equipment Health Package Guidelines Procedure Drugs Inter- ventions Human Resources Facilities

  5. Clinical guidelines • iHTP reference database contains 4500 pre-linked procedurals • Over 300 clinical guidelines (iHTP terminology: scenarios) have been completed and are available on the web; • Scenarios can be adapted to any country situation;

  6. Epidemiological profiles • Population indicators • Coverage rate and hospital admissions • Target indicators (i.e. caesarean rates) can be model to over specific years; • Allows scaling up

  7. Skills and competencies

  8. Drill-down Capability

  9. Examples DRC (district health package) Ukraine (perinatal health package)

  10. Results: Democratic Republic of Congo

  11. Resource planning objectives in DRC • What resources (human resources, equipment, drugs, facilities) are necessary to revitalize a health zone and provide basic health services to the population? • What are the operational costs? • What resources are necessary to scale up health service delivery from the present state? Is the DRC's Health Systems Strengthening Strategy (HSSS) affordable? Key Questions

  12. Scenario development • Mapped by local experts – knowledge transferred • Local norms and standards incorporated • Modifications and adaptations to package made easily

  13. Distribution of costs by resources, 100% coverage

  14. Distribution of costs by resources, 10% coverage

  15. Results: Ukraine

  16. iHTP objectives in Ukraine • Which types and quantities of resources are needed in order to enable the essential perinatal package in the Ukraine • What are the ensuing costs per time interval (e.g. one month or one year). • Validate the iHTP mapped perinatal package against a number of existing facilities. What are the main deviations observed? (e.g. is there a major lack or excess of human resources?) • What are key constraints impeding the implementation of the new standards? Main Secondary

  17. Human resource requirements, Lutsk, Ukraine

  18. Skills and competencies: Midwife in Lutsk, Ukraine

  19. iHTP web support

  20. Merci rajand@who.int

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