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iHTP and human resource needs

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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