Retargeting Health Workers


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We will now run through an example of how to use the information from this retargeting example in Bangladesh to redistribute health workers according to need and current coverage. Assume: High coverage of health workers means 5 hw/district and Low coverage of health workers means 1 hw/district.

Please note that the assumptions below are hypothetical and that health worker staff numbers and high versus low coverage definitions will have to be developed using information specific to the program area.

Add in a 'number of health workers' column using the above assumption (i.e. the lower left hand cell is 'high' coverage = 5 health workers - because 5 districts fall in this category the total number of health workers is 5 x 5 = 25)

wpeD.jpg (8141 bytes)

The purpose of this is to re-distribute health workers so that zero districts have high diarrhea and low coverage (i.e. make all high diarrhea prevalence/low coverage areas into high coverage areas by re-distributing from low diarrhea prevalence/high coverage areas). Re-distribution of health workers is shown below.

wpeE.jpg (13526 bytes)

 

wpeF.jpg (11523 bytes)

Note that the addition of 56 health workers to the 14 districts in the upper left cell results in 70 total health workers for those 14 districts. 70/ 14=5, so that these districts become fall under a new category in the lower left cell. The loss of health workers in those districts falling in the lower right cell similarly results in 15 of the original 19 districts being re-categorized into the upper right cell (low diarrhea prevalence/low coverage).

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