Human resource assessment for scaling up VL active case detection in Bangladesh, India and Nepal

Trop Med Int Health. 2013 Jun;18(6):734-42. doi: 10.1111/tmi.12124. Epub 2013 May 8.


Objectives: To determine whether medical staff at PHC level would have the time to take up additional activities such as 1-day fever camps for active VL case detection.

Methods: This article assessed the workload of health staff of different professional categories working at health facilities in Bangladesh, India and Nepal. Data were collected from different sites in high endemic VL areas. The study population was the health staff of government health facilities at all levels. Workload indicators of staffing need (WISN) software were adopted to carry out the analysis of staff workload and their availability in the selected health facility. The WISN difference and WISN ratio for a particular health facility were calculated from actual staffing available and calculated staffing requirement.

Results: The results showed a mixed picture of the availability of health workers. In most settings of Bangladesh and India, physicians with or without laboratory technicians would have time for active case detection. In Nepal, this would be performed by trained nurses and paramedical personnel.

Conclusion: If all vacant posts were filled, active case detection could be performed more easily. The elimination programme can be scaled up with the current staffing levels in the endemic areas with some short training if and when necessary.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bangladesh
  • Health Personnel / organization & administration*
  • Health Personnel / standards
  • Health Services Needs and Demand / organization & administration*
  • Health Services Needs and Demand / standards
  • Humans
  • India
  • Leishmaniasis, Visceral / diagnosis*
  • Nepal
  • Primary Health Care / organization & administration
  • Primary Health Care / standards
  • Workload / standards*