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Table 3 Analysis of WISN results at aggregate level (average required number and WISN ratio across same types of health facilities)

From: Adopting workload-based staffing norms at public sector health facilities in Bangladesh: evidence from two districts

Staff category

Required staff to cope with the workload

Average number of existing staff

Deficit of staff

Average WISN ratio

Workload pressure

Consultant (Surgery)

7.42

2.0

5.42

0.28

Extremely high

Consultant (Anesthesiology)

4.98

1.0

3.98

0.2

Extremely high

Consultant (Obstetrics and gynecology)

11.0

2.0

9

0.25

Extremely high

Consultant (Orthopedics)

5.04

2.0

3.04

0.41

Very high

Consultant (Ear, Nose and Throat)

2.82

1.5

1.32

0.67

High

Consultant (Medicine)

12.0

2.0

10

0.16

Extremely high

Consultant (Pediatrics)

7.64

1.5

6.14

0.2

Extremely high

Consultant (Cardiology)

4.21

1.5

2.71

0.35

Very high

District Hospital General Physician

35.10

11.0

24.1

0.32

Very high

District Hospital Nurse

135.92

66.0

69.92

0.49

Very high

Maternal and Child Welfare Center (MCWC)—General Physician

4.22

2.0

2.22

0.48

Very high

MCWC Family Welfare Visitor (FWV)

5.8

4.5

1.3

0.81

Moderately high

Upazila Health Complex (UpHC) General Physician

10.59

4.5

6.09

0.43

Very high

UpHC Nurse

18.86

12.7

6.11

0.69

High

UpHC SACMO*

10.43

7.75

2.68

0.75

Moderately high

Union Sub-Center SACMO*

2.33

1.00

1.33

0.49

Very high

UHFWC** SACMO*

1.04

1.00

0.04

1.29

Low

UHFWC FWV

1.18

1.00

0.18

0.85

Moderately high

Community Clinic—Community healthcare provider

1.34

1.0

0.34

0.92

Normal

Community Clinic—Family Welfare Assistant

0.96

1.0

− 0.04

1.1

Normal

  1. *SACMO Sub-Assistant Community Medical officer, UHFWC **Union Health and Family Welfare Center