Table 3 Methodologies to estimate HRH needs in Latin America and teams dedicated to analysing HRH information
Country | Before pandemic | During pandemic |
|---|---|---|
Bolivia | No evidence of methodologies or teams | Methodologies: HRH supply and needs methodology provided by PAHO Information on HRH payroll enabled understanding of total employment in the health sector by occupational profile Estimations on HRH needs included assumptions on COVID-19 cases involving 50% of HRH in primary health care. However, COVID-19 cases exceeded assumptions Teams: HRH Management and Administration Unit created during the pandemic No evidence on HRH data analysis |
Chile | Methodologies: HRH planning methodologies with focus on needs These methodologies have been used on an annual basis to establish the required budget to reduce the existing gap Teams: HRH Information Management Unit | Methodologies: Adaptation of the HRH planning methodology to support informed decision-making Assumptions: HRH needed to treat COVID-19 based on increased number of beds in intensive care units (ICUs) and hospital admissions |
Colombia | Methodologies: A report on HRH estimates on supply and needs Teams: Observatory of Human Talent in Health | Methodologies: Supply estimation based on National Registry of Healthcare Talent (ReTHUS) and on number of graduates. Needs calculated by case projection. Support provided for decision-making HRH needed to treat COVID-19 cases estimated, based on increased number of intensive care units (ICUs) and intensive treatment units (ITUs) and beds for them, as well as hospital admissions HRH to treat COVID-19 cases corresponding to general practitioners and specialists, nurses, and therapists Estimations showed shortages of specialists in intensive care (adult and pediatric), internal medicine, anesthesiology and surgery for treatment of COVID-19 |
Ecuador | Methodologies: Human talent planning for health facilities methodology Teams: National Directorate of Administration of Human Talent (Dirección de Administración del Talento Humano) within the Ministry of Public Health | Methodologies: Independent methodologies used by the Ministry of Public Health and the Ecuadorian Social Security Institute (Instituto Ecuatoriano de Seguro Social/IESS) No evidence on assumptions made |
Peru | Methodologies: HRH Supply and Needs Methodology Teams: Observatory of Human Resources in Health (Observatorio de Recursos Humanos en Salud/ORHUS) | Methodologies: HRH Supply and Needs Methodology Initial estimation of number of health professionals and non-clinical staff required for 3 months Decrease of HRH in the public sector within risk groups |