Human Resources for Health in the Private Sector 2006
Côte d'Ivoire, 2006
Identification
CIV_2006_HRH_v01_M
Human Resources for Health in the Private Sector 2006
| Name | Country code |
|---|---|
| Côte d'Ivoire | CIV |
Other Household Survey [hh/oth]
Côte d'Ivoire has a diverse mix of private health care providers, ranging from traditional to modern practitioners. As in many sub-Saharan African countries, private providers in Côte d'Ivoire can be classified by their for-profit or non-profit commercial orientation and by their type of ownership – for example, individual/group-owned practices and mission/charitable clinics.The purpose of this study was to assess the number of private sector health workers public sector in Côte d'Ivoire, their skills mix, and their distribution. Specific objectives included:
- quantification of the number of private facilitates that offer HIV/AIDS-related services and types of available HIV/AIDS services;
- identification of different types of health care workers available in the private health sector in general and different types of health care workers available for the treatment and preventions of HIV and AIDS in particular; and
- assessment of the geographic distribution of private health facilities providing HIV/AIDS services and the areas in the country that require particular attention for HIV/AIDS-related services in relation to other health needs such as tuberculosis (TB), malaria, and infant and maternal health.
The findings from this study will be used in collaboration with the recent assessment of public sector human resources for health conducted in 2005 to yield a more complete picture of human resource constraints facing the country in its efforts to combat HIV/AIDS in the coming years, while maintaining basic health care services.
Sample survey data [ssd]
The target population for this survey was all private health facilities in the 19 regions of the country.
Scope
The first questionnaire was designed to collect quantitative information at the health care facility level with respect to the total stock of health care workers, type of services provided including HIV/AIDS, tuberculosis, malaria, and maternal and infant health, number of incoming and outgoing staff at each facility, average number of patients seen and average time spent per patient-visit for each of the servicesrelated to the five focus areas. The second questionnaire was designed to collect qualitative information about the primary reasons why respondents were practicing in the private sector. The final questionnaire was developed to assess types of programs offered, content of the curriculum, number of instructors and students, and the frequency of curriculum revision in the training institutions. The questionnaire was tailored each training institution.
Coverage
National
Producers and sponsors
| Name |
|---|
| Côte d'Ivoire Ministry of Health and Public Hygiene |
| Abt Associate’s Private Sector Partnerships for Better Health Project |
| Name |
|---|
| President’s Emergency Plan for AIDS Relief |
| Name |
|---|
| Ministry of Health and Public Hygiene |
| National Institute of Applied Statistics and Economics |
Sampling
The objective of the sampling approach was to select a representative sample of nurse and midwife practices, medical centers and practices, clinics, social medical centers, enterprise clinics, and polyclinics that would provide reliable information on the manner in which health services are being delivered to the Ivorian population. The target population for this survey was all private health facilities in the 19 regions of the country. Facilities such as ophthalmologist practices, pharmaceutical and laboratory facilities, dentist practices, and Chinese clinics were not included in the target population. The research team sought guidance from the steering committee on the number of facilities to be selected, what information to collect, and how to use the information. A random sample of 279 health facilities was selected from a complete list of all the private health facilities compiled by the MOH 2005 census and additional facilities identified by the research team. This frame included a total of 1,144 private health facilities. A total of 11 functional polyclinics and 28 enterprise/enterprise village clinics, operating throughout the country, were considered important to the assessment and therefore were selected with certainty. The remaining sample of 211 facilities was selected from the remaining population of 1,105 facilities. In selecting a sample of 240 facilities, the facilities were allocated to the 19 regions in proportion to the number of facilities by region. Then, after sorting the list of facilities by type, a systematic sample of facilities was selected within each region. This selection procedure ensured that the sample had regional representation and also representation for facility type within each region.
Survey instrument
Three interrelated data collection questionnaires were developed. This study adapted survey instruments utilized in the previous public sector assessment, as there were many parallels in types of questions asked. These questions were augmented with additional questions specific to the private sector in Côte d'Ivoire. An initial draft was developed after extensive consultations with a broad range of key stakeholders regarding the implementation of this activity.
Data collection
| Start | End |
|---|---|
| 2006 | 2006 |
Data collectors were trained and organized into seven groups. Each group was responsible for conducting interviews in the regions assigned. Five groups were assigned to the regions in the south of the country and two groups to the regions in the north. A supervisor assigned to each group ensured the follow-up for the data collection with their data collectors. The total duration of the data collection process was 12 days, with each group covering at least two facilities per day.
Data processing
Statistical and descriptive analysis were conducted using SAS version 9.1 (Cary, North Carolina) and PROC SURVEYMEAN with finite population correction. Analysis was conducted by treating the data as "stratified random sampling," consistent with the sampling design, with the stratum being the cross classification of type of facility and region (groups of regions). The estimation model used in deriving full-time equivalents (FTE) requirements is based on staffing projections that are commonly used in assessments of human resources for health. In order to estimate the FTE, the average time staffs spend in providing care per patient is multiplied by the target number of patients receiving the service, yielding overall human resource needs. These numbers are then expressed as FTE. In Côte d'Ivoire, it is assumed that workers have 211 days (1,688 hours) per year of patient interface time (i.e., including non-service delivery work time, such as administrative work or down time).
Distributor information
| Organization name |
|---|
| Health Systems 20/20 Abt Associates Inc. 4550 Montgomery Avenue, Suite 800 North Bethesda MD 20814-5341 United States Tel (301) 347-5000 Email info@healthsystems2020.org Web www.PHRplus.com |
Data Access
Use of the dataset must be acknowledged using a citation which would include:
- the Identification of the Primary Investigator
- the title of the survey (including country, acronym and year of implementation)
- the survey reference number
- the source and date of download
Example:
Côte d'Ivoire Ministry of Health and Public Hygiene and Abt Associate’s Private Sector Partnerships for Better Health Project. Human Resources for Health in the Private Sector (HRH) 2006. Ref. CIV_2006_HRH_v01_M. Dataset downloaded from [url] on [date].
Disclaimer and copyrights
The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.
Contacts
| Name | URL |
|---|---|
| Abt Associates Inc. | www.healthsystems2020.org |
Metadata production
DDI_CIV_2006_HRH_v01_M_WB
| Name | Affiliation | Role |
|---|---|---|
| Development Economics Data Group | The World Bank | Documentation of the DDI |
2015-06-10
Metadata version
Version 01 (June 2015).