Realizing universal health coverage for maternal health services in the Republic of Guinea: the use of workforce projections to design health labor market interventions

Figures & data

Figure 1 Summary of the model: steps to be taken to arrive at the projections of staffing needs, supply, and demand.

Notes: *The package included family planning services around pregnancies and birth, four antenatal care visits, post-abortion care, skilled assistance of uncomplicated births, basic emergency obstetric and neonatal care, comprehensive emergency obstetric and neonatal care, three postnatal care visits, and care for neonates with complications.
Abbreviation: HRH, human resources for health.

Figure 2 The evolution of the HRH needs and supply (IDE, SF, MG, GYN, and PED) in Guinea – baseline scenario.

Abbreviations: GYN, Gynécologue (gynecologist); HRH, human resources for health; IDE, Infirmier Diplômé d’Etat (nurse); MG, Médecin-Généraliste (physician); PED, Pédiatre (pediatrician); SF, Sage-Femme (midwife).

Figure 3 Average annual training (“supply”) and public sector recruitment (“demand”) for ATS, IDE, SF, and MG in Guinea – baseline scenario.

Abbreviations: ATS, Agent Technique en Santé (auxiliary nurse); IDE, Infirmier Diplômé d’Etat (nurse); MG, Médecin-Généraliste (physician); SF, Sage-Femme (midwife).

Figure 4 Needs and supply of HRH in Guinea per cadre (2014).

Abbreviations: ATS, Agent Technique en Santé (auxiliary nurse); GYN, Gynécologue (gynecologist); HRH, human resources for health; IDE, Infirmier Diplômé d’Etat (nurse); MG, Médecin-Généraliste (physician); PED, Pédiatre (pediatrician); SF, Sage-Femme (midwife).

Table 1 Projected availability of HRH as a percentage of the needs (“coverage”) and gap between HRH needs and supply at the national level in Guinea – baseline scenario

	2014	2017	2020	2023
Coverage (supply/needs)
IDE	44%*	38%*	35%*	34%*
SF	18%*	17%*	18%*	19%*
MG	124%	101%	80%*	61%*
GYN	254%	217%	166%	147%
PED	128%	144%	139%	138%
Gap (supply – needs)
IDE	−1,485*	−1,776*	−1,994*	−2,143*
SF	−1,854*	−2,001*	−2,108*	−2,239*
MG	227	15	−220*	−444*
GYN	66	54	32	24
PED	17	27	26	28
ATS	3,939	3,513	3,014	2,592

Note:

* HRH supply does not meet the need.

Abbreviations: ATS, Agent Technique en Santé (auxiliary nurse); GYN, Gynécologue (gynecologist); HRH, human resources for health; IDE, Infirmier Diplômé d’Etat (nurse); MG, Médecin-Généraliste (physician); PED, Pédiatre (pediatrician); SF, Sage-Femme (midwife).

Figure 5 Projected difference between HRH needs and supply in Guinea, per region and for both urban and rural areas (2014).

Notes: A value of 0 indicates an equilibrium in which the supply is aligned with the needs. A negative value indicates a shortage, whereas a positive value indicates a deficiency.
Abbreviation: HRH, human resources for health.

Figure 6 Projected difference between HRH needs and supply in Guinea, per cadre and for both urban and rural areas (2014).

Notes: A value of 0 indicates an equilibrium in which the supply is aligned with the needs. A negative value indicates a shortage, whereas a positive value indicates a deficiency.
Abbreviation: HRH, human resources for health; ATS, Agent Technique en Santé (auxiliary nurse); GYN, Gynécologue (gynecologist); IDE, Infirmier Diplômé d’Etat (nurse); MG, Médecin-Généraliste (physician); PED, Pédiatre (pediatrician); SF, Sage-Femme (midwife).

Table 2 Projected availability of HRH as a percentage of the needs (supply divided by the need, or “coverage”) and in absolute figures (supply minus the need) in urban and rural settings in Guinea – baseline scenario

Coverage	2014	2017	2020	2023
Coverage (supply/needs; %) in urban areas
IDE	135%	110%	96%	90%
SF	57%*	52%*	53%*	51%*
MG	416%	324%	243%	178%
GYN	862%	702%	512%	431%
PED	439%	469%	432%	410%
Coverage (supply - needs; number of staff) in urban areas
IDE	277	89	−35*	−109*
SF	−1,762*	−1,866*	−1,959*	−2,034*
MG	871	694	495	302
GYN	95	84	64	58
PED	58	71	72	75
Coverage (supply/needs) in rural areas
IDE	7%*	6%*	6%*	6%*
SF	2%*	2%*	2%*	2%*
MG	4%*	3%*	2%*	2%*
GYN	4%*	3%*	2%*	2%*
PED	0%*	0%*	0%*	0%*
Coverage (supply - needs) in rural areas
IDE	−1,762*	−1,866*	−1,959*	−2,034*
SF	−1,569*	−1,646*	−1,718*	−1,784*
MG	−644*	−679*	−714*	−746*
GYN	−29*	−31*	−32*	−34*
PED	−42*	−44*	−46*	−47*

Note:

* HRH supply does not meet the need.

Abbreviations: GYN, Gynécologue (gynecologist); HRH, human resources for health; IDE, Infirmier Diplômé d’Etat (nurse); MG, Médecin-Généraliste (physician); PED, Pédiatre (pediatrician); SF, Sage-Femme (midwife).

Table 3 Comparison between the availability of HRH as a percentage of the needs (“coverage”) in the baseline scenario (A) and the intervention scenario (B)

Coverage	Scenario
	A	B	A	B	A	B
	2017		2020		2023
National level
IDE	38%	49%*	35%	51%*	34%	48%*
SF	17%	28%*	18%	36%*	19%	33%*
Total	43%	52%*	38%	52%*	34%	46%*
Urban areas
IDE	110%	No	96%	No	90%	No
SF	52%	change	53%	change	51%	change
Total	130%		109%		95%
Rural areas
IDE	6%	19%*	6%	26%*	6%	24%*
SF	2%	12%*	2%	20%*	2%	18%*
Total	4%	14%*	4%	20%*	4%	18%*

Note:

* Improvements in scenario B in comparison to scenario A.

Abbreviations: HRH, human resources for health; IDE, Infirmier Diplômé d’Etat (nurse); SF, Sage-Femme (midwife).