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International conference on Census microdata: findings and futures1-3 September 2008 — Manchester, United Kingdom
Uses of census microdata for health workforce assessment
in low and middle income countries
Neeru Gupta Mario R. Dal Poz
René Lavallée
Uses of census microdata for HRH assessment2 |
OutlineOutline
Objectives
Data and methods
Selected findings
Next steps
Uses of census microdata for HRH assessment3 |
ObjectivesObjectives
Examine strengths and limitations of census microdata for human resources for health (HRH) assessment.
Present findings from recent research on HRH metrics using microdata from the 2000 round of censuses for selected low & middle income countries.
Explore opportunities for strengthening global health workforce analyses in the upcoming 2010 round.
Uses of census microdata for HRH assessment4 |
Data and methodsData and methods
Source: Integrated Public Use Microdata Series (IPUMS)-International databank [www.ipums.umn.edu/].
Methods: enumeration of all persons active in the labour force with a health-related occupation and/or working in the health services industry at the time of the census.
Enhancing comparability: mapping to international standard classifications for social & economic statistics
– Classification of occupations (ISCO)– Classification of education (ISCED)– Industrial classification of all economic activities (ISIC).
Uses of census microdata for HRH assessment5 |
Selected findingsSelected findings
Density of workers with a health occupation, selected countries
(around 2000)
Density of workers with a health occupation, selected countries
(around 2000)
Uses of census microdata for HRH assessment6 |
Selected findingsSelected findings
Skills mix of the health workforce, selected
countries (around 2000)
Skills mix of the health workforce, selected
countries (around 2000)
0% 20% 40% 60% 80% 100%
Ecuador
Viet Nam
Rwanda
Philippines
South Africa
Venezuela
Cambodia
Romania
Uganda
Percent of the health workforce
Health professionals Nursing & midwifery personnelOther health service occupations Health management & support
Uses of census microdata for HRH assessment7 |
Selected findingsSelected findings
Geographical imbalances in the health workforce –Mexico (2000) and Viet Nam (1999)
Gupta N, et al.: Uses of population census data for monitoring geographical imbalance in the health workforce,
International Journal for Equity in Health, 2003, 2:11 [http://www.equityhealthj.com/content/2/1/11].
Uses of census microdata for HRH assessment8 |
0 2 4 6 8 10 12 14 16
Cambodia
Rwanda
Viet Nam
Brazil
Uganda
Philippines
Mexico
Venezuela
Ecuador
South Africa
Romania
Ratio of females to males
Other health serviceoccupationsNursing & midwiferypersonnelHealth professionals (exc.nursing & midwifery)
Selected findingsSelected findings
Gender imbalances in the health workforce,
selected countries (around 2000)
Gender imbalances in the health workforce,
selected countries (around 2000)
Lavallee R, Hanvoravongchai P: Uses of population census data for gender analysis of the health workforce,
Handbook on monitoring and evaluation of human resources for health [WHO, World Bank & USAID, forthcoming].
Uses of census microdata for HRH assessment9 |
Selected findingsSelected findings
Relationship between gender ratio in tertiary
level educational attainment and health
professional work activity, selected
countries (around 2000)
Relationship between gender ratio in tertiary
level educational attainment and health
professional work activity, selected
countries (around 2000)
Uses of census microdata for HRH assessment10 |
Conclusions and next stepsConclusions and next steps
Strengths of census data:
– Full enumeration of HRH stock (public/private, health services/ other, employed/unemployed, …);
– Disaggregation by sex & other characteristics of health workers.
Limitations: periodicity; content; access to - and use of - microdata for health systems research.
"Wish list" for public use microdata samples: data on occupation, place of work & field of advanced education disaggregated to lowest level.
Uses of census microdata for HRH assessment11 |
Next stepsNext steps
Ongoing feeding of the Global Atlas of the Health Workforce [www.who.int/globalatlas/] as new census microdata releases become available.
Technical consultations with countries and partners to optimize census uses for HRH assessment in the upcoming 2010 round
(e.g. Handbook on monitoring and evaluation of HRH, with special applications in low and middle income countries).