Quantification Methodology of “Health Human Resources” Related to “Health Technologies” Based on Indicators “RhSan”, “TechSan” and “RhTech”: Application to Senegal

F.B. Ndione, F. Langevin, C.M. Diop, M.M.M. Leye, C. Kane and V. Zalc
Additional contact information
F.B. Ndione: UCAD - Université Cheikh Anta Diop de Dakar [Sénégal]
F. Langevin: COSTECH - Connaissance Organisation et Systèmes TECHniques - UTC - Université de Technologie de Compiègne
C.M. Diop: UCAD - Université Cheikh Anta Diop de Dakar [Sénégal]
M.M.M. Leye: UCAD - Université Cheikh Anta Diop de Dakar [Sénégal]
C. Kane: UCAD - Université Cheikh Anta Diop de Dakar [Sénégal]
V. Zalc: BMBI - Biomécanique et Bioingénierie - UTC - Université de Technologie de Compiègne - CNRS - Centre National de la Recherche Scientifique, CNRS - Centre National de la Recherche Scientifique

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Abstract: Abstract Objectives After a century of spectacular advances, healthcare systems are facing unprecedented crisis, linked to shortage of health human resources and health technologies. In fact, availability of care depends on both technological and human resources of health. The objective of this study is to develop indicators that can measure qualitatively human resources and technologies of health in healthcare facilities, in order to assess availability of care in sub-Saharan African countries. Materials and Methods Regarding "health technology" related to "medical devices", an indicator called "TechSan" for "Technologies de Santé" was previously developed and published (Ndione FB et al. (2019) [6]). To address the deficiencies in usual indicators related to health human resources, a second indicator called "RhSan" for "Ressources humaines de santé" in French is proposed. This indicator assigns a weight to each health worker taking into account his specific "level of medical knowledge" and "experience". In order to correlate "RhSan" with "TechSan", a third indicator called "RhTech" is also developed to assess matches between "health technologies" and "health human resources" and establish realistic availability of care. These indicators have the advantage to be consolidated by specialty such as laboratory, imaging, surgery, and "mother and child care". Results The application of TechSan, RhSan and RhTech to data collected in Senegal in 2016, enabled to assess the distribution of "health technology" and "health human resources" in this country. They also permit the mapping of care availability per specialty in Senegal. The results show a strong oversupply of Dakar in terms of both human resources and technologies of health compared to other Senegalese regions. Oppositely, Sedhiou, Kaffrine, Matam and Kédougou are poorly endowed showing limits of the Senegalese health pyramid system. Conclusion TechSan, RhSan and RhTech can provide reliable decision-making tools in order to elaborate health policies in sub-Saharan African countries on more rigorous basis.

Keywords: Health technologies; Health human resources; Care distribution; Medical devices and equipment; Health worker; Health indicators; Decisional tool; Medical knowledge; Experience (search for similar items in EconPapers)
Date: 2020-12
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Published in Innovation and Research in BioMedical engineering, 2020, 41 (6), pp.354-363. ⟨10.1016/j.irbm.2019.12.005⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-04477330

DOI: 10.1016/j.irbm.2019.12.005

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