Health Workforce Performance Support

Retention
Indicator	Description/Definition	Method of Calculation	Source
Health worker geographic retention	Percentage of health workers whose current primary health care practice setting is the same geographic location as their own community. “Their own community” is defined as the geographic location (city/town and country) that the primary health worker identifies as his or her place of birth.	Total no. of primary health care workers practicing in their own community x 100/Total no. of primary health care workers currently employed in the country	4
Staff satisfaction	Staff feel satisfied and well treated by the organization.	See table in Appendix B	2
% of health service employment positions without social protection	Social protection from precarious, unprotected employment for health service providers differs from country to country, but is considered to include—at a minimum—health insurance, pension, and sick leave/maternity leave.	Total no. of health service employment positions in the country that are without social protection/Total no. of health employment positions in the country	4
Workforce loss ratio	Ratio of exits from the health workforce (can be subdivided based on data available for cadre, reason for leaving, etc.).	No. of health workers who left the active labor force in the last year/Total no. of health workers	6

Productivity
Indicator	Description/Definition	Method of Calculation	Source
Labor force activity rate	Proportion of HRH currently active in the labor force (over a given period).	No. of persons with health-related skills active in the labor force/Total no. of persons of working age with health-related skills	6
Employment/ unemployment rate	Proportion of HRH currently employed (or unemployed) (over a given period).	No. of persons with health-related skills currently employed (or unemployed)/Total no. of persons with health-related skills active in the labor force	6
Provider productivity	Relative no. of specific tasks performed among health workers.	Specific tasks performed over a given period (e.g., ambulatory visits, immunizations, surgeries) by a given health service provider/Total no. of specific tasks performed over the same period among all health service providers	6
Absenteeism	Days of absenteeism among health workers.	No. of days of employee absences over a given period in the health workplace/ Total no. of scheduled working days among employees over the same period in the same place	6
Absenteeism	Average no. of hours worked per week per HRH category.	Hours worked/1 week	5
Dual employment	Proportion of HRH currently employed at more than one location.	No. of health workers currently employed at more than one location/Total no. of health workers	6