Human resource development for Vision 2020 in developing countries: a change from absolute numbers
Human resource development for Vision 2020 in developing countries: a change from absolute numbers
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DOI：
10.5301/ejo.2011.6434
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发表时间：
2011-11-01
影响因子：
1.7
通讯作者：
Akanbi, Toyin B.
中科院分区：
文献类型：
--
作者：
Adepoju, Feyi G.;Ayanniyi, Abdulkabir A.;Akanbi, Toyin B.
目的.严格审查的数量，分布，员工组合，和生产力的眼科护理工作者（ECW）在夸拉州，中北部。方法。使用结构化问卷对2008年7月从所有眼科护理机构确定的所有ECW进行了横断面描述性调查。同时收集各机构白内障手术的产出数据，采用SPSS16. 0软件进行统计分析。共有157名ECW，包括8名眼科医生，4名眼科医生，16名住院医生培训眼科医生，96名中级眼科人员（67名眼科护士，3名验光师和26名其他人员），以及33名行政和支持人员，可为237万人口提供服务。眼科医生与人口的比例为1：300，000，验光师为1：790，000，眼科护士为1：35，000。80%的ECW和机构位于州首府。没有矫正师、低视力专家、咨询师或白内障发现者，而验光师、管理人员和初级ECW也不足。工作人员组合为1名外科医生与12名其他ECW，平均每位外科医生每年进行182例白内障手术。重点应该转向团队建设，确保现有工人的最佳表现，而不是满足某些干部的绝对数量，这并不能保证提高产出。公平分配、适当的工作人员组合、填补已查明的人力资源缺口以及解决服务利用率低的问题应成为实现《2020年愿景：视力权》目标的重点。
PURPOSE. To critically review the numbers, distribution, staff mix, and productivity of eye care workers (ECW) in Kwara State, north central Nigeria.METHODS. A cross-sectional descriptive survey of all ECW identified from all eye care facilities in July 2008 was carried out using a structured questionnaire. Output data on cataract surgery of each institution were also collected and data analyzed using SPSS 16.RESULTS. A total of 157 ECW comprising 8 ophthalmologists, 4 diplomates, 16 residents training ophthalmologists, 96 mid-level ophthalmic personnel (67 ophthalmic nurses, 3 optometrists, and 26 others), and 33 administrative and supporting staff were available to a population of 2.37 million. Ophthalmologist to population ratio was 1:300,000, optometrist 1:790,000, and ophthalmic nurses 1:35,000. Eighty percent of ECW and institutions are located in the state capital. There were no orthoptists, low vision specialists, counselors, or cataract finders, while optometrists, managers, and primary ECW were inadequate. The staff mix was 1 surgeon to 12 other ECW and an average of 182 cataract surgeries per surgeon per year.CONCLUSIONS. Emphasis should shift to team building and ensuring available workers perform optimally rather than meeting the absolute numbers of some cadre, which does not guarantee improved output. Issues of equitable distribution, appropriate staff mix, filling identified gaps in human resources, and addressing poor service uptake should be the focus to reach the goals of Vision 2020: The Right to Sight.