Table 5.
Estimated standard workload per year for health service activities.
| Category of Health Professional | Descriptive Statistics | Standard Workload per Year | 95% Confidence Interval | |
|---|---|---|---|---|
| Best Case Scenario (Using Lower Bound of the Service Standard) | Worst Case Scenario (Using the Upper Bound of the Service Standard) | |||
| General Practitioner (Generalist Doctor) | Assessment, diagnosis and treatment of a new out-patient case | 6030 | 7558 | 5017 |
| Review of a follow-up out-patient case (old cases) | 10,444 | 13,053 | 8704 | |
| Review of inpatient per patient day (daily ward rounds) | 6319 | 7915 | 5259 | |
| Referral of a patient | 6973 | 9489 | 5511 | |
| Minor surgical procedures (e.g., suturing lacerations, incision and drainage) | 4953 | 6020 | 4207 | |
| Major surgical procedures | 1488 | 2159 | 1135 | |
| Patient education and counselling | 6823 | 8708 | 5608 | |
| Interventions for minor (simple) medical emergencies | 7689 | 9817 | 6319 | |
| Interventions for moderate-to-severe medical emergencies | 3838 | 5126 | 3068 | |
| Interventions for critically ill medical emergencies | 2721 | 3444 | 2249 | |
| Physician Assistant (Medical) | Assessment, diagnosis and treatment of a new out-patient case | 6108 | 7283 | 5259 |
| Review of a follow-up out-patient case (old cases) | 9921 | 11,962 | 8475 | |
| Review of inpatient per patient day (daily ward rounds) | 6789 | 8254 | 5765 | |
| Referral of a patient | 7567 | 9224 | 6415 | |
| Minor surgical procedures (e.g., suturing lacerations, incision and drainage) | 3802 | 4301 | 3406 | |
| Patient education and counselling | 9043 | 11,088 | 7635 | |
| Interventions for minor (simple) medical emergencies | 5627 | 6985 | 4711 | |
| Interventions for moderate-to-severe medical emergencies | 3739 | 4726 | 3093 | |
| Interventions for critically ill medical emergencies | 3541 | 4435 | 2947 | |
| Midwife | Antenatal care (ANC) consultation | 4449 | 5455 | 3755 |
| Postnatal care (PNC) consultation | 5010 | 5735 | 4448 | |
| Family planning service (non-invasive procedure) | 5952 | 8280 | 4645 | |
| Family planning service (invasive procedure) | 2446 | 2869 | 2132 | |
| Prevention of Mother-To-Child (PMTC) transmission of HIV during antenatal care visit | 5694 | 6708 | 4946 | |
| Vaginal delivery | 735 | 951 | 598 | |
| Inpatient care per patient day (routine care for mother) | 3200 | 3926 | 2700 | |
| Inpatient care per patient day (routine care for new-born) | 3200 | 4077 | 2634 | |
| Admission processes per patient | 4436 | 5108 | 3921 | |
| Discharge processes per patient | 4533 | 5284 | 3968 | |
| Preparing a patient for caesarean section | 3015 | 3762 | 2515 | |
| Patient education and counselling | 6892 | 8796 | 5665 | |
| In-patient management of complications of pregnancy | 2163 | 2400 | 1968 | |
| Clinical Nurse (Registered General Nurse & Enrolled Nurse) | Out-patient care (triaging, vital signs and history taking) | 9786 | 10,326 | 9299 |
| Out-patient consultation (where applicable) | 7373 | 8009 | 6831 | |
| Admission processes per patient | 4436 | 5108 | 3921 | |
| Discharge processes per patient | 4533 | 5284 | 3968 | |
| Pre-Operative preparation of patients | 3763 | 4254 | 3374 | |
| Post-operative management which is different from routine care | 2285 | 2535 | 2080 | |
| Inpatient care per patient day (routine care) for low dependent cases or mildly ill patients | 2416 | 2549 | 2296 | |
| Inpatient care per patient day (routine care) for moderately dependent cases or patients with severe illness | 2224 | 2391 | 2078 | |
| Inpatient care per patient day (routine care) for highly dependent cases or critically ill patients | 709 | 756 | 668 | |
| Discharge patient education and counselling | 5324 | 5672 | 5017 | |
| Minor surgical procedures (suturing lacerations, incision and drainage, wound dressings) | 3586 | 3932 | 3296 | |
| Preventive Nurse (Community Health Nurse) | Family planning | 6713 | 8012 | 5777 |
| Out-patient consultation to manage minor ailments | 7895 | 9703 | 6655 | |
| Referral of patients | 10,289 | 12,768 | 8617 | |
| Patient education and counselling | 6892 | 8796 | 5665 | |
| Home visiting | 4237 | 4863 | 3753 | |
| School health (assessment of pupil) | 7799 | 9291 | 6719 | |
| Immunisation | 16,000 | 18,714 | 13,973 | |
| Growth monitoring | 15,335 | 17,320 | 13,759 | |
| Nutritionist and Dietician | Nutritional Status Assessment | 7202 | 22,203 | 4298 |
| Patient education and counselling | 6892 | 8796 | 5665 | |
| Referral of patients | 10,289 | 12,768 | 8617 | |
| Intervention including diet planning for patients | 3556 | 8255 | 2266 | |
| School health | 4800 | 11,056 | 3065 | |
| Follow-ups/home visits | 4115 | 50,284 | 2145 | |
| Laboratory Scientist and Laboratory Technician | Sample taking and processing | 10,116 | 11,726 | 8894 |
| Full blood count (using an automated machine) | 16,667 | 19,392 | 14,613 | |
| Rapid diagnostic tests (Malaria, HIV, etc.) | 5511 | 5863 | 5199 | |
| Malaria test using microscopy) | 3539 | 3979 | 3186 | |
| Urine routine examination | 5206 | 5820 | 4709 | |
| Stool routine examination | 4124 | 4872 | 3574 | |
| Blood sugar test | 7012 | 8753 | 5849 | |
| Blood donor bleeding | 3057 | 3314 | 2838 | |
| Preparing blood for transfusion | 2777 | 3004 | 2582 | |
| Blood chemistry | 5707 | 6171 | 5309 | |
| Culture and sensitivity analysis | 1297 | 1427 | 1189 | |
| Pharmacist & Pharmacy Technician | Prescription auditing and dispensing for out-patient cases | 13,205 | 16,304 | 11,096 |
| Prescription auditing and dispensing for in-patient cases | 13,953 | 16,396 | 12,144 | |
| Prescription refilling for chronic conditions | 13,994 | 19,910 | 10,788 | |
| Pharmaceutical interventions to correct prescription errors | 13,187 | 16,407 | 11,023 | |
| Patient adherence counselling and education | 7541 | 8761 | 6620 | |
Note: The calculation for standard workload assumes that the health professional dedicates all his/her available working time to only a particular activity throughout the year.