A Study to Assess the Workload of Lady Health Workers in Khanpur UC, Pakistan by Applying WHO’s WISN Method

In this study, we used WHOs WISN approach to estimate the workload of LHWs of Khanpur UC, Khyber Pakhtunkhwa, Pakistan. After its collection, the data was converted into meaningful information and the available working time was calculated. Health service activities, support activities and additional activities were subdivided based on the available statistics. Basic staff requirements, individual allowance factors and category allowance factors were calculated using WISN followed by the total LHWs staffing requirements and the workload for 2014. The WISN difference measure indicated that the health unit was relatively overstaffed while the ratio measure and workload pressure came out to be 1.19 and -19.89% respectively. Results showed that 13 LHWs could perform the same amount of work performed by 16. This study suggests that the balance between the workload and LHWs staffing requirements can be achieved by redistributing three out of 16 LHWs in un-served parts and by increasing the number of households visited from 07 to 09 per day per LHW.