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on the uses and sources for human resources for health (hrh) data
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WHO Library Cataloguing-in-Publication Data
WHO country assessment tool on the uses and sources for human resources for health (HRH) data.
1.Health personnel. 2.Health manpower. 3.Evaluation studies. 4.Questionnaires. 5.Data collection. I.World Health Organization.
ISBN 978 92 4 150428 7 (NLM Classification: W 76)
© World Health Organization 2012
All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press through the WHO web site (http://www.who.int/about/licensing/copyright_form/en/index.html).
The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.
The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.
All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
Printed by WHO Document Production Services, Geneva, Switzerland / October 2012
Human Resources for Health Unit (HRH)
Department for Health Systems Policies and Workforce (HPW)
Health Systems and Services (HSS)
who country assessment tool
on the uses and sources for human resources for health (hrh) data
Page ii
Country HRIS assessment tool at institutional level
Acknowledgements
This Tool was prepared by the World Health Organization (WHO) with financial support from the Norwegian Agency for Development Cooperation (Norad), the United States Agency for International Development (USAID), the United States President’s Emergency Plan for AIDS Relief (PEPFAR) and the European Union.
This tool was produced under the overall direction of Mario Dal Poz (Coordinator, Human Resources for Health Unit, Department for Health Systems Policies and Workforce, World Health Organization (WHO)). The primary author of the tool is: Angelica Sousa.
We acknowledge the valuable contribution from the country human resources for health experts from around the world, the World Health Organization and colleagues from the Centers for Disease Control and Prevention (CDC), the United States Agency for International Development (USAID), USAID-funded CapacityPlus and IntraHealth, Jhpiego and others. Particular thanks to all those who contributed to the Health Information Reference Group (HIRG) meeting in Nairobi, Kenya, 5–6 December 2011.
The following persons provided detailed comments and advice on the earlier drafts of this tool, and raised valuable issues during its preparation: Naphtali Agata, Adam Ahmat, Elisabeth David Joseph, John Dewdney, Yohana Diaz de Valle, Michael English, Paulo Ferrinho, Mario Alberto Figueroa Alvarez, Jessica Gross, Neeru Gupta, Grace Irimu Thinwa, Isaac Kimani, Rose Kiriinya, Jason Knueppel, Ramesha Krishnamurthy, Teena Kunjumen, Wuleta Lemma, Devan Manharlal, Maurice Lenga, Bagele Mbayi, Jean Moore, Jane Mudyara, Patrick Mutinda Mdindyo, Gideon Mutua, Evasen Naidoo, Edgar Necochea, Epiphane Ngumbu, Bernard Nkala, Francis Ntalazi, Jacinta Nzinga, Leonardo Pereira, Elsa Reis, Patricia Riley, Jean Robson, Xenophon Santas, Anny Sarea, Abdou Sayo Farmo, Hernan Sepulveda, Dykki Settle, Hussein Shabani Mavunde, Eiichi Shimizu, Tungamirirai Simbini, Amani Siyam, Gerhard Vermaak, Peter Waithaka, Kate Waldman, Keith Waters, Agnes Waudo and Alexandra Zuber.
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Country HRIS assessment tool at institutional level
Table of contents
Background 2
Objectives 2
Part 1: Mapping of institutions 3
Part 2: Questionnaire 5
Questionnaire at institutional level 6
Section 1: Institution information 8
Section 2: Data collection 9
Section 3: Data reporting and use 12
Section 4: Summary of findings 14
Attachment 1: Examples of institutions that produce data on human resources for health 15
Attachment 2: Type of data on human resources for health (question 2.10) 16
Attachment 3: Health Workforce Classification Mapping 18
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Country HRIS assessment tool at institutional level
Background
There is widespread recognition of the need for accurate, timely and effective human resources for health data to inform the development of policies on human resources for health in countries. However, many low and middle income countries have week information systems that can generate data that could guide the policy dialogue to scale up the health workforce. To respond to this crisis the World Health Organization has directed its efforts and achievements in leading the global research agenda to support countries to strengthen their Human Resources Information Systems (HRIS). As part of these efforts the Human Resources for Health Unit (HRH), WHO developed the Country Assessment Tool on the sources and uses of HRH data to conduct a diagnosis on the quality of data on HRH and the degree to which information is used for evidence-based decision-making. This diagnostic tool contains questions intended to gather information on the uses, type and quality of data on HRH at institutional level in countries. This step is critical to identify strengths and weaknesses of the current HRIS in countries. The resulting information can then be used to identify priorities and develop strategies to strengthen the HRIS at district, regional, or national level.
The country assessment tool on the sources and uses of HRH data is an adapted version of the instrument designed by the Capacity Project, which collects information by institution, and the data mapping template at national level on human resources for health developed by the HRH, WHO. The current version of the instrument has been field tested to evaluate the uses and sources of information in Cape Verde, Guinea Bissau, Mozambique and Sao Tome and Principe and it has recently been used in Guatemala and Rwanda to understand the support required to assist countries to improve or develop their HRIS.
Objectives
The objectives of the instrument are to identify the list of institutions involved in producing data on HRH and to compile comprehensive information on the uses, type and quality of data on HRH at institutional level in countries. The tool is divided in two parts:
1. Mapping of institutions
2. Questionnaire at institutional level:
2.1 Identification
2.2 Data collection
2.3 Use of data
2.4 Summary of findings
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Country HRIS assessment tool at institutional level
P A r T 1 M A P P i n g O f i n s T i T u T i O n s
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Country HRIS assessment tool at institutional level
Mapping exercise to identify the list of institutions involved in producing data on HrH
A requisite step to conduct the evaluation on the uses and sources for HRH data is to conduct a mapping of institutions to identify the institutions involved in producing data on HRH. These institutions include ministries, licensing and registration or certification bodies, private sector organizations and outside the health sector, population census bureaus and statistical offices, labour departments, and others. List in the following table the institutions identified as producers of HRH data (please refer to attachment 1 for an example of the institutions). The institutions listed in this section will be interviewed using the questionnaire in part 2. Attach additional sheets if more space is needed.
No. Name of the institution/agency
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Country HRIS assessment tool at institutional level
P A r T 2 q u e s T i O n n A i r e
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Country HRIS assessment tool at institutional level
questionnaire at institutional level
This questionnaire is intended to be applied in different institutions which produce data on HRH based on the mapping exercise previously conducted by the interviewer to identify the list of institutions involved in producing data on HRH.
instructions for using the interview tool
This section will provide guidance on how to conduct the interview on the evaluation of the uses and sources for HRH data at institutional level.
1 Role of the interviewer
The interviewer is responsible for asking questions, answering the respondent’s queries, recording answers and editing the completed questionnaire. The interviewer must check that the respondent has understood the questions by using interviewing techniques, such as neutral probes, clarification and appropriate feedback, and determine whether the answer given is appropriate. Listening to what the respondent is communicating, both verbally and nonverbally, ensuring that the information is correct. The interviewer must set the pace of the interview and keep the respondent focused and interested. The atmosphere should be comfortable and pleasant at all times.
Before going to the field, the interviewer must know the questionnaire and how it is to be administered. A thorough preparation as well as extensive practice will guarantee that this is achieved.
2 Role of respondent
The role of the respondent is to cooperate with the interviewer and follow instructions. The respondent must listen to questions attentively without interrupting, take time before answering, and try to give an accurate and complete response as much as possible. The respondent should ask for clarifications whenever a question seems unclear and ask the interviewer to repeat or rephrase it. Trying to answer an unclear question is likely to lead to an incorrect response.
3 Introduction to the interview
The interviewer must clearly communicate the objectives of the survey to the respondent. Knowing what is expected of the person will contribute to the accuracy in responses. The interviewer should establish a good rapport by introducing himself and the survey well.
Make a good impression
1. You are a professional interviewer from a legitimate and reputable organization.
2. The questionnaire is for gathering data for important, worthwhile research.
3. The respondent’s participation is vital to the success of the research.
4. The responses given will be confidential and will only be used for research purposes. Respondents will have to sign an informed consent form, which explains about the survey and what will be expected of them.
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Country HRIS assessment tool at institutional level
The interviewer can use the following introduction or decide which one works best.
Example of introduction:
“Hello my name is … and I work for … The reason I am contacting you is because we are conducting a survey on health workforce in your country and I would like to ask you a few questions. Let me assure you that whatever information you tell us will not be disclosed to anyone and will only be used for research purposes”.
Make a good interview start
1. You should be pleasant and assertive, and make the respondent feel at ease.
2. You should know the questionnaire thoroughly and be well prepared to answer any questions.
3. You should speak slowly and clearly to set the tone for the interview.
4. You should adapt your introduction to the respondent, as different respondents require different amounts of information.
5. You should be motivated and interested in the interview.
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Country HRIS assessment tool at institutional level
section 1: institution information
Make a separate copy of the questionnaire for each institution that is being surveyed.
1.1 Date(s) of assessment:
1.2 Institution:
1.3 Department name:
1.4 Type of institution (select only one):
A Ministry of Health
B Other ministries (specify):
C Subregional health agency (e.g. district health office)
D Health professional regulatory body
E Other para-public agencies (e.g. military, police, social security)
F Worker unions/associations
G Nongovernmental or not-for-profit agency providing health services to the public
H Private-for-profit agency providing health services to the public
I Training institutions for health professionals
J Research institutions
K Labour organizations
L Other (specify):
Complete the following information for every person participating in completion of this questionnaire. Attach additional sheets if more space is needed.
Name Job title or roleTelephone No. (incl. country code) Email address
Page 9
Country HRIS assessment tool at institutional level
section 2: Data collection
Make a separate copy of Section 2 of the questionnaire for each type of data on human resources for health collected in this institution.
2.1 Indicate the type of data on human resources for health collected in this institution on a routine basis.
A Student enrolment
B Pre-service training in health-related fields (e.g. graduates)
C In-service training of health professionals
D Health professional licensing
E Health professional registration
F Staff in a health facility
G Payroll
H Retired/discharged
I Performance evaluation
J Leave management
K Planning and budget
L Other (specify):
2.2 How often is this data collected?
A Daily
B Weekly
C Monthly
D At least once a year
E In the last 1 to 2 years
F Within the last 3 to 5 years
G Not updated within the last 5 years
2.3 On which sectors of the health workforce do you collect this data? Check all options that apply.
A Public
B Private-for-profit
C Semi-private
D Nongovernmental or not-for-profit organization
E Para-public agency (e.g. military, police, social security)
F Health training institution
G Other (specify):
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Country HRIS assessment tool at institutional level
2.4 How are the data collected? Check all options that apply.
A Paper forms
B Electronic files (specify, e.g. Microsoft Excel, Word, etc.):
C Mixed media (paper and electronic) (specify, e.g. Microsoft Excel, Word, etc.):
D Other (specify):
2.5 How are the data compiled into a database or information system?
A Paper
B Electronic (e.g. spreadsheet, database, or other)
C None
2.6 Once compiled, are the data of health workers mapped and disseminated using a standard classification for purpose of statistical comparability with other data sources relevant to labour market analysis? Check all options that apply.
A National classification of occupation
B Common definitions from the Ministry of Health
C International standard classification of occupations
D International classification of education
E None
F Other (specify):
2.7 Are the data of health workers disaggregated by occupational category?
A 21 or more occupational categories
B 15 to 20 occupational categories
C 4 to 14 occupational categories
D Fewer than 4 categories
E Not disaggregated
2.8 Are the data of health workers disaggregated by the following characteristics? Check all options that apply.
A Gender
B Age or age group
C Urban/rural
D State, province or other geographical delineation
E Country where health training was completed
F Country of birth
G Current status in the national health workforce (type of contract, temporary, probation, permanent)
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Country HRIS assessment tool at institutional level
H Public/private sector
I Graduates of all health training institutions
J Professionals who left the health sector (e.g. death, retirement, career change, leaving the country)
K Marital status
L Other (specify in question 2.9)
2.9 Provide a short description on additional data relevant to human resources for health analysis collected in this dataset:
2.10 List the type of data on human resources for health collected in this Institution (please refer to attachment 2 and check all options that apply).
2.11 Indicate which of the following population based surveys have been used to complement the data on human resources for health collected by this institution? Check all options that apply.
A Population census
B Labour force surveys
C Health facility survey
D Other (specify):
E None
2.12 List of printed or electronic documents received during interview(s) (e.g.vacancy notices, sample employment contract, payroll stubs, employee continuing education brochures, graduation booklet, sample position description and others). Catalogue appropriately.
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Country HRIS assessment tool at institutional level
section 3: Data reporting and use
3.1 Is there a plan for monitoring and evaluation of human resources for health strategic objectives?
A Yes, implemented
B Yes, not fully implemented
C Plan is being developed
D No
3.2 Do you have a standard set summary of data or set of reports that you produce regularly?
A Yes
B No
C Unsure
3.3 Who are the principal users of the data and/or reports? Check all options that apply.
A Ministry of Health
B Other ministries (specify):
C Other agencies (e.g. social security, parliament)
D Districts health offices
E Health facilities
F Private sector management
G Nongovernmental or not-for-profit organization
H Health professional regulatory bodies
I General public
J Central statistical office
K Health training institutions
L Research institutions
M Unkown
N Other (specify):
O None
3.4 In what format do you disseminate the data and/or reports? Check all options that apply.
A Paper-based documents
B Electronic-based spreadsheet
C Electronic document
D Online access
E None
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Country HRIS assessment tool at institutional level
3.5 How often are these data and/or reports produced?
A At least once a year
B In the last 1 to 2 years
C Within the last 3 to 5 years
D Not produced within the last 5 years
3.6 How have the national data on human resources been used in the last five years? Check all options that apply.
A Advocating for funds
B Influencing policies
C Workforce planning
D Human resources management
E Health professional qualification
F Education and training
G Other (specify):
H Not used
3.7 Is the national data on human resources used to support human resources for health planning, development and management processes at all levels? Check all options that apply.
A National
B Subnational
C International
D Regional
E Other (specify):
F Not used
3.8 What strategies are needed to improve the use of human resources data in practical decision-making?
Other comments
Page 14
Country HRIS assessment tool at institutional level
sect
ion
4: s
umm
ary
of fi
ndin
gs
Com
plet
e th
e fo
llow
ing
info
rmat
ion
for e
very
inst
itutio
n pa
rtic
ipat
ing
in c
ompl
etio
n of
thi
s qu
estio
nnai
re, i
ndic
atin
g th
e ac
rony
m (e
.g. M
inis
try
of
Hea
lth –
MoH
) bel
ow th
e in
stitu
tion
row
as
show
n in
the
first
col
umn
as a
n ex
ampl
e. A
ttac
h ad
ditio
nal s
heet
s if
mor
e sp
ace
is n
eede
d.
Inst
itutio
n 1
Inst
itutio
n 2
Inst
itutio
n 3
Inst
itutio
n 4
Inst
itutio
n 5
Inst
itutio
n 6
(e.g
. MoH
)
2.1
Indi
cate
the
type
of d
ata
on h
uman
reso
urce
s fo
r hea
lth c
olle
cted
in th
is in
stitu
tion
on a
ro
utin
e ba
sis.
2.2
How
oft
en is
this
dat
a co
llect
ed?
2.3
On
whi
ch s
ecto
rs o
f the
hea
lth w
orkf
orce
do
you
colle
ct th
is d
ata?
2.4
How
are
the
data
col
lect
ed?
2.5
How
are
the
data
com
pile
d in
to a
dat
abas
e or
info
rmat
ion
syst
em?
2.6
Onc
e co
mpi
led,
are
the
data
of h
ealth
wor
kers
map
ped
and
diss
emin
ated
usi
ng a
sta
ndar
d cl
assi
ficat
ion
for p
urpo
se o
f sta
tistic
al c
ompa
rabi
lity
with
oth
er d
ata
sour
ces
rele
vant
to
labo
ur m
arke
t ana
lysi
s?
2.7
Are
the
data
of h
ealth
wor
kers
dis
aggr
egat
ed b
y oc
cupa
tiona
l cat
egor
y?
2.8
Are
the
data
of h
ealth
wor
kers
dis
aggr
egat
ed b
y th
e fo
llow
ing
char
acte
ristic
s?
2.11
Indi
cate
whi
ch p
opul
atio
n ba
sed
surv
eys
have
bee
n us
ed to
com
plem
ent
the
data
on
hum
an re
sour
ces
for h
ealth
col
lect
ed b
y th
e in
stitu
tion.
3.1
Is th
ere
a pl
an fo
r mon
itorin
g an
d ev
alua
tion
of h
uman
reso
urce
s fo
r hea
lth
stra
tegi
c ob
ject
ives
?
3.2
Do
you
have
a s
tand
ard
set s
umm
ary
of d
ata
or s
et o
f rep
orts
that
you
pro
duce
regu
larly
?
3.3
Who
are
the
prin
cipa
l use
rs o
f the
dat
a an
d/or
repo
rts?
3.4
In w
hat f
orm
at d
o yo
u di
ssem
inat
e th
e da
ta a
nd/o
r rep
orts
?
3.5
How
oft
en a
re th
ese
data
and
/or r
epor
ts p
rodu
ced?
3.6
How
hav
e th
e na
tiona
l dat
a on
hum
an re
sour
ces
been
use
d in
the
last
five
yea
rs?
3.7
Is th
e na
tiona
l dat
a on
hum
an re
sour
ces
used
to s
uppo
rt h
uman
reso
urce
s fo
r hea
lth
plan
ning
, dev
elop
men
t and
man
agem
ent p
roce
sses
at a
ll le
vels
?
Page 15
Country HRIS assessment tool at institutional level
Attachment 1 Examples of institutions that could produce data on human resources for healthThe table below gives some examples of institutions that may collect data on HRH as well as a brief description of what kind of data could be produced by these institutions.
Institution/agency Type of data on HRH
National Institute of Statistics Number of health workers (occupation) by public/private sector
Ministry of Defence Number of military health workers (head counts)
Ministry of Health Number of health workers (head counts)
Ministry of Finance Payroll information of all public functionaries
Migration Office Records of all categories of migrant health workers
Ministry of Labour Number of health workers (head counts)
Ministry of Interior Administrative records of health workers (head counts)
Medical Council Registry of public, private and foreign doctors
Nurse Council Registry of public, private and foreign nurses
Nurse Association Registry of public, private and foreign nurses
School of Medicine Records of medical students
School of Nursing Records of staff and students from nursing school
School of Midwifery Records of staff and students from midwifery school
School of technicians on health Records of staff and students from health technicians
Regional health centres Records of health workers at the regional level
Other health workers associations Registry of public, private and foreign health workers
Labour unions Registry of public, private and foreign health workers
Page 16
Country HRIS assessment tool at institutional level
Attachment 2 Type of data on human resources for health (question 2.10)
Please check all options that apply and complete them if necessary. Please refer to the definitions from the Health Workforce Classification Mapping in attachment 3.
Health workers Mark
Health professionals
Generalist medical practitioner/primary care medical doctors
Specialist medical practitioner
Nursing professional
Midwifery professional
Traditional and complementary medicine professional
Paramedical practitioner or clinical officer
Dentist
Pharmacist
Environmental and occupational health and hygiene professional
Physiotherapist
Dietician and nutritionist
Audiologist and speech therapist
Optometrist and ophthalmic optician
Health professional (not elsewhere classified) – please specify:
Health associate professionals
Medical imaging and therapeutic equipment operator
Medical and pathology laboratory technician
Pharmaceutical technician and assistants
Medical and dental prosthetic technician
Nursing associate professional/nursing assistant
Obstetrics/midwifery associate professional/midwife assistant
Traditional and complementary medicine associate professional/complementary medicine technician
Dental assistant and therapist
Medical records and health information technician
Community health worker
Dispensing optician
Physiotherapy technician and assistants
Medical assistant
Environmental and occupational health inspector and associates
Ambulance worker/emergency medical technician
Health associate professional (not elsewhere classified) – please specify:
Other health associate professionals
Health service manager
Health care assistant/nursing aide
Home-based personal care worker or other home care aide
Other health service providers (not elsewhere classified) – please specify:
Page 17
Country HRIS assessment tool at institutional level
Attachment 2 (continuation)
Fill in all training fields which apply to you and, if necessary, complete them.(SE – secondary education; PS – post-secondary non-tertiary education; TE – tertiary education)
Field of education Types of education programmes SE PS TE
Medicine Medicine
Nursing and midwifery
Nursing
Midwifery
Assistant nursing
Assistant midwifery
Dental studies Dentistry
Medical/health services
Pharmacy
Clinical/medical services
Physiotherapy
Optometry
Medical technology
Ambulance service
Environmental health
Social work
Occupational health
Other fields associated with health – please specify:
Page 18
Country HRIS assessment tool at institutional level
Att
achm
ent 3
H
ealt
h W
orkf
orce
Cla
ssifi
cati
on M
appi
ngTh
e cl
assi
ficat
ion
of h
ealth
wor
kers
is la
rgel
y ba
sed
on t
he In
tern
atio
nal S
tand
ard
Clas
sific
atio
n of
Occ
upat
ions
(ISC
O, 2
008
revi
sion
), a
syst
em fo
r cl
assi
fyin
g an
d ag
greg
atin
g oc
cupa
tiona
l in
form
atio
n ob
tain
ed b
y m
eans
of
popu
latio
n ce
nsus
es a
nd o
ther
sta
tistic
al s
urve
ys, a
s w
ell
as f
rom
ad
min
istr
ativ
e re
cord
s. Th
e cl
assi
ficat
ion
uses
a h
iera
rchi
cal s
truc
ture
of o
ccup
atio
nal t
itles
and
code
s, es
sent
ially
refle
ctin
g th
e di
stin
ctio
n of
subg
roup
s of
the
heal
th w
orkf
orce
acc
ordi
ng to
ass
umed
diff
eren
ces
in s
kill
leve
l and
ski
ll sp
ecia
lizat
ion
requ
ired
to fu
lfil t
he ta
sks
and
dutie
s of
jobs
. The
ISCO
to
ol is
inte
nded
bot
h fo
r sta
tistic
al u
sers
and
for c
lient
orie
nted
use
rs, a
nd is
the
basi
s fo
r man
y na
tiona
l occ
upat
iona
l cla
ssifi
catio
ns.
This
map
ping
giv
es g
uide
lines
on
how
hea
lth w
orke
rs a
re t
o be
cla
ssifi
ed in
to t
he m
ost
deta
iled
grou
ps, w
ith e
xam
ples
of o
ccup
atio
ns in
clud
ed
and
excl
uded
, for
pur
pose
s of
sta
tistic
al d
elin
eatio
n, d
escr
iptio
n an
d an
alys
is. I
t is
inte
nded
to s
erve
as
a m
odel
to fa
cilit
ate
com
mun
icat
ion
abou
t he
alth
occ
upat
ions
, to
enha
nce
com
para
bilit
y of
dat
a on
hea
lth w
orke
rs w
ithin
and
acr
oss
coun
trie
s an
d ov
er ti
me,
and
to m
ake
it po
ssib
le fo
r dat
a an
d in
form
atio
n on
hea
lth w
orke
rs o
btai
ned
from
diff
eren
t sou
rces
to b
e pr
oduc
ed in
a fo
rm w
hich
can
be
usef
ul fo
r res
earc
h as
wel
l as
for d
ecis
ion-
mak
ing
and
actio
n-or
ient
ed a
ctiv
ities
. It i
s re
cogn
ized
that
the
full
com
plex
ity a
nd d
ynam
ics
of n
atio
nal h
ealth
labo
ur m
arke
ts m
ay n
ot b
e ca
ptur
ed.
The
clas
sific
atio
n of
hea
lth w
orke
rs m
aps
occu
patio
n ca
tego
ries
into
five
bro
ad g
roup
ings
: hea
lth p
rofe
ssio
nals
, hea
lth a
ssoc
iate
pro
fess
iona
ls,
pers
onal
car
e w
orke
rs in
hea
lth s
ervi
ces,
heal
th m
anag
emen
t and
sup
port
per
sonn
el, a
nd o
ther
hea
lth s
ervi
ce p
rovi
ders
not
els
ewhe
re c
lass
ified
.
Hea
lth
prof
essi
onal
sHe
alth
prof
essio
nals
study
, adv
ise on
or pr
ovid
e pre
vent
ive, c
urat
ive, r
ehab
ilitat
ive an
d pro
mot
iona
l hea
lth se
rvice
s bas
ed on
an ex
tens
ive bo
dy of
theo
retic
al an
d fac
tual
know
ledge
in di
agno
sis an
d tre
atm
ent o
f dise
ase a
nd ot
her h
ealth
prob
lems.
They
may
cond
uct
rese
arch
on h
uman
diso
rder
s and
illne
sses
and w
ays o
f tre
atin
g the
m, a
nd su
perv
ise ot
her w
orke
rs. Th
e kno
wled
ge an
d skil
ls re
quire
d are
usua
lly ob
tain
ed as
the r
esul
t of s
tudy
at a
high
er ed
ucat
iona
l insti
tutio
n in
a he
alth-
relat
ed fi
eld fo
r a pe
riod o
f 3–6
year
s lea
ding
to th
e awa
rd of
a fir
st de
gree
or h
ighe
r qua
lifica
tion.
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Gene
ralis
t m
edica
l pr
actit
ione
rs
2211
Gene
ralis
t med
ical d
octo
rs (i
nclu
ding
fam
ily an
d prim
ary c
are d
octo
rs) di
agno
se,
treat
and p
reve
nt ill
ness
, dise
ase,
inju
ry, a
nd ot
her p
hysic
al an
d men
tal im
pairm
ents
and
main
tain
gene
ral h
ealth
in h
uman
s thr
ough
appl
icatio
n of
the p
rincip
les an
d pro
cedu
res
of m
oder
n m
edici
ne. T
hey p
lan, s
uper
vise a
nd ev
aluat
e the
impl
emen
tatio
n of
care
and
treat
men
t plan
s by o
ther
hea
lth ca
re pr
ovid
ers.
They
do n
ot lim
it th
eir pr
actic
e to c
erta
in
dise
ase c
ateg
ories
or m
etho
ds of
trea
tmen
t, an
d may
assu
me r
espo
nsib
ility f
or th
e pro
visio
n of
cont
inui
ng an
d com
preh
ensiv
e med
ical c
are t
o ind
ividu
als, f
amilie
s and
com
mun
ities
.
Med
ical d
octo
r (ge
nera
l), m
edica
l offi
cer (
gene
ral),
phys
ician
(gen
eral)
, ge
nera
l pra
ctiti
oner,
fam
ily m
edica
l pr
actit
ione
r, prim
ary h
ealth
care
ph
ysici
an, d
istric
t med
ical d
octo
r, re
siden
t med
ical o
ffice
r spe
cializ
ing i
n ge
nera
l pra
ctice
Occu
patio
ns in
clude
d in
this
cate
gory
requ
ire co
mpl
etio
n of
a un
iversi
ty-le
vel d
egre
e in
basic
m
edica
l edu
catio
n pl
us po
stgra
duat
e clin
ical t
rain
ing o
r equ
ivalen
t. M
edica
l inte
rns w
ho
have
com
plet
ed th
eir un
iversi
ty ed
ucat
ion
in ba
sic m
edica
l edu
catio
n an
d are
unde
rtakin
g po
stgra
duat
e clin
ical t
rain
ing a
re in
clude
d her
e. Al
thou
gh in
som
e cou
ntrie
s “ge
nera
l pra
ctice
” an
d “fa
mily
med
icine
” may
be co
nsid
ered
as m
edica
l spe
cializ
atio
ns, t
hese
occu
patio
ns sh
ould
alw
ays b
e clas
sified
her
e.
Page 19
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Spec
ialis
t m
edica
l pr
actit
ione
rs*
2212
Spec
ialis
t med
ical p
ract
ition
ers d
iagno
se, t
reat
and p
reve
nt ill
ness
, dise
ase,
inju
ry an
d oth
er ph
ysica
l and
men
tal im
pairm
ents
usin
g spe
cializ
ed te
sting
, diag
nosti
c, m
edica
l, sur
gica
l, phy
sical
and p
sych
iatric
tech
niqu
es, t
hrou
gh ap
plica
tion
of th
e prin
ciples
an
d pro
cedu
res o
f mod
ern
med
icine
. The
y plan
, sup
ervis
e and
evalu
ate t
he im
plem
enta
tion
of ca
re an
d tre
atm
ent p
lans b
y oth
er h
ealth
care
prov
ider
s. Th
ey sp
ecial
ize in
certa
in di
seas
e ca
tego
ries,
type
s of p
atien
t or m
etho
ds of
trea
tmen
t, an
d may
cond
uct m
edica
l edu
catio
n an
d res
earch
activ
ities
in th
eir ch
osen
area
s of s
pecia
lizat
ion.
Spec
ialist
phys
ician
(int
erna
l med
icine
), su
rgeo
n, an
aesth
etist
, car
diol
ogist
, em
erge
ncy m
edici
ne sp
ecial
ist,
opht
halm
olog
ist, g
ynae
colo
gist,
ob
stetri
cian,
paed
iatric
ian, p
atho
logi
st,
prev
entiv
e med
icine
spec
ialist
, ps
ychi
atris
t, ra
diol
ogist
, res
iden
t m
edica
l offi
cer i
n sp
ecial
ist tr
ainin
g
Occu
patio
ns in
clude
d in
this
cate
gory
requ
ire co
mpl
etio
n of
a un
iversi
ty-le
vel d
egre
e in
basic
m
edica
l edu
catio
n pl
us po
stgra
duat
e clin
ical t
rain
ing i
n a m
edica
l spe
cializ
atio
n (e
xcep
t ge
nera
l pra
ctice
) or e
quiva
lent.
Resid
ent m
edica
l offi
cers
train
ing a
s spe
cialis
t pra
ctiti
oner
s (e
xcep
t gen
eral
prac
tice)
are i
nclu
ded h
ere.
Alth
ough
in so
me c
ount
ries “
stom
atol
ogy”
may
be
cons
ider
ed as
a m
edica
l spe
cializ
atio
n, st
omat
olog
ists s
houl
d be i
nclu
ded u
nder
“Den
tists”
– 22
61. M
edica
l res
earch
prof
essio
nals
who
parti
cipat
e in
biom
edica
l res
earch
usin
g livi
ng
orga
nism
s and
do n
ot un
derta
ke cl
inica
l pra
ctice
shou
ld be
exclu
ded f
rom
her
e (cla
ssifi
ed
unde
r “Lif
e scie
nce p
rofe
ssio
nals”
1 ).* M
edica
l doc
tors
by s
pecia
lty g
roup
ings
It is
of si
gnifi
canc
e to c
ount
ries a
nd st
akeh
olde
rs to
be ab
le to
disti
ngui
sh th
e diff
eren
t ca
tego
ries o
f spe
cialis
t med
ical p
ract
ition
ers.
For p
urpo
ses o
f int
erna
tiona
l com
para
bilit
y, w
here
data
perta
inin
g to s
pecia
list m
edica
l pra
ctiti
oner
s are
repo
rted a
nd cl
assifi
ed by
med
ical
spec
ialty
, the
y sho
uld b
e map
ped t
o the
se gr
oupi
ngs.
Each
spec
ialist
shou
ld on
ly be
coun
ted
once
, acc
ordi
ng to
the m
ain ar
ea of
prac
tice (
or, if
this
info
rmat
ion
is no
t ava
ilabl
e, th
e las
t sp
ecial
ty re
giste
red)
.
Doct
ors i
n ob
stet
ric a
nd g
ynae
colo
gica
l spe
cialti
es an
d rela
ted b
ranc
hes f
ocus
ing o
n th
e car
e of t
he re
prod
uctiv
e sys
tem
of w
omen
inclu
ding
befo
re, d
urin
g and
afte
r pre
gnan
cy
and c
hild
birth
.
Gyna
ecol
ogist
, obs
tetri
cian
Doct
ors i
n pa
edia
trics
and r
elate
d spe
cialti
es fo
cusin
g on
the p
reve
ntio
n, di
agno
sis an
d tre
atm
ent o
f hea
lth pr
oblem
s in
infa
nts,
child
ren
and a
doles
cent
s.Pa
ediat
rician
, neo
nato
logi
st
Doct
ors i
n ps
ychi
atric
spec
ialti
es an
d rela
ted b
ranc
hes f
ocus
ing o
n th
e stu
dy an
d tre
atm
ent o
f men
tal il
lnes
s and
beha
viour
al di
sord
ers.
Psyc
hiat
rist,
child
psyc
hiat
rist,
gero
ntop
sych
iatris
t, ne
urop
sych
iatris
t
Doct
ors i
n th
e m
edica
l gro
up o
f spe
cialti
es an
d rela
ted b
ranc
hes (
not e
lsew
here
cla
ssifi
ed) f
ocus
ing
on th
e diag
nosis
, man
agem
ent a
nd n
on-s
urgi
cal t
reat
men
t of
healt
h pr
oblem
s.
Spec
ialist
med
ical d
octo
r in
card
iolo
gy,
derm
ato-
vene
rolo
gy, f
oren
sic m
edici
ne,
gastr
oent
erol
ogy,
haem
atol
ogy,
imm
unol
ogy,
infe
ctio
us di
seas
e, in
tern
al m
edici
ne, n
euro
logy
, oc
cupa
tiona
l med
icine
, onc
olog
y, ra
diol
ogy,
reha
bilit
ative
med
icine
, re
spira
tory
med
icine
, uro
logy
Doct
ors i
n th
e su
rgica
l gro
up o
f spe
cialti
es an
d rela
ted b
ranc
hes (
not e
lsew
here
cla
ssifi
ed) f
ocus
ing
on th
e tr
eatm
ent o
f hea
lth pr
oblem
s with
surg
ery.
Spec
ialist
med
ical d
octo
r in
gene
ral
surg
ery,
accid
ent a
nd em
erge
ncy
med
icine
, ana
esth
esio
logy
, in
tens
ive ca
re, n
euro
logi
cal s
urge
ry,
opht
halm
olog
y, or
thop
aedi
cs,
otol
aryn
golo
gy, p
aedi
atric
surg
ery,
plas
tic su
rger
y, th
orac
ic su
rger
y, va
scul
ar su
rger
y
Doct
ors i
n sp
ecia
lties
not
else
whe
re cl
assifi
ed in
clude
s med
ical d
octo
rs in
spec
ialist
pr
actic
e exc
eptin
g obs
tetri
c, gy
naec
olog
ical, p
aedi
atric
, psy
chiat
ric, s
urgi
cal o
r med
ical
spec
ialtie
s as c
lassifi
ed el
sew
here
.
Page 20
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Nurs
ing
prof
essio
nals
2221
Nurs
ing
prof
essio
nals
prov
ide t
reat
men
t, su
ppor
t and
care
serv
ices f
or pe
ople
who
ar
e in
need
of n
ursin
g car
e due
to th
e effe
cts o
f age
ing,
inju
ry, il
lnes
s or o
ther
phys
ical o
r m
enta
l impa
irmen
t, or
pote
ntial
risk
s to h
ealth
, acc
ordi
ng to
the p
ract
ice an
d sta
ndar
ds of
m
oder
n nu
rsing
. The
y ass
ume r
espo
nsib
ility f
or th
e plan
ning
and m
anag
emen
t of t
he ca
re
of pa
tient
s, in
cludi
ng th
e sup
ervis
ion
of ot
her h
ealth
care
wor
kers,
wor
king a
uton
omou
sly
or in
team
s with
med
ical d
octo
rs an
d oth
ers i
n th
e pra
ctica
l app
licat
ion
of pr
even
tive a
nd
cura
tive m
easu
res i
n cli
nica
l and
com
mun
ity se
tting
s.
Prof
essio
nal n
urse
, spe
cialis
t nur
se,
nurse
prac
titio
ner, c
linica
l nur
se,
distr
ict n
urse
, ope
ratin
g the
atre
nur
se,
publ
ic he
alth
nurse
, nur
se an
aesth
etist
, nu
rse ed
ucat
or
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
nur
sing.
The d
istin
ctio
n be
twee
n nu
rsing
and
mid
wife
ry pr
ofes
siona
ls an
d ass
ociat
e pro
fess
iona
ls sh
ould
be m
ade o
n th
e bas
is of
the n
atur
e of
the w
ork p
erfo
rmed
in re
latio
n to
this
defin
ition
. The
quali
ficat
ions
held
by in
divid
uals
or
that
pred
omin
ate i
n th
e cou
ntry
are n
ot th
e main
fact
or in
mak
ing t
his d
istin
ctio
n, as
train
ing
arra
ngem
ents
for n
urse
s and
mid
wive
s var
y wid
ely be
twee
n co
untri
es an
d hav
e var
ied ov
er
time w
ithin
coun
tries
.
Mid
wife
ry
prof
essio
nals
2222
Mid
wife
ry p
rofe
ssio
nals
plan
, man
age,
prov
ide a
nd ev
aluat
e mid
wife
ry ca
re se
rvice
s be
fore
, dur
ing a
nd af
ter p
regn
ancy
and c
hild
birth
. The
y pro
vide d
elive
ry ca
re fo
r red
ucin
g he
alth
risks
to w
omen
and n
ewbo
rn ch
ildre
n ac
cord
ing t
o the
prac
tice a
nd st
anda
rds o
f m
oder
n m
idw
ifery
, wor
king a
uton
omou
sly or
in te
ams w
ith ot
her h
ealth
care
prov
ider
s. Th
ey m
ay co
nduc
t res
earch
on m
idw
ifery
prac
tices
and p
roce
dure
s, an
d im
plem
ent
mid
wife
ry ed
ucat
ion
activ
ities
in cl
inica
l and
com
mun
ity se
tting
s.
Prof
essio
nal m
idw
ifeTh
is ca
tego
ry in
clude
s occ
upat
ions
for w
hich
com
pete
nt pe
rform
ance
usua
lly re
quire
s for
mal
train
ing a
t a h
ighe
r edu
catio
nal in
stitu
tion
in m
idw
ifery
. The
disti
nctio
ns be
twee
n nu
rsing
and
mid
wife
ry pr
ofes
siona
ls an
d ass
ociat
e pro
fess
iona
ls sh
ould
be m
ade o
n th
e bas
is of
the n
atur
e of
the w
ork p
erfo
rmed
in re
latio
n to
this
defin
ition
. The
quali
ficat
ions
held
by in
divid
uals
or
that
pred
omin
ate i
n th
e cou
ntry
are n
ot th
e main
fact
or in
mak
ing t
his d
istin
ctio
n, as
train
ing
arra
ngem
ents
for n
urse
s and
mid
wive
s var
y wid
ely be
twee
n co
untri
es an
d hav
e var
ied ov
er
time w
ithin
coun
tries
.
Trad
ition
al a
nd
com
plem
enta
ry
med
icine
pr
ofes
siona
ls
2230
Trad
ition
al a
nd co
mpl
emen
tary
med
icine
pro
fess
iona
ls ex
amin
e pat
ients
and
prev
ent a
nd tr
eat i
llnes
s, di
seas
e, in
jury
and o
ther
phys
ical, m
enta
l and
psyc
hoso
cial
ailm
ents
by ap
plyin
g kno
wled
ge, s
kills
and p
ract
ices a
cqui
red t
hrou
gh ex
tens
ive st
udy
of th
e the
ories
and e
xper
ience
s orig
inat
ing i
n sp
ecifi
c cul
ture
s. Th
ey re
sear
ch, d
evelo
p an
d im
plem
ent t
reat
men
t plan
s usin
g app
licat
ions
such
as ac
upun
ctur
e, ay
urve
dic,
hom
oeop
athi
c and
her
bal m
edici
ne.
Acup
unct
urist
, Ayu
rved
ic pr
actit
ione
r, Ch
ines
e her
bal m
edici
ne pr
actit
ione
r, ho
meo
path
, nat
urop
ath,
Un
ani p
ract
ition
er
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce re
quire
s an
exte
nsive
un
derst
andi
ng of
the b
enefi
ts an
d app
licat
ions
of tr
aditi
onal
and c
ompl
emen
tary
ther
apies
, de
velo
ped a
s the
resu
lt of
exte
nded
form
al stu
dy of
thes
e tec
hniq
ues a
s well
as h
uman
an
atom
y and
elem
ents
of m
oder
n m
edici
ne. P
ract
ition
ers w
orkin
g in
the s
ingu
lar ap
plica
tion
of ap
proa
ches
to h
erba
l med
icine
s, sp
iritu
al th
erap
ies or
man
ual t
hera
peut
ic ac
tivity
are
exclu
ded f
rom
her
e.
Para
med
ical
prac
titio
ners
2240
Para
med
ical p
ract
ition
ers (
inclu
ding
clin
ical o
ffice
rs an
d rela
ted)
prov
ide a
dviso
ry,
diag
nosti
c, cu
rativ
e and
prev
entiv
e med
ical s
ervic
es m
ore l
imite
d in
scop
e and
com
plex
ity
than
thos
e car
ried o
ut by
med
ical d
octo
rs. Th
ey w
ork a
uton
omou
sly or
with
limite
d su
perv
ision
of m
edica
l doc
tors,
and p
erfo
rm c
linica
l, the
rape
utic
and s
urgi
cal p
roce
dure
s fo
r tre
atin
g and
prev
entin
g dise
ases
, inju
ries,
and o
ther
phys
ical o
r men
tal im
pairm
ents
com
mon
to sp
ecifi
c com
mun
ities
.
Clin
ical o
ffice
r, prim
ary c
are p
aram
edic,
ad
vanc
ed ca
re pa
ram
edic,
surg
ical
tech
nicia
n, Fe
ldsh
er
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
com
plet
ion
of te
rtiar
y-lev
el tra
inin
g in
theo
retic
al an
d pra
ctica
l med
ical s
ervic
es. W
orke
rs pr
ovid
ing s
ervic
es lim
ited t
o em
erge
ncy
treat
men
t and
ambu
lance
prac
tice a
re cl
assifi
ed un
der “
Ambu
lance
wor
kers”
– 32
58.
Dent
ists
2261
Dent
ists (
inclu
ding
dent
al su
rgeo
ns an
d rela
ted)
diag
nose
, tre
at an
d pre
vent
dise
ases
, in
jurie
s and
abno
rmali
ties o
f the
teet
h, m
outh
, jaw
s and
asso
ciate
d tiss
ues b
y app
lying
th
e prin
ciples
and p
roce
dure
s of m
oder
n de
ntist
ry. T
hey u
se a
broa
d ran
ge of
spec
ialize
d di
agno
stic,
surg
ical a
nd ot
her t
echn
ique
s to p
rom
ote a
nd re
store
oral
healt
h.
Dent
ist, d
enta
l pra
ctiti
oner,
dent
al su
rgeo
n, en
dodo
ntist
, ora
l and
m
axill
ofac
ial su
rgeo
n, or
al pa
thol
ogist
, or
thod
ontis
t, pa
edod
ontis
t, pe
riodo
ntist
, pro
sthod
ontis
t, sto
mat
olog
ist
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
com
plet
ion
of un
iversi
ty-le
vel
train
ing i
n th
eore
tical
and p
ract
ical d
entis
try or
a re
lated
field
. Alth
ough
in so
me c
ount
ries
“sto
mat
olog
y” an
d “de
ntal,
oral
and m
axill
ofac
ial su
rger
y” m
ay be
cons
ider
ed as
med
ical
spec
ializa
tions
, occ
upat
ions
in th
ese fi
elds s
houl
d alw
ays b
e clas
sified
her
e.
Phar
mac
ists
2262
Phar
mac
ists s
tore
, pre
serv
e, co
mpo
und a
nd di
spen
se m
edici
nal p
rodu
cts.
They
coun
sel
on th
e pro
per u
se an
d adv
erse
effec
ts of
drug
s and
med
icine
s fol
low
ing p
resc
riptio
ns is
sued
by
med
ical d
octo
rs an
d oth
er h
ealth
prof
essio
nals.
They
cont
ribut
e to r
esea
rchin
g, te
sting
, pr
epar
ing,
pres
cribi
ng an
d mon
itorin
g med
icina
l the
rapi
es fo
r opt
imizi
ng h
uman
hea
lth.
Hosp
ital p
harm
acist
, indu
strial
ph
arm
acist
, ret
ail ph
arm
acist
, di
spen
sing c
hem
ist
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
com
plet
ion
of un
iversi
ty-le
vel
train
ing i
n th
eore
tical
and p
ract
ical p
harm
acy,
phar
mac
eutic
al ch
emist
ry or
a re
lated
field
. Ph
arm
acol
ogist
s and
relat
ed pr
ofes
siona
ls w
ho st
udy l
iving
orga
nism
s are
exclu
ded f
rom
her
e (cl
assifi
ed un
der “
Life s
cienc
e pro
fess
iona
ls”1 ).
Page 21
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
clas
sified
her
eNo
tes
Envi
ronm
enta
l an
d oc
cupa
tiona
l he
alth
and
hy
gien
e pr
ofes
siona
ls
2263
Envi
ronm
enta
l and
occ
upat
iona
l hea
lth a
nd h
ygie
ne p
rofe
ssio
nals
asse
ss, p
lan
and i
mpl
emen
t pro
gram
s to r
ecog
nize
, mon
itor a
nd co
ntro
l env
ironm
enta
l fac
tors
that
ca
n po
tent
ially
affec
t hum
an h
ealth
, to e
nsur
e saf
e and
hea
lthy w
orkin
g con
ditio
ns, a
nd to
pr
even
t dise
ase o
r inj
ury c
ause
d by c
hem
ical, p
hysic
al, ra
diol
ogica
l and
biol
ogica
l age
nts o
r er
gono
mic
fact
ors.
Envir
onm
enta
l hea
lth offi
cer,
occu
patio
nal h
ealth
and s
afet
y adv
iser,
occu
patio
nal h
ygien
ist, r
adiat
ion
prot
ectio
n ad
viser
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
envir
onm
enta
l or o
ccup
atio
nal h
ealth
and s
afet
y, or
a re
lated
field
. Pro
fess
iona
ls w
ho as
sess
, plan
and i
mpl
emen
t pro
gram
mes
to m
onito
r or
cont
rol t
he im
pact
of h
uman
activ
ities
on th
e env
ironm
ent a
re ex
clude
d fro
m h
ere (
class
ified
un
der “
Life s
cienc
e pro
fess
iona
ls”1 ).
Phys
ioth
erap
ists
2264
Phys
ioth
erap
ists a
sses
s, pl
an an
d im
plem
ent r
ehab
ilitat
ive pr
ogra
ms t
hat i
mpr
ove o
r re
store
hum
an m
otor
func
tions
, max
imize
mov
emen
t abi
lity,
relie
ve pa
in sy
ndro
mes
, an
d tre
at or
prev
ent p
hysic
al ch
allen
ges a
ssoc
iated
with
inju
ries,
dise
ases
and o
ther
im
pairm
ents.
They
appl
y a br
oad r
ange
of ph
ysica
l the
rapi
es an
d tec
hniq
ues s
uch
as
mov
emen
t, ul
traso
und,
hea
ting,
lase
r and
othe
r tec
hniq
ues.
They
may
deve
lop a
nd
impl
emen
t pro
gram
mes
for s
creen
ing a
nd pr
even
tion
of co
mm
on ph
ysica
l ailm
ents
and d
isord
ers.
Phys
ioth
erap
ist, g
eriat
ric ph
ysica
l th
erap
ist, o
rthop
aedi
c phy
sical
ther
apist
, pae
diat
ric
phys
ical t
hera
pist
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
phys
ioth
erap
y or a
relat
ed fi
eld.
Diet
ician
s and
nu
triti
onist
s22
65Di
etici
ans a
nd n
utrit
ioni
sts a
sses
s, pl
an an
d im
plem
ent p
rogr
ams t
o enh
ance
the i
mpa
ct
of fo
od an
d nut
ritio
n on
hum
an h
ealth
. The
y may
cond
uct r
esea
rch, a
sses
smen
ts an
d ed
ucat
ion
to im
prov
e nut
ritio
nal le
vels
amon
g ind
ividu
als an
d com
mun
ities
.
Diet
ician
, clin
ical d
ietici
an, f
ood s
ervic
e di
etici
an, n
utrit
ioni
st, pu
blic
healt
h nu
tritio
nist,
spor
ts nu
tritio
nist
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
food
and n
utrit
iona
l scie
nce,
nutri
tion
educ
atio
n,
diet
etics
, or a
relat
ed fi
eld.
Audi
olog
ists
and
spee
ch
ther
apist
s
2266
Audi
olog
ists a
nd sp
eech
ther
apist
s eva
luat
e, m
anag
e and
trea
t phy
sical
diso
rder
s aff
ectin
g hum
an h
earin
g, sp
eech
com
mun
icatio
n an
d swa
llow
ing.
They
pres
cribe
corre
ctive
de
vices
or re
habi
litat
ive th
erap
ies fo
r hea
ring l
oss,
spee
ch di
sord
ers,
and r
elate
d sen
sory
and
neur
al pr
oblem
s. Th
ey pl
an h
earin
g scre
enin
g pro
gram
s and
prov
ide c
ouns
ellin
g on
hear
ing
safe
ty an
d com
mun
icatio
n pe
rform
ance
.
Audi
olog
ist, s
peec
h th
erap
ist, s
peec
h pa
thol
ogist
, lang
uage
ther
apist
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
audi
olog
y, sp
eech
path
olog
y, cli
nica
l lang
uage
sc
ience
s or a
relat
ed fi
eld.
Opto
met
rists
an
d op
htha
lmic
optic
ians
2267
Opto
met
rists
and
oph
thal
mic
optic
ians
prov
ide d
iagno
sis, m
anag
emen
t and
trea
tmen
t se
rvice
s for
diso
rder
s of t
he ey
es an
d visu
al sy
stem
. The
y cou
nsel
and a
dvise
on ey
e car
e and
sa
fety
, and
pres
cribe
optic
al aid
s or o
ther
ther
apies
for v
isual
distu
rban
ce.
Opto
met
rist,
opht
halm
ic op
tician
, or
thop
tist
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
opto
met
ry, o
rthop
tics o
r a re
lated
field
.
Heal
th
prof
essio
nals
not e
lsew
here
cla
ssifi
ed
2269
This
grou
p cov
ers h
ealth
pro
fess
iona
ls no
t cla
ssifi
ed e
lsew
here
such
as ch
iropr
acto
rs,
oste
opat
hs, p
odiat
rists,
occu
patio
nal t
hera
pists
, rec
reat
iona
l the
rapi
sts an
d oth
er
prof
essio
nals
prov
idin
g diag
nosti
c, pr
even
tive,
cura
tive a
nd re
habi
litat
ive h
ealth
serv
ices.
Chiro
prac
tor, o
steop
ath,
podi
atris
t, oc
cupa
tiona
l the
rapi
st, re
creat
iona
l th
erap
ist, a
rts th
erap
ist, d
ance
and
mov
emen
t the
rapi
st
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires
form
al tra
inin
g at a
hig
her e
duca
tiona
l insti
tutio
n in
a he
alth
relat
ed fi
eld. A
lthou
gh in
som
e ju
risdi
ctio
ns ch
iropr
actic
and o
steop
athi
c are
cons
ider
ed to
hav
e the
attri
bute
s of m
edica
l sp
ecial
ties,
prac
titio
ners
in th
ese d
iscip
lines
shou
ld al
ways
be cl
assifi
ed h
ere.
Hea
lth
asso
ciat
e pr
ofes
sion
als
Healt
h as
socia
te pr
ofes
siona
ls pe
rform
tech
nica
l and
prac
tical
task
s to s
uppo
rt di
agno
sis an
d tre
atm
ent o
f illn
ess,
dise
ase,
inju
ries a
nd im
pairm
ents,
and t
o sup
port
impl
emen
tatio
n of
hea
lth ca
re, t
reat
men
t and
refe
rral p
lans u
suall
y esta
blish
ed by
med
ical, n
ursin
g an
d oth
er h
ealth
prof
essio
nals.
App
ropr
iate f
orm
al qu
alific
atio
ns ar
e ofte
n an
esse
ntial
requ
irem
ent f
or en
try to
thes
e occ
upat
ions
; in so
me c
ases
relev
ant w
ork e
xper
ience
and p
rolo
nged
on-th
e-jo
b tra
inin
g may
subs
titut
e for
the f
orm
al ed
ucat
ion.
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
clas
sified
her
eNo
tes
Med
ical i
mag
ing
and
ther
apeu
tic
equi
pmen
t te
chni
cians
3211
Med
ical i
mag
ing
and
ther
apeu
tic e
quip
men
t tec
hnici
ans t
est a
nd op
erat
e ra
diog
raph
ic, ul
traso
und a
nd ot
her m
edica
l imag
ing e
quip
men
t to p
rodu
ce im
ages
of
body
stru
ctur
es fo
r the
diag
nosis
and t
reat
men
t of i
njur
y, di
seas
e and
othe
r im
pairm
ents.
Th
ey m
ay ad
min
ister
radi
atio
n tre
atm
ents
and m
onito
r pat
ients”
cond
ition
s und
er th
e su
perv
ision
of a
radi
olog
ist or
othe
r hea
lth pr
ofes
siona
l.
Diag
nosti
c med
ical r
adio
grap
her,
med
ical r
adiat
ion
ther
apist
, mag
netic
re
sona
nce i
mag
ing t
echn
olog
ist,
nucle
ar m
edici
ne te
chno
logi
st,
mam
mog
raph
er, so
nogr
aphe
r
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
med
ical t
echn
olog
y, ra
diol
ogy,
sono
grap
hy, n
uclea
r med
ical t
echn
olog
y or a
re
lated
field
.
Page 22
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Med
ical a
nd
path
olog
y la
bora
tory
te
chni
cians
3212
Med
ical a
nd p
atho
logy
labo
rato
ry te
chni
cians
perfo
rm cl
inica
l tes
ts on
spec
imen
s of
bodi
ly flu
ids a
nd ti
ssue
s in
orde
r to g
et in
form
atio
n ab
out t
he h
ealth
of a
patie
nt or
caus
e of
deat
h. Th
ey te
st an
d ope
rate
equi
pmen
t suc
h as
spec
troph
otom
eter
s, ca
lorim
eter
s and
fla
me p
hoto
met
ers f
or an
alysis
of bi
olog
ical m
ater
ial in
cludi
ng bl
ood,
urin
e and
spin
al flu
id.
Med
ical la
bora
tory
tech
nicia
n,
med
ical la
bora
tory
assis
tant
, blo
od
bank
tech
nicia
n, cy
tolo
gy te
chni
cian,
pa
thol
ogy t
echn
ician
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
biom
edica
l scie
nce,
med
ical t
echn
olog
y or a
relat
ed fi
eld. T
echn
ician
s who
cond
uct
labor
ator
y tes
ts on
livin
g org
anism
s sho
uld b
e clas
sified
unde
r “Lif
e scie
nce t
echn
ician
s”.
Fore
nsic
scien
ce te
chni
cians
, who
perfo
rm cl
inica
l tes
ts to
aid i
n th
e inv
estig
atio
n of
crim
es,
shou
ld be
clas
sified
unde
r “Ph
ysica
l and
engi
neer
ing s
cienc
e tec
hnici
ans”
1 .
Phar
mac
eutic
al
tech
nicia
ns a
nd
assis
tant
s
3213
Phar
mac
eutic
al te
chni
cians
and
ass
istan
ts pe
rform
a va
riety
of ta
sks a
ssoc
iated
w
ith di
spen
sing m
edici
nal p
rodu
cts u
nder
the g
uida
nce o
f a ph
arm
acist
or ot
her h
ealth
pr
ofes
siona
l. The
y inv
ento
ry, p
repa
re an
d sto
re m
edica
tions
and o
ther
phar
mac
eutic
al co
mpo
unds
and s
uppl
ies, a
nd m
ay di
spen
se m
edici
nes a
nd dr
ugs t
o clie
nts a
nd in
struc
t on
their
use a
s pre
scrib
ed by
hea
lth pr
ofes
siona
ls.
Phar
mac
eutic
al te
chni
cian,
ph
arm
aceu
tical
assis
tant
, disp
ensin
g te
chni
cian
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
know
ledge
and s
kills
in ph
arm
aceu
tical
serv
ices a
s obt
ained
thro
ugh
form
al tra
inin
g. Ph
arm
acol
ogy t
echn
ician
s and
relat
ed as
socia
te
prof
essio
nals
who
wor
k with
livin
g org
anism
s are
exclu
ded f
rom
her
e (cla
ssifi
ed un
der
“Life
scien
ce te
chni
cians
”1 ).
Med
ical
and
dent
al
pros
thet
ic te
chni
cians
3214
Med
ical a
nd d
enta
l pro
sthe
tic te
chni
cians
desig
n, fi
t, se
rvice
and r
epair
med
ical a
nd
dent
al de
vices
and a
pplia
nces
follo
win
g pre
scrip
tions
or in
struc
tions
esta
blish
ed by
a he
alth
prof
essio
nal. T
hey m
ay se
rvice
a w
ide r
ange
of su
ppor
t ins
trum
ents
to co
rrect
phys
ical
med
ical o
r den
tal p
robl
ems s
uch
as n
eck b
race
s, or
thop
aedi
c spl
ints,
artifi
cial li
mbs
, hea
ring
aids,
arch
supp
orts,
dent
ures
, and
dent
al cro
wns
and b
ridge
s.
Med
ical a
pplia
nce t
echn
ician
, orth
otist
, or
thot
ic te
chni
cian,
pros
thet
ist,
pros
thet
ic te
chni
cian,
de
ntur
ist, d
enta
l tec
hnici
an
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
som
e med
ical, d
enta
l and
anat
omica
l kn
owled
ge ob
tain
ed th
roug
h fo
rmal
train
ing.
Tech
nicia
ns w
ho co
nstru
ct an
d rep
air pr
ecisi
on
med
ical a
nd su
rgica
l instr
umen
ts ar
e exc
lude
d fro
m h
ere (
class
ified
unde
r “Tra
de w
orke
rs”1 ).
Nurs
ing
asso
ciate
pr
ofes
siona
ls
3221
Nurs
ing
asso
ciate
pro
fess
iona
ls pr
ovid
e bas
ic nu
rsing
and p
erso
nal c
are
for p
eopl
e in
need
of su
ch ca
re du
e to e
ffect
s of a
gein
g, ill
ness
, inju
ry, o
r oth
er ph
ysica
l or
men
tal im
pairm
ent. T
hey p
rovid
e hea
lth ad
vice t
o pat
ients
and f
amilie
s; m
onito
r pat
ients’
co
nditi
ons;
and i
mpl
emen
t car
e, tre
atm
ent a
nd re
ferra
l plan
s usu
ally e
stabl
ished
by
med
ical, n
ursin
g and
othe
r hea
lth pr
ofes
siona
ls.
Assis
tant
nur
se, e
nrol
led n
urse
, pr
actic
al nu
rseTh
is ca
tego
ry in
clude
s occ
upat
ions
for w
hich
com
pete
nt pe
rform
ance
usua
lly re
quire
s kn
owled
ge an
d skil
ls ob
tain
ed as
the r
esul
t of s
tudy
in n
ursin
g; in
som
e cas
es, e
xten
sive o
n th
e-jo
b tra
inin
g may
subs
titut
e for
the f
orm
al ed
ucat
ion
form
al. Th
e crit
eria
for i
nclu
sion
of
indi
vidua
ls in
this
cate
gory
shou
ld be
mad
e on
the b
asis
of th
e nat
ure o
f the
wor
k per
form
ed
in re
latio
n to
this
defin
ition
, and
not
the q
ualifi
catio
ns h
eld by
indi
vidua
ls or
that
pred
omin
ate
in th
e cou
ntry
.
Mid
wife
ry
asso
ciate
pr
ofes
siona
ls
3222
Mid
wife
ry a
ssoc
iate
pro
fess
iona
ls pr
ovid
e bas
ic he
alth
care
and a
dvice
befo
re,
durin
g and
afte
r pre
gnan
cy an
d chi
ldbi
rth. T
hey p
rovid
e adv
ice to
wom
en, f
amilie
s and
co
mm
uniti
es on
birth
and e
mer
genc
y plan
s, br
eastf
eedi
ng, in
fant
care
, fam
ily pl
anni
ng an
d re
lated
topi
cs; m
onito
r hea
lth st
atus
durin
g pre
gnan
cy an
d chi
ldbi
rth; a
nd im
plem
ent c
are,
treat
men
t and
refe
rral p
lans u
suall
y esta
blish
ed by
med
ical, m
idw
ifery
and o
ther
hea
lth
prof
essio
nals.
Assis
tant
mid
wife
, tra
ditio
nal m
idw
ifeTh
is ca
tego
ry in
clude
s occ
upat
ions
for w
hich
com
pete
nt pe
rform
ance
requ
ires k
now
ledge
and
skill
s in
rout
ine a
nd em
erge
ncy m
idw
ifery
care
acqu
ired t
hrou
gh fo
rmal
or in
form
al tra
inin
g.
The c
riter
ia fo
r inc
lusio
n of
indi
vidua
ls in
this
cate
gory
shou
ld be
mad
e on
the b
asis
of th
e na
ture
of th
e wor
k per
form
ed in
relat
ion
to th
is de
finiti
on, a
nd n
ot th
e qua
lifica
tions
held
by
indi
vidua
ls or
that
pred
omin
ate i
n th
e cou
ntry
. Tra
ditio
nal a
nd la
y mid
wive
s, w
ho pr
ovid
e ba
sic pr
egna
ncy a
nd bi
rthin
g car
e and
advic
e bas
ed pr
imar
ily on
expe
rienc
e and
know
ledge
ac
quire
d inf
orm
ally t
hrou
gh th
e tra
ditio
ns an
d pra
ctice
s of t
he co
mm
uniti
es w
here
they
or
igin
ated
, are
inclu
ded h
ere.
Birth
assis
tant
s, w
ho pr
ovid
e em
otio
nal s
uppo
rt an
d gen
eral
care
and a
dvice
to w
omen
and f
amilie
s dur
ing p
regn
ancy
and l
abou
r, are
exclu
ded f
rom
her
e (cl
assifi
ed un
der “
Perso
nal c
are w
orke
rs in
hea
lth se
rvice
s”).
Trad
ition
al a
d co
mpe
men
tary
m
edici
ne
asso
ciate
pr
ofes
siona
ls
3230
Trad
ition
al a
nd co
mpl
emen
tary
med
icine
ass
ocia
te p
rofe
ssio
nals
prev
ent,
care
fo
r and
trea
t phy
sical
and m
enta
l illn
esse
s, di
sord
ers a
nd in
jurie
s usin
g her
bal a
nd ot
her
ther
apies
base
d on
theo
ries a
nd ex
perie
nces
orig
inat
ing i
n sp
ecifi
c cul
ture
s. Th
ey ad
min
ister
tre
atm
ents
usin
g tra
ditio
nal t
echn
ique
s and
med
icam
ents,
eith
er ac
ting i
ndep
ende
ntly
or ac
cord
ing t
o the
rape
utic
care
plan
s esta
blish
ed by
a tra
ditio
nal m
edici
ne or
othe
r he
alth
prof
essio
nal.
Acup
unct
ure t
echn
ician
, Ayu
rved
ic te
chni
cian,
bone
sette
r, her
balis
t, ho
meo
path
y tec
hnici
an, s
crapi
ng an
d cu
ppin
g the
rapi
st, vi
llage
hea
ler,
witc
h do
ctor
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce re
quire
s kno
wled
ge
and s
kills
acqu
ired t
hrou
gh re
lative
ly sh
ort p
erio
ds of
educ
atio
n an
d tra
inin
g, or
info
rmall
y th
roug
h th
e tra
ditio
ns an
d pra
ctice
s of t
he co
mm
uniti
es w
here
they
orig
inat
ed. F
aith
heale
rs,
who
trea
t hum
an ai
lmen
ts th
roug
h sp
iritu
al th
erap
ies, w
ithou
t usin
g her
bal t
hera
pies
or
othe
r med
icam
ents
or ph
ysica
l tre
atm
ents,
are e
xclu
ded f
rom
her
e (cla
ssifi
ed un
der “
Relig
ious
as
socia
te pr
ofes
siona
ls”).
Occu
patio
ns th
at pr
ovid
e the
rapy
usin
g tra
ditio
nal f
orm
s of m
assa
ge
and t
he ap
plica
tion
of pr
essu
re, s
uch
as ac
upre
ssur
e and
shiat
su th
erap
ists,
are c
lassifi
ed un
der
“Phy
sioth
erap
y tec
hnici
ans a
nd as
sista
nts”
– 32
55.
Page 23
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Dent
al a
ssist
ants
an
d th
erap
ists
3251
Dent
al a
ssist
ants
and
ther
apist
s pro
vide b
asic
dent
al ca
re se
rvice
s for
the p
reve
ntio
n an
d tre
atm
ent o
f dise
ases
and d
isord
ers o
f the
teet
h an
d mou
th, a
s per
care
plan
s and
pr
oced
ures
esta
blish
ed by
a de
ntist
or ot
her o
ral h
ealth
prof
essio
nal. T
hey e
xam
ine p
atien
ts’
mou
ths,
teet
h an
d rela
ted s
truct
ures
to as
sess
oral
healt
h sta
tus;
prov
ide a
dvice
on de
ntal
hygi
ene;
perfo
rm ba
sic or
rout
ine c
linica
l den
tal p
roce
dure
s; an
d ass
istin
g den
tists
durin
g co
mpl
ex de
ntal
proc
edur
es.
Dent
al as
sista
nt, d
enta
l hyg
ienist
, de
ntal
ther
apist
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
dent
al hy
gien
e, de
ntal-
assis
ting o
r a re
lated
field
.
Med
ical r
ecor
ds
and
heal
th
info
rmat
ion
tech
nicia
ns
3252
Med
ical r
ecor
ds a
nd h
ealth
info
rmat
ion
tech
nicia
ns de
velo
p, im
plem
ent a
nd as
sess
he
alth
reco
rds p
roce
ssin
g, st
orag
e and
retri
eval
syste
ms i
n m
edica
l fac
ilities
and o
ther
he
alth
care
setti
ngs t
o mee
t the
lega
l, pro
fess
iona
l, eth
ical a
nd ad
min
istra
tive r
ecor
ds-
keep
ing r
equi
rem
ents
of h
ealth
serv
ices d
elive
ry.
Med
ical r
ecor
ds te
chni
cian,
hea
lth
info
rmat
ion
clerk
, med
ical r
ecor
ds
analy
st, m
edica
l rec
ords
unit
supe
rviso
r, cli
nica
l cod
er, di
seas
e reg
istry
te
chni
cian
Occu
patio
ns in
clude
d in
this
cate
gory
requ
ire kn
owled
ge of
med
ical t
erm
inol
ogy,
legal
aspe
cts o
f hea
lth in
form
atio
n, h
ealth
data
stan
dard
s, an
d com
pute
r- or
pape
r-bas
ed da
ta
man
agem
ent a
s obt
ained
thro
ugh
form
al ed
ucat
ion
and/
or pr
olon
ged o
n-th
e-jo
b tra
inin
g.
Gene
ral s
ecre
taria
l or c
lerica
l wor
kers
are e
xclu
ded f
rom
her
e.
Com
mun
ity
heal
th w
orke
rs32
53Co
mm
unity
hea
lth w
orke
rs pr
ovid
e hea
lth ed
ucat
ion,
refe
rral a
nd fo
llow
up, c
ase
man
agem
ent,
and b
asic
prev
entiv
e hea
lth ca
re an
d hom
e visi
ting s
ervic
es to
spec
ific
com
mun
ities
. The
y pro
vide s
uppo
rt an
d ass
istan
ce to
indi
vidua
ls an
d fam
ilies i
n na
vigat
ing
the h
ealth
and s
ocial
serv
ices s
yste
m.
Com
mun
ity h
ealth
wor
ker, c
omm
unity
he
alth
aide,
com
mun
ity h
ealth
pr
omot
er, vi
llage
hea
lth w
orke
r
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
form
al or
info
rmal
train
ing a
nd su
perv
ision
reco
gnize
d by t
he h
ealth
and s
ocial
serv
ices a
utho
rities
. Pro
vider
s of
rout
ine p
erso
nal c
are s
ervic
es an
d tra
ditio
nal m
edici
ne pr
actit
ione
rs ar
e not
inclu
ded h
ere.
Disp
ensin
g op
ticia
ns32
54Di
spen
sing
optic
ians
desig
n, fi
t and
disp
ense
optic
al len
ses b
ased
on a
pres
cript
ion
from
an
opht
halm
olog
ist or
opto
met
rist f
or th
e cor
rect
ion
of re
duce
d visu
al ac
uity
. The
y ser
vice
corre
ctive
eyeg
lasse
s, co
ntac
t len
ses,
low
-visi
on ai
ds an
d oth
er op
tical
devic
es.
Disp
ensin
g opt
ician
, con
tact
lens
op
tician
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
optic
ianry
.
Phys
ioth
erap
y te
chni
cans
and
as
sista
nts
3255
Phys
ioth
erap
y tec
hnici
ans a
nd a
ssist
ants
prov
ide p
hysic
al th
erap
eutic
trea
tmen
ts to
pa
tient
s in
circu
msta
nces
whe
re fu
nctio
nal m
ovem
ent i
s thr
eate
ned b
y inj
ury,
dise
ase o
r im
pairm
ent. T
hey fi
t pat
ients
for p
hysic
al su
ppor
tive d
evice
s and
adm
inist
er an
d mon
itor
man
ual t
reat
men
ts, el
ectri
cal m
odali
ty tr
eatm
ents,
ultra
soun
d and
othe
r phy
sical
ther
apies
. Th
erap
ies ar
e usu
ally p
rovid
ed as
per r
ehab
ilitat
ive pl
ans e
stabl
ished
by a
phys
ioth
erap
ist or
ot
her h
ealth
prof
essio
nal.
Phys
ioth
erap
y tec
hnici
an, p
hysic
al re
habi
litat
ion
tech
nicia
n, ac
upre
ssur
e th
erap
ist, e
lectro
ther
apist
, hy
drot
hera
pist,
mas
sage
ther
apist
, sh
iatsu
ther
apist
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
phys
ical r
ehab
ilitat
ion
ther
apy o
r a re
lated
field
. Fitn
ess i
nstru
ctor
s, w
ho te
ach
body
mov
emen
ts us
ed in
fitn
ess r
outin
es an
d rec
reat
iona
l act
ivitie
s, ar
e exc
lude
d fro
m h
ere
(clas
sified
unde
r “So
cial, c
ultu
ral a
nd re
lated
asso
ciate
prof
essio
nals”
).
Med
ical
assis
tant
s32
56M
edica
l ass
istan
ts pe
rform
basic
clin
ical a
nd ad
min
istra
tive t
asks
to su
ppor
t pat
ient
care
unde
r the
dire
ct su
perv
ision
of a
med
ical p
ract
ition
er or
othe
r hea
lth pr
ofes
siona
l. Th
ey pe
rform
rout
ine t
asks
and p
roce
dure
s suc
h as
mea
surin
g pat
ients’
vita
l sig
ns,
adm
inist
erin
g med
icatio
ns an
d inj
ectio
ns, r
ecor
ding
info
rmat
ion
in m
edica
l rec
ords
-kee
ping
sy
stem
s, pr
epar
ing a
nd h
andl
ing m
edica
l instr
umen
ts an
d sup
plies
, and
colle
ctin
g and
pr
epar
ing s
pecim
ens o
f bod
ily fl
uids
and t
issue
s for
labo
rato
ry te
sting
.
Med
ical a
ssist
ant,
clini
cal a
ssist
ant,
opht
halm
ic as
sista
ntTh
is ca
tego
ry in
clude
s occ
upat
ions
for w
hich
com
pete
nt pe
rform
ance
nor
mall
y req
uire
s for
mal
train
ing i
n he
alth
serv
ices p
rovis
ion.
Clin
ical c
are p
rovid
ers w
ith ad
vanc
ed tr
ainin
g and
skill
s to
prov
ide i
ndep
ende
nt m
edica
l diag
nosti
c and
trea
tmen
t ser
vices
shou
ld be
clas
sified
unde
r “P
aram
edica
l pra
ctiti
oner
s”–
2240
.
Envi
ronm
enta
l an
d oc
cupa
tiona
l he
alth
in
spec
tors
and
as
socia
tes
3257
Envi
ronm
enta
l and
occ
upat
iona
l hea
lth in
spec
tors
and
ass
ocia
tes i
nves
tigat
e th
e im
plem
enta
tion
of ru
les an
d reg
ulat
ions
relat
ing t
o env
ironm
enta
l fac
tors
that
can
pote
ntial
ly aff
ect h
uman
hea
lth, h
ealth
and s
afet
y in
the w
orkp
lace,
and s
afet
y of
proc
esse
s for
the p
rodu
ctio
n of
good
s and
serv
ices.
They
may
impl
emen
t and
evalu
ate
prog
ram
mes
to re
store
or im
prov
e saf
ety a
nd sa
nita
ry co
nditi
ons u
nder
the s
uper
visio
n of
a he
alth
prof
essio
nal.
Healt
h in
spec
tor, f
ood s
anita
tion
and
safe
ty in
spec
tor, o
ccup
atio
nal h
ealth
an
d saf
ety i
nspe
ctor
, san
itaria
n,
sani
tary
insp
ecto
r
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
sani
tary
scien
ces,
occu
patio
nal a
nd in
stitu
tiona
l saf
ety a
nd sa
nita
tion,
or a
relat
ed fi
eld.
Page 24
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Ambu
lanc
e w
orke
rs32
58Am
bula
nce
wor
kers
prov
ide e
mer
genc
y hea
lth ca
re to
patie
nts w
ho ar
e inj
ured
, sick
, in
firm
or ot
herw
ise ph
ysica
lly or
men
tally
impa
ired p
rior t
o and
durin
g tra
nspo
rt to
med
ical,
reha
bilit
atio
n an
d oth
er h
ealth
care
facil
ities
. The
y mon
itor c
hang
es in
hea
lth st
atus
of
patie
nts d
urin
g tra
nspo
rt an
d per
form
proc
edur
es ac
cord
ing t
o pro
toco
l or e
mer
genc
y m
edica
l tre
atm
ent. T
hey m
ay pa
trol a
nd pr
ovid
e inf
orm
atio
n on
first
aid a
t lar
ge-s
cale
publ
ic ga
ther
ings
and o
ther
even
ts w
here
hea
lth em
erge
ncies
are m
ore l
ikely
to oc
cur.
Ambu
lance
office
r, am
bulan
ce
para
med
ic, em
erge
ncy m
edica
l te
chni
cian,
emer
genc
y par
amed
ic
Occu
patio
ns in
clude
d in
this
cate
gory
nor
mall
y req
uire
form
al tra
inin
g in
emer
genc
y med
ical
treat
men
t, pa
tient
tran
spor
t, am
bulan
ce pr
incip
les an
d pra
ctice
, or a
relat
ed fi
eld. A
mbu
lance
dr
ivers
who
do n
ot pr
ovid
e hea
lth ca
re ar
e exc
lude
d fro
m h
ere (
class
ified
unde
r “Pl
ant a
nd
mac
hine
oper
ator
s”1 ).
Heal
th a
ssoc
iate
pr
ofes
siona
ls no
t else
whe
re
class
ified
3259
This
grou
p cov
ers h
ealth
ass
ocia
te p
rofe
ssio
nals
not e
lsew
here
clas
sified
inclu
ding
, fo
r ins
tanc
e, re
spira
tory
and a
naes
thes
ia te
chni
cians
, HIV
coun
sello
rs an
d oth
ers p
erfo
rmin
g te
chni
cal t
asks
and p
rovid
ing s
uppo
rt fo
r diag
nosti
c, pr
even
tive,
cura
tive,
prom
otio
nal a
nd
reha
bilit
ative
hea
lth se
rvice
s.
Resp
irato
ry th
erap
y tec
hnici
an,
anae
sthes
ia te
chni
cian,
HIV
coun
sello
r, fa
mily
plan
ning
coun
sello
r.
This
cate
gory
inclu
des o
ccup
atio
ns fo
r whi
ch co
mpe
tent
perfo
rman
ce us
ually
requ
ires f
orm
al tra
inin
g in
healt
h se
rvice
prov
ision
.
Oth
er h
ealt
h as
soci
ate
prof
essi
onal
sOt
her h
ealth
asso
ciate
prof
essio
nals
inclu
de a
wid
e ran
ge of
othe
r typ
es of
hea
lth sy
stem
s per
sonn
el, su
ch as
hea
lth se
rvice
man
ager
s, he
alth
econ
omist
s, he
alth
polic
y law
yers,
biom
edica
l eng
inee
rs, m
edica
l phy
sicist
s, cli
nica
l psy
chol
ogist
s, so
cial w
orke
rs, m
edica
l se
creta
ries,
ambu
lance
drive
rs, bu
ildin
g main
tena
nce s
taff,
and o
ther
gene
ral m
anag
emen
t, pr
ofes
siona
l, tec
hnica
l, adm
inist
rativ
e and
supp
ort s
taff.
Perso
nal c
are w
orke
rs pr
ovid
e dire
ct pe
rsona
l car
e ser
vices
in h
ealth
care
and r
esid
entia
l set
tings
, ass
ist w
ith h
ealth
ca
re pr
oced
ures
, and
perfo
rm a
varie
ty of
othe
r tas
ks of
a sim
ple a
nd ro
utin
e nat
ure f
or th
e pro
visio
n of
hea
lth se
rvice
s. Th
ese o
ccup
atio
ns ty
pica
lly re
quire
relat
ively
adva
nced
liter
acy a
nd n
umer
acy s
kills,
a hi
gh le
vel o
f man
ual d
exte
rity,
and g
ood i
nter
perso
nal
com
mun
icatio
n sk
ills.
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Heal
th se
rvice
m
anag
ers
1342
Heal
th se
rvice
man
ager
s plan
, dire
ct, co
ordi
nate
and e
valu
ate t
he pr
ovisi
on of
clin
ical
and c
omm
unity
hea
lth ca
re se
rvice
s in
hosp
itals,
clin
ics, p
ublic
hea
lth ag
encie
s and
sim
ilar
orga
niza
tions
. The
y pro
vide o
vera
ll dire
ctio
n, po
licy s
tand
ards
and o
pera
tiona
l crit
eria
for
the u
nits
they
man
age,
inclu
ding
supe
rvisi
ng an
d eva
luat
ing t
he re
cruitm
ent,
train
ing
and w
ork a
ctivi
ties o
f per
sonn
el. Th
ey m
onito
r the
use o
f hea
lth se
rvice
s and
reso
urce
s. Th
ey lia
ise w
ith ot
her h
ealth
and w
elfar
e ser
vice p
rovid
ers,
boar
ds an
d fun
ding
bodi
es to
co
ordi
nate
the p
rovis
ion
of se
rvice
s.
Healt
h fa
cility
adm
inist
rato
r, med
ical
adm
inist
rato
r, clin
ical d
irect
or, d
irect
or
of n
ursin
g, h
ospi
tal m
atro
n, co
mm
unity
he
alth
care
coor
dina
tor, c
hief
publ
ic he
alth
office
r
The m
ain ta
sks a
nd du
ties f
or jo
bs in
this
occu
patio
nal c
ateg
ory i
nclu
de gu
idin
g and
dire
ctin
g th
e act
ivitie
s of o
rgan
izatio
ns, d
epar
tmen
ts an
d oth
er w
orke
rs, an
d oth
er ta
sks w
hich
requ
ire
com
plex
prob
lem so
lving
and d
ecisi
on-m
akin
g bas
ed on
know
ledge
and s
kills
norm
ally
obta
ined
as th
e res
ult o
f som
e com
bina
tion
of h
ighe
r edu
catio
n, ex
tens
ive w
ork e
xper
ience
an
d pro
long
ed on
-the-
job t
rain
ing.
Heal
th ca
re
assis
tant
5321
Heal
th ca
re a
ssist
ants
prov
ide r
outin
e per
sona
l car
e, su
ppor
t and
assis
tanc
e with
ac
tiviti
es of
daily
livin
g to p
atien
ts an
d res
iden
ts in
a va
riety
of h
ealth
care
setti
ngs s
uch
as
hosp
itals,
clin
ics an
d res
iden
tial n
ursin
g car
e fac
ilities
. The
y ass
ist pa
tient
s with
perso
nal,
phys
ical m
obilit
y and
ther
apeu
tic ca
re n
eeds
as pe
r esta
blish
ed ca
re pl
ans a
nd pr
actic
es, a
nd
gene
rally
unde
r the
dire
ct su
perv
ision
of m
edica
l, nur
sing o
r oth
er h
ealth
prof
essio
nals
or
asso
ciate
prof
essio
nals.
Nursi
ng ai
de (h
ospi
tal o
r clin
ic), p
atien
t ca
re as
sista
nt, b
irth
assis
tant
(hos
pita
l or
clin
ic), p
sych
iatric
aide
Occu
patio
ns in
clude
d in
this
cate
gory
gene
rally
do n
ot re
quire
exte
nsive
hea
lth ca
re
know
ledge
or tr
ainin
g. Cl
assifi
ed h
ere a
re w
orke
rs pr
ovid
ing s
ervic
es in
hea
lth ca
re se
tting
s su
ch as
hos
pita
ls, h
ealth
care
facil
ities
, reh
abilit
atio
n ce
ntre
s, re
siden
tial n
ursin
g car
e fac
ilities
, an
d oth
er es
tabl
ishm
ents
with
perm
anen
t med
ical o
r nur
sing s
uper
visio
n.
Hom
e-ba
sed
pers
onal
care
w
orke
rs
5322
Hom
e-ba
sed
pers
onal
care
wor
kers
prov
ide r
outin
e per
sona
l car
e, su
ppor
t and
as
sista
nce w
ith ac
tiviti
es of
daily
livin
g to p
erso
ns w
ho ar
e in
need
of su
ch ca
re du
e to
effec
ts of
agein
g, ill
ness
, inju
ry, o
r oth
er ph
ysica
l or m
enta
l con
ditio
n in
priva
te h
omes
and
othe
r ind
epen
dent
resid
entia
l set
tings
. The
y ass
ist cl
ients
with
perso
nal, p
hysic
al m
obilit
y an
d the
rape
utic
care
nee
ds, u
suall
y as p
er ca
re pl
ans e
stabl
ished
by a
healt
h pr
ofes
siona
l.
Nursi
ng ai
de (h
ome)
, hom
e car
e aid
e, ho
me b
irth
assis
tant
, per
sona
l car
e pr
ovid
er
Occu
patio
ns in
clude
d in
this
cate
gory
gene
rally
do n
ot re
quire
exte
nsive
hea
lth ca
re
know
ledge
or tr
ainin
g. Cl
assifi
ed h
ere a
re w
orke
rs pr
ovid
ing s
ervic
es in
prim
ary r
esid
entia
l se
tting
s inc
ludi
ng as
siste
d-liv
ing f
acilit
ies, c
ontin
uing
care
retir
emen
t com
mun
ities
, and
othe
r ty
pes o
f res
iden
tial f
acilit
ies w
ith m
inim
al or
no o
n-sit
e med
ical o
r nur
sing s
uper
visio
n. H
ome
birth
assis
tant
s, w
ho pr
ovid
e em
otio
nal s
uppo
rt an
d gen
eral
care
and a
dvice
to w
omen
and
fam
ilies d
urin
g pre
gnan
cy an
d lab
our, b
ut n
ot de
liver
y car
e to r
educ
e hea
lth ri
sks,
are i
nclu
ded
here
. Car
e wor
kers
who
prov
ide c
are a
nd su
perv
ision
for c
hild
ren
in re
siden
tial h
omes
and c
are
cent
res a
re ex
clude
d fro
m h
ere.
Page 25
Country HRIS assessment tool at institutional level
Occu
patio
n gr
oup
ISCO
code
Defin
ition
Exam
ples
of oc
cupa
tions
cla
ssifi
ed h
ere
Note
s
Pers
onal
care
w
orke
rs in
he
alth
serv
ices
not e
lsew
here
cla
ssifi
ed
5329
This
grou
p cov
ers p
erso
nal c
are
wor
kers
in h
ealth
serv
ices n
ot cl
assifi
ed e
lsew
here
in
cludi
ng, f
or in
stanc
e, de
ntal
aides
, hos
pita
l ord
erlie
s, m
edica
l imag
ing a
ssist
ants,
ph
arm
acy a
ides
and o
ther
prov
ider
s of r
outin
e hea
lth an
d per
sona
l car
e sup
port
serv
ices.
Dent
al aid
e, fir
st-aid
atte
ndan
t, ho
spita
l ord
erly,
med
ical im
agin
g as
sista
nt, p
harm
acy a
ide,
phleb
otom
ist,
steril
izatio
n aid
e
Othe
r hea
lth
serv
ice p
rovi
ders
(n
ot e
lsew
here
cla
ssifi
ed)
This
grou
p cov
ers o
ther
cate
gorie
s not
clas
sifiab
le as
parti
cipat
ing i
n th
e for
mal
or in
form
al he
alth
labou
r mar
ket b
ut pr
ovid
ing h
ealth
serv
ices i
nclu
ding
, for
insta
nce,
med
ical in
tern
s an
d tra
inee
s who
are p
rovid
ing c
linica
l ser
vices
as pa
rt of
their
basic
med
ical e
duca
tion.
Med
ical s
tude
nt in
tern
, hos
pita
l vo
lunt
eer
1 See
Inte
rnat
iona
l Sta
ndar
d Cl
assi
ficat
ion
of O
ccup
atio
ns: I
SCO
-08.
sour
ce: A
dapt
ed fr
om In
tern
atio
nal L
abou
r Org
aniz
atio
n, In
tern
atio
nal S
tand
ard
Clas
sific
atio
n of
Occ
upat
ions
: ISC
O-0
8 (h
ttp:
//w
ww
.ilo.
org/
publ
ic/e
nglis
h/bu
reau
/sta
t/is
co/in
dex.
htm
).
World Health OrganizationDepartment of Human Resources for Health20 avenue Appia1211 Geneva 27Switzerland
