The document from the Burkina Faso Ministry of Health presents the revision of staffing standards for public health facilities for the period 2016-2020. It describes the context of human resource shortages and maldistribution, national strategies and the legal framework, and outlines the participatory approach used, based on a literature review, workshops and the use of the WISN tool to estimate workload. The proposed standards cover the first level (CSPS, Medical Center) and higher levels (District Hospital/CMA, Regional Hospital Center), with minimum staffing levels by professional category (IDE, SF/ME, AIS, health attachés, technologists, pharmacists, etc.). For a CSPS with a population of 10,000, the standard is five staff (2 IDE, 2 SF/ME, 1 AIS) and sixteen for a continuous service. CMs and HD/CMAs receive more comprehensive grids. The document includes estimates of annual salary costs for CSPSs and CMs, projections for the creation of new CSPSs up to 2020, and the budgetary impact. Methodological limitations are highlighted (data quality, lack of job descriptions). Recommendations concern the decentralization of budgetary positions, contractualization, incentives for deployment in rural areas, internal promotion of categories AA, AB and IB to IDE and SF, revision of the TOES and strengthening of career management and HR information systems. Last but not least, the text stresses the need for regular workforce monitoring, IT tools and sustainable, locally concerted incentives.
