1Department of Neurology, Ophthalmology and Otolaryngology, Semey Medical University, Semey, Kazakhstan
2Department of Internal Medicine, Semey Medical University, Semey, Kazakhstan
3Department of Public Health, Semey Medical University, Semey, Kazakhstan
4Head Office, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
5Department of Epidemiology, Evidence Medicine and Biostatistics, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
6Department of Research and International Affairs Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
7Department of Public Health, Kazakh Medical University of Continuing Education, Almaty, Kazakhstan
8Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
9Medical College, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
10Department of Postgraduate Education, Kazakh Medical University of Continuing Education, Almaty, Kazakhstan
Copyright © 2020 The Korean Society for Preventive Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
CONFLICT OF INTEREST
The authors have no conflicts of interest associated with the material presented in this paper.
FUNDING
None.
AUTHOR CONTRIBUTIONS
Conceptualization: YS, NG. Data curation: NG, AI. Formal analysis: NG. Funding acquisition: None. Methodology: NG, YS. Project administration: NG. Visualization: AI, NG. Writing – original draft: YS, NG, LP, ZK, AA, AN, AK. Writing – review & editing: YS, NG, AK, DO, GK, AI.
Input variable | n (no. of beds/cases) | Data source, specification | |
---|---|---|---|
Healthcare staff | |||
No. of HCWs | 208 510 | Statistical compilation of RCHD [14]; This figure does not account for dentists | |
Proportion of HCWs available for COVID-19 response | 0.70 | Out of all HCWs in the country, including laboratory staff | |
No. of HCWs per bed | 2.96 | There are 70 441 hospital beds in the Republic of Kazakhstan with exclusion of nursing care beds, rehabilitation beds, palliative care beds, and psychiatric beds; Three shifts per day are needed; The no. of HCWs per bed = 208 510/70 441 = 2.96 | |
No. of caretakers per bed | 1.00 | One per patient by default | |
No. of ambulance technicians per bed | 0.03 | Based on 1 ambulance per 100 bed hospital with 2 operators (driver+ ambulance technician) | |
There are 2218 ambulances in the Republic of Kazakhstan (including specialized and non-specialized ambulances) | |||
Ambulance technicians per bed = 2128/70 441 = 0.03 | |||
No. of beds in infectious disease units | 20 000 | 60% utilization (Ministry of Health, Republic of Kazakhstan, 2020) [20] | |
Proportion of hospital beds available for critically ill patients. | 0.02 | 100% utilization (Ministry of Health, Republic of Kazakhstan, 2020) [20] | |
Infrastructure | |||
No. of ICU beds per hospital | 8.94 | Out of 788 hospitals in the country, 557 are government-owned and the rest are private; The overall no. of beds is 70 441; No. of beds per hospital = 70 441/788 = 89.39; We assume that 10% of beds in any hospital could be reprofiled to ICU beds = 89.39*0.1 = 8.94; Thus, there are 9 ICU beds per hospital | |
Beds per 1000 population | 3.78 | Statistical compilation of RCHD [14] | |
Country population = 18 654 000 | |||
Beds per 1000 population = 70 441/18 654 000*1000 = 3.78 | |||
Consultations | |||
No. of consultations per HCW per day, on an average | 20.00 | We assume that on an average, a doctor and a nurse consult 40 patients per day each | |
Lab operation | |||
No. of lab staff in the country | 12 511 | Statistical compilation of RCHD [14] | |
Proportion of lab staff available for COVID-19 response | 0.67 | Lab staff in the country, the proportion of lab staff in the country that could be used empirically for the COVID-19 response | |
No. of tests run by each lab per day | 400.00 | Based on 2 machines with throughput of 200 tests per day, by default | |
No. of lab staff per lab | 3.00 | Based on current known staffing models by default | |
General information on the country’s HCWs | |||
No. of doctors | 72 877 | Statistical compilation of RCHD [14] | |
No. of nurses and midwives | 175 705 | Statistical compilation of RCHD [14] | |
No. of HCWs treating hospitalized COVID-19 inpatients | 0.55 | Based on calculations in the model of inpatient vs. outpatient staff needs | |
Proportion of HCWs responsible for screening and triaging of COVID-19 suspects | 0.15 | Based on calculations in model of inpatient vs. outpatient staff needs | |
No. of HCWs for outpatients | 8780 | Statistical compilation of RCHD [14]; We assume that this category is covered by general practitioners available in the Republic of Kazakhstan |