There is rural context that is applicable to many of the steps in the Workload Indicator of Staffing Needs (WISN) process, the method used by the Department of Health to indicate the staffing needs at health facilities across the country. This context needs to be incorporated, whether by modifying existing steps or creating additional steps for inclusion. Examples of the rural context are given in this rural-proofing the staffing norms discussion document, submitted to the National Department of Health in 2013:
As we conclude, the National Department of Health’s Human Resources for Health Plan includes the Strategic Objective (1 of 8 in the Plan) of improved attraction, recruitment and retention of health workers in rural and remote areas. These staffing norms must be used to help achieve this crucial objective. The rural-proofing of the WISN process and the staffing norms will assist with the equitable and distribution of human resources in the South African health system in a more efficient and sustainable manner.