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metadata
license: cc-by-4.0
task_categories:
  - tabular-classification
language:
  - en
tags:
  - healthcare
  - health-workforce
  - burnout
  - brain-drain
  - retention
  - task-shifting
  - sub-saharan-africa
  - lmic
pretty_name: Healthcare Worker Workforce & Retention (Burnout, Migration, Staffing)
size_categories:
  - 10K<n<100K
configs:
  - config_name: urban_tertiary
    data_files: data/hcw_urban_tertiary.csv
  - config_name: district_hospital
    data_files: data/hcw_district_hospital.csv
    default: true
  - config_name: rural_health_centre
    data_files: data/hcw_rural_health_centre.csv

Healthcare Worker Workforce & Retention Dataset

Abstract

This dataset provides 30,000 simulated healthcare worker records (10,000 per scenario) from sub-Saharan Africa. Each record contains 45+ variables including cadre, workload, burnout, salary, migration intentions, and workplace safety. Three settings: urban tertiary (22% high burnout), district hospital (59%), and rural health centre (83%).

1. Introduction

SSA faces a critical healthcare worker shortage that could be 93% larger than current estimates when accounting for disease burden (McKinsey 2024). Brain drain, low salaries, burnout, and poor working conditions drive attrition. Task shifting is widespread but insufficient. WHO's Health Workforce Support and Safeguards List highlights the severity.

This dataset is entirely simulated. It must not be used for workforce planning decisions.

2. Methodology

2.1 Parameterization

Parameter Value Source
HCW shortage scale 93% larger McKinsey 2024
Brain drain Major issue ScienceDirect 2025
Task shifting Widespread PMC 2025
Salary dissatisfaction ~55% WHO AFRO
Vacancy rate rural ~60% BMJ GH 2022

2.2 Scenario Design

Scenario Doctor Ratio Vacancy Burnout High Migration
Urban tertiary 15% 25% 22% 24%
District hospital 5% 41% 59% 16%
Rural HC 1% 61% 83% 8%

3. Schema

Column Type Description
id int Unique identifier
age int Worker age
sex categorical M / F
cadre categorical doctor / nurse / clinical_officer / lab_tech / pharmacist / chw
burnout_score int Burnout score (0-100)
burnout_level categorical low / moderate / high
intention_to_leave binary Plans to leave
intention_to_migrate binary Plans to migrate abroad
migration_destination categorical UK / USA / Middle East / SA / Europe
salary_satisfaction categorical satisfied / neutral / dissatisfied
vacancy_rate derived Staffing adequacy
task_shifting binary Performing shifted tasks

4. Validation

Validation Report

Key validation checks:

  • Burnout gradient: 22% → 59% → 83% ✓
  • Vacancy gradient: 25% → 41% → 61% ✓
  • Salary dissatisfied: ~55% ✓
  • Migration higher in urban (doctors) ✓
  • Low salary = #1 reason to leave ✓

5. Usage

from datasets import load_dataset
dataset = load_dataset("electricsheepafrica/health-workforce-retention", "district_hospital")
df = dataset["train"].to_pandas()

6. Limitations

  • Simulated: Not from real HR records.
  • No facility-level data: No bed counts or catchment.
  • Simplified: No detailed training pipeline.
  • Cross-sectional: No longitudinal tracking.

7. References

  1. McKinsey (2024). SSA healthcare worker shortage.
  2. ScienceDirect (2025). HCW migration mitigation Africa.
  3. PMC (2025). Skilled HCW shortage and surplus.
  4. BMJ GH (2022). Projected HWF requirements 2023-2030.
  5. PMC (2025). HWF shortage addressing health needs.

Citation

@dataset{esa_hcw_workforce_2025,
  title={Healthcare Worker Workforce and Retention Dataset},
  author={Electric Sheep Africa},
  year={2025},
  publisher={Hugging Face},
  url={https://huggingface.co/datasets/electricsheepafrica/health-workforce-retention}
}

License

CC-BY-4.0