Needs and difficulties of Tibetan rural health care workers participating in professional training

Author(s):  
Ling Chen ◽  
Jie Liu ◽  
Zhihui Zheng ◽  
Sangphel Yeshi
2017 ◽  
Vol 56 (205) ◽  
pp. 168-174
Author(s):  
Qu Fanwei ◽  
Jiang Yanling ◽  
Virasakdi Chongsuvivatwong ◽  
Tippawan Liabsuetrakul ◽  
Li Yan ◽  
...  

Introduction: To compare health status between Hat Yai city of Songkhla Province in Thailand and Yulong county of Yunnan province in China about rural health care workers and local residents, analyzing of both differences, learning from the advanced experience and practice of Thailand, adjusting policy, especially for the implementation of measures to improve the lack of human resources construction of Yulong County rural health, promote the level of rural health service of Lijiang.Methods: A qualitative study consisting of focus group discussions and individual in-depth interviews were conducted in Rural Health Care Workers and Local Residents Health Status in Yulong County of Yunnan Province China and Hat Yai City of Songkhla Mansion Thailand from.  Results: Compared to 41(100%) bachelor's degree of medical staffs in Hat Yai, this accounted only 94 (42%) bachelor's degree of medical staffs in Yulong county hospital, and 31 (12%)in townships hospitals. For medical workers in Hat Yai, they have at least one time on-job training per year, but for Yulong county, only 144 (29%)of the medical personnel participated in the training per year. Health expenditures of Yulong county was mainly borne by the local government, and medical insurance coverage rate is 217,107 (99%). Insurance average awareness of Hat Yai is 4449 (66.4%), Yulong County is 62,501 (28.5%), P<0.001, there are statistically significant differences between two cities.Conclusions: Thailand has good experience in training, well-paid, motivating and retaining talent for rural health human resources; multi-pronged, mechanism innovation, establish and perfect the system of human resources for health, is the essential way to solve the problem.Keywords:  Hat Yai city; Yulong County; Rural medical staff; Variance analysis.


2020 ◽  
Author(s):  
Charles Mushagalusa ◽  
Bertin Kasongo ◽  
Daniel Garhalangwanamuntu MAYERI ◽  
Aimé Cikomola ◽  
Sammuel Makali Lwamushi ◽  
...  

Abstract Background: The crisis in human resources for health is observed worldwide, particularly in sub-Saharan Africa. Objective: This study aims to describe the profile of staff working in rural health districts in a context of crisis.Methods: A cross-sectional study was carried out from May 15, 2017 to May 30, 2019 on 1090 health care workers (HCW) exhaustively chosen from four health districts in Eastern Democratic Republic of Congo (Idjwi, Katana, Mulungu and Walungu). The choice of health districts was based on the crisis context. The health districts were categorized in stable, in transition and unstable. A survey questionnaire was used to collect data. The Chi2 test was used for comparison of proportions and the Kruskal-Wallis test for medians. As measures of association, we calculated the odds ratios (OR) along with their 95% confidence interval. The materiality threshold was set at 5%.Results: The age of all HCW median (Min-Max) was 46 (20-84) years and female was 32%. 96% of HCW do not receive a state salary ; 64% do not receive government allowance for risk. In the stable district HCW were=< 34 years old [OR = 2.0 (1.5-2, 6 ); p <0.001], the matriculated HCW [OR = 2.0 (1.5-2.7); p <0.0001], those who benefited from national and / or provincial recruitment [OR = 3.9 (2.9-5.4); p <0.001], those who benefit from continuous training [OR = 2.1 (1.5-2.7); p <0.001] and those who receive the local fee -for service[OR = 5.2 (1.9-14.7); p <0.001]. In the unstable district, men [OR = 1.7 (1.1-2.5); p = 0.009], HCW =< 4 years of seniority [OR = 2.3 (1.6-3.3), p <0.001] and lower level of education [OR = 2.1 (1.5-2.9)]; p <0.001]. The percent of HCW who has monthly income >= $ 151 is 21% in the stable zone, 9.2% in the intermediate zones and 0.9% in the unstable zone.Conclusion: DR Congo authorities should develop incentive mechanisms to motivate young and trained HCW to work in unstable and intermediate health districts by improving their living and working conditions.


2013 ◽  
Author(s):  
Jane Lipscomb ◽  
Jeanne Geiger-Brown ◽  
Katherine McPhaul ◽  
Karen Calabro

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