scholarly journals Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique—a discrete choice experiment for eliciting job preferences

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Ayako Honda ◽  
Ferruccio Vio
2021 ◽  
Author(s):  
Sunny C Okoroafor ◽  
Chukwuemeka Nwachukwu ◽  
Martin Osubor

Abstract Background The current policy thrust in Nigeria is to ensure that there exists qualified, skilled, and adequate health workforce for the achievement of universal health coverage. To achieve this, evidence combination of strategies/interventions on factors influencing attraction, retention, and motivation of the health workforce is needed to ensure the equitable distribution of the health workforce across the country.Methods We conducted a discrete choice experiment study to determine the combinations of incentives that may increase the retention of frontline health workers in rural and remote areas in Nigeria. The study was undertaken across rural and urban locations in Bauchi State between August and October 2018 amongst 145 students and practicing health workers. Results Health workers are 14.6 and 14.4 times more likely to take up a rural posting or continue to stay in their present rural posts if there was basic housing and improvement of the quality of the facilities respectively. The preference for rural job location increased by 6.17 times if good schools for children's education were provided. The highest willingness-to-pay was for the provision of basic housing or housing allowance with a high utility of 0.609 followed by improved quality of facility with sufficient staff number and type, equipment, drugs, and medical supplies with a utility value of 0.607. Conclusion Improving the working conditions of health workers will support retention in rural health posts. Based on the findings, we recommend the introduction of housing incentives in rural and remote areas to support the retention of health workers. This should be accompanied by deliberate interventions to improve the quality of the health facilities ensuring adequate and functional equipment and uninterrupted supplies.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ping Liu ◽  
Shimeng Liu ◽  
Tiantian Gong ◽  
Quan Li ◽  
Gang Chen ◽  
...  

Abstract Background Pharmacists are a crucial part of the health workforce and play an important role in achieving universal health coverage. In China, pharmaceutical human resources are in short supply, and the distribution is unequal. This study aimed to identify the key job characteristics that influence the job preferences of undergraduate pharmacy students and to elicit the relative importance of different job characteristics to shed light on future policy interventions. Methods A discrete choice experiment was conducted to assess the job preferences of undergraduate pharmacy students from 6 provinces in mainland China. A face-to-face interview was used to collect data. Conditional logit and mixed logit models were used to analyse data, and the final model was chosen according to the model fit statistics. A series of policy simulations was also conducted. Results In total, 581 respondents completed the questionnaire, and 500 respondents who passed the internal consistency test were analysed. All attributes were statistically significant except for open management. Monthly income and work location were most important to respondents, followed by work unit (which refers to the nature of the workplace) and years to promotion. There was preference heterogeneity among respondents, e.g., male students preferred open management, and female students preferred jobs in public institutions. Furthermore, students with an urban background or from a single-child family placed higher value on a job in the city compared to their counterparts. Conclusion The heterogeneity of attributes showed the complexity of job preferences. Both monetary and nonmonetary job characteristics significantly influenced the job preferences of pharmacy students in China. A more effective policy intervention to attract graduates to work in rural areas should consider both incentives on the job itself and the background of pharmacy school graduates.


PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0211345 ◽  
Author(s):  
Shimeng Liu ◽  
Shunping Li ◽  
Yujia Li ◽  
Haipeng Wang ◽  
Jingjing Zhao ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0165940 ◽  
Author(s):  
Marc-Francois Smitz ◽  
Sophie Witter ◽  
Christophe Lemiere ◽  
Patrick Hoang-Vu Eozenou ◽  
Tomas Lievens ◽  
...  

2015 ◽  
Vol 31 (4) ◽  
pp. 430-445 ◽  
Author(s):  
Ferry Efendi ◽  
Ching-Min Chen ◽  
Nursalam Nursalam ◽  
Nurul Wachyu Fitriyah Andriyani ◽  
Anna Kurniati ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (12) ◽  
pp. e50315 ◽  
Author(s):  
Luis Huicho ◽  
J. Jaime Miranda ◽  
Francisco Diez-Canseco ◽  
Claudia Lema ◽  
Andrés G. Lescano ◽  
...  

2019 ◽  
Vol 27 (11) ◽  
pp. 1639-1648 ◽  
Author(s):  
James Buchanan ◽  
Edward Blair ◽  
Kate L. Thomson ◽  
Elizabeth Ormondroyd ◽  
Hugh Watkins ◽  
...  

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