What do health workers in Timor-Leste want, know and do? Findings from a national health labour market survey

Abstract Background The global demand for health workers is expected to double by 2030 and it is estimated that if need is taken into account, there will be a deficit as high as 18 million according to the World Health Organization's Global Strategy on Human Resources for Health: Workforce 2030. Combined with inequities in the access to qualified health workers, this impedes progress towards the achievement of universal health coverage, global health security and the SDGs. This paper addresses health labour market deficiencies. It aims to provide guidance for a comprehensive analysis of health labour market dynamics, including the political and social factors that, in addition to economic ones influence the behaviour of health workers and of employers. Methods This paper uses the material of the WHO Health Labour Market Analysis Guidebook, which is based on the most recent literature on the demand and supply of health workers and on factors that affect them. It also draws from empirical analysis conducted recently by WHO in four regions of the world. Results On the supply side, the paper illustrates how social norms, such as those related to gender, influence the decision to become a health professional, the choice of a specialty, the choice of a practice location, and labour market participation. As to demand, examples are given of how professional interest groups' political actions (councils, trade unions) influence the division of tasks and which types of jobs will be offered. Conclusions The analysis of the dynamics of health labour markets must include human factors to achieve a better understanding of the forces that drive health worker shortages and surpluses, skills-mix and geographical imbalances, and suboptimal performance and to develop effective policies to address these issues.

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Factors Affecting Utilization of the National Health Insurance Scheme by Federal Civil Servants in Rivers State, Nigeria

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211017626 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110176

Author(s):

Obelebra Adebiyi ◽

Foluke Olukemi Adeniji

Keyword(s):

Health Care ◽

Health Insurance ◽

National Health Insurance ◽

National Health ◽

National Health Insurance Scheme ◽

Health Workers ◽

Civil Servants ◽

Health Insurance Scheme ◽

Insurance Scheme ◽

Rivers State

The National Health Insurance Scheme (NHIS) of Nigeria was established in 2005. This study assessed the utilization of health care and associated factors amongst the federal civil servants using the NHIS in Rivers state. This was a descriptive cross-sectional study using self-administered questionnaires. Data were collated and analyzed using SPSS version 21.0. A Chi-square test was carried out. The level of Confidence was set at 95%, and the P-value ≤ .05. Out of a total of 334 respondents, 280 (83.8%) were enrolled for NHIS, 203 (72.5%) utilized the services of the scheme. Most 181 (82.1%) of the respondents who utilized visited the facility at least once in the preceding year. Although, 123 (43.9%) of the respondents made payments at a point of access to health care services, overall there was a reduction in out of pocket payment. Possession of NHIS card, the attitude of health workers, and patients’ satisfaction were found to significantly affect utilization P ≤ .05. Regression analysis shows age and income to be a predictor of utilization of the NHIS. Though utilization is high, effort should be made to remove payment at the point of access and improving the harsh attitude of some of the health workers.

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Workaholism and a New Generation Labour Market Survey among Hungarian and Romanian Youth

www amfiteatrueconomic ro ◽

10.24818/ea/2020/s14/1227 ◽

2020 ◽

Vol 22 (S14) ◽

pp. 1227

Author(s):

Zoltan Musinszki ◽

◽

Magdolna Vallaseki ◽

Gabor Melypatak ◽

Erika Horvathne Csolak ◽

...

Keyword(s):

Labour Market ◽

Market Survey ◽

New Generation

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Use of Health Communication Strategies under National Health Mission (NHM) by the Frontline Health Workers: a research in Chhotaudepur (Tribal) District of Gujarat, India

Adalya Journal ◽

10.37896/aj9.10/047 ◽

2020 ◽

Vol 9 (10) ◽

Keyword(s):

Health Communication ◽

National Health ◽

Health Workers ◽

Communication Strategies ◽

Frontline Health Workers

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Szociális ellátások a társadalombiztosítási családtámogatás rendszerében

Orvosi Hetilap ◽

10.1556/650.2019.31395 ◽

2019 ◽

Vol 160 (Supplement 1) ◽

pp. 43-48

Author(s):

Ivett Szombati

Keyword(s):

Health Insurance ◽

Child Care ◽

Labour Market ◽

National Health Insurance ◽

National Health ◽

Financial Support ◽

Family Policy ◽

Insurance Fund ◽

Health Insurance Fund ◽

The Social

Introduction and aim: In my study, analysing the data available from the change of the regime to the present day, from among the social services, I examine the changes of the financial support relating to children and its parts which are currently financed from the budget of the National Health Insurance Fund of Hungary, with special emphasis on the Child Care Benefit and the Child Care Allowance and their modifications. Data and methods: Within the framework of our research, we analyze – through data from the National Health Insurance Fund of Hungary, the Hungarian Central Statistical Office, the Organisation for Economic Co-operation and Development (OECD) and the Hungarian State Treasury as well as on the basis of literature review – the social financial support and its changes, within the family policy system. Results: Hungarian family policy is still driven by the attitude of staying at home for three years with the child. The long period spent at home with the children fundamentally affects the adjustment of mothers to the labour market which has a direct effect on the economic productivity. Even though according to the current regulations, mothers are allowed to work full-time besides receiving child care allowance after their child fills 6 months, part-time employment and telework is still in its infancy compared to the Western-European countries. Based on our research, high percentage of families go for the child care benefit directly after the birth of the child thus not participating in the labour market processes. Besides if they do participate, the percentage of employment on minimal wage is still very high which means that in 2016–2017 36% of families with two breadwinners and two children were forced to survive on subsistence income. Conclusion: In the examined period, we found that social and family policy changes unfortunately were not able to react sufficiently to the demographic challenges despite Hungary spending significantly more on family policy than other European and OECD countries. Orv Hetil. 2019; 160(Suppl 1): 43–48.

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Understanding Health Workers’ Job Preferences to Improve Rural Retention in Timor-Leste: Findings from a Discrete Choice Experiment

PLoS ONE ◽

10.1371/journal.pone.0165940 ◽

2016 ◽

Vol 11 (11) ◽

pp. e0165940 ◽

Cited By ~ 14

Author(s):

Marc-Francois Smitz ◽

Sophie Witter ◽

Christophe Lemiere ◽

Patrick Hoang-Vu Eozenou ◽

Tomas Lievens ◽

...

Keyword(s):

Discrete Choice Experiment ◽

Discrete Choice ◽

Choice Experiment ◽

Health Workers ◽

Job Preferences ◽

Timor Leste ◽

Rural Retention

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Lifting the blinkers: a new view of power, diversity and poverty in Mozambican rural labour markets

The Journal of Modern African Studies ◽

10.1017/s0022278x08003340 ◽

2008 ◽

Vol 46 (3) ◽

pp. 361-392 ◽

Cited By ~ 31

Author(s):

Christopher Cramer ◽

Carlos Oya ◽

John Sender

Keyword(s):

Labour Market ◽

Poverty Reduction ◽

Policy Formulation ◽

Labour Markets ◽

Poor People ◽

Policy Recommendations ◽

Market Survey ◽

Quantitative Survey ◽

Purposive Sampling ◽

Wage Employment

ABSTRACTThis paper presents some results from the largest rural labour market survey yet conducted in Mozambique. Evidence from three provinces shows that labour markets have a significant impact on the lives of a large number of poor people, and that employers exercise considerable discretion in setting wages and conditions of casual, seasonal and permanent wage employment. The evidence presented comes from a combination of a quantitative survey based on purposive sampling with other techniques, including interviews with large farmers. The findings contrast with ideas that rural labour markets are of limited relevance to poverty reduction policy formulation in Africa, and the paper concludes with methodological, analytical and policy recommendations.

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