Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research
In Liberia, the maldistribution of health workers is particularly pronounced as 14 years of civil war exacerbated the concentration of experienced health workers in urban areas. The government has identified this challenge as a priority area for po...
| Main Authors: | , , , |
|---|---|
| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2010/11/13150421/health-worker-attitudes-toward-rural-service-liberia-results-qualitative-research http://hdl.handle.net/10986/13598 |
| id |
okr-10986-13598 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO HEALTH CARE ACCESSIBILITY BABIES BASIC NEEDS BEDS BIKES BUS BUSES CERTIFIED MIDWIFE CIVIL WAR CLINICS COMPLICATIONS COST OF TRAVEL DEVELOPING COUNTRIES DISEASES DOCTOR DOCTORS DRIVERS DRUGS EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EXTENDED FAMILY FAMILIES FEMALE FINANCIAL INCENTIVES FOCUS GROUP DISCUSSIONS GENDER GENDER VALUE GENDER VALUES GOVERNMENT CAPACITY GOVERNMENT SUPPORT HEALTH CARE HEALTH CENTERS HEALTH CENTRE HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIGH TRANSPORT HIV HIV INFECTION HIV/AIDS HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL EQUIPMENT HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION INCOME INHIBITION INTERNATIONAL MIGRATION INTERVENTION IRON JOB SECURITY LABOR MARKET LOW-INCOME COUNTRY MALARIA MATERIAL RESOURCES MEANS OF TRANSPORT MEDICAL DOCTORS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINE MIDWIFE MIDWIFERY MIDWIVES MIGRATION MINISTRY OF HEALTH MORTALITY MORTALITY RISK MOTOR CYCLES NUMBER OF CHILDREN NURSE NURSES NURSING NUTRITION OUTREACH ACTIVITIES PATIENT PATIENTS PHYSICIAN PHYSICIANS POLICY MAKERS POPULATION DENSITY PREGNANT WOMEN QUALITATIVE APPROACH QUALITY OF CARE QUALITY OF SERVICES REDUCING MATERNAL MORTALITY REFERRAL SYSTEM RESPECT ROAD ROAD CONDITIONS ROAD IMPROVEMENT ROADS ROUTE RURAL AREAS RURAL POPULATION SAFETY SERVICE DELIVERY SKILLED PERSONNEL SKILLED WORKERS SOCIAL SECURITY SOCIAL WELFARE SPOUSE SUBSISTENCE FARMING TRAINING OPPORTUNITIES TRANSPARENCY TRANSPORT TRANSPORT CONDITIONS TRANSPORT COSTS TRANSPORTATION TRAVEL DISTANCES URBAN AREAS URBAN CENTERS VACCINES VEHICLE VULNERABILITY WALKING WALKING DISTANCE WORK FORCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION |
| spellingShingle |
ACCESS TO HEALTH CARE ACCESSIBILITY BABIES BASIC NEEDS BEDS BIKES BUS BUSES CERTIFIED MIDWIFE CIVIL WAR CLINICS COMPLICATIONS COST OF TRAVEL DEVELOPING COUNTRIES DISEASES DOCTOR DOCTORS DRIVERS DRUGS EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EXTENDED FAMILY FAMILIES FEMALE FINANCIAL INCENTIVES FOCUS GROUP DISCUSSIONS GENDER GENDER VALUE GENDER VALUES GOVERNMENT CAPACITY GOVERNMENT SUPPORT HEALTH CARE HEALTH CENTERS HEALTH CENTRE HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIGH TRANSPORT HIV HIV INFECTION HIV/AIDS HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL EQUIPMENT HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION INCOME INHIBITION INTERNATIONAL MIGRATION INTERVENTION IRON JOB SECURITY LABOR MARKET LOW-INCOME COUNTRY MALARIA MATERIAL RESOURCES MEANS OF TRANSPORT MEDICAL DOCTORS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINE MIDWIFE MIDWIFERY MIDWIVES MIGRATION MINISTRY OF HEALTH MORTALITY MORTALITY RISK MOTOR CYCLES NUMBER OF CHILDREN NURSE NURSES NURSING NUTRITION OUTREACH ACTIVITIES PATIENT PATIENTS PHYSICIAN PHYSICIANS POLICY MAKERS POPULATION DENSITY PREGNANT WOMEN QUALITATIVE APPROACH QUALITY OF CARE QUALITY OF SERVICES REDUCING MATERNAL MORTALITY REFERRAL SYSTEM RESPECT ROAD ROAD CONDITIONS ROAD IMPROVEMENT ROADS ROUTE RURAL AREAS RURAL POPULATION SAFETY SERVICE DELIVERY SKILLED PERSONNEL SKILLED WORKERS SOCIAL SECURITY SOCIAL WELFARE SPOUSE SUBSISTENCE FARMING TRAINING OPPORTUNITIES TRANSPARENCY TRANSPORT TRANSPORT CONDITIONS TRANSPORT COSTS TRANSPORTATION TRAVEL DISTANCES URBAN AREAS URBAN CENTERS VACCINES VEHICLE VULNERABILITY WALKING WALKING DISTANCE WORK FORCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION Attah, Ramlatu Lievens, Tomas Vujicic, Marko Brown-Annan, Julie Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research |
| geographic_facet |
Africa Liberia |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
In Liberia, the maldistribution of
health workers is particularly pronounced as 14 years of
civil war exacerbated the concentration of experienced
health workers in urban areas. The government has identified
this challenge as a priority area for policy intervention.
The objective of this study was to explore the drivers of
health workforce choice including job location. It presents
the results from preparatory qualitative research that fed
into the design of a discrete choice experiment (DCE). The
qualitative study interviewed 26 registered nurses,
midwives, and physician assistants about their current
working conditions, their job location preference, and
priority areas for change in working conditions. Content
analysis was used to analyze the data. The study shed light
on health worker job preferences and their working
conditions, and identified six job attributes that health
workers consider to be important when choosing a job. These
were pay, transport, availability of medical materials and
infrastructure, housing, workload, and further training
opportunities. These attributes were chosen because they
reflect the frequency to which they were cited during the
interviews and the extent to which they were amenable to
policy intervention. Associated attribute levels were chosen
for each attribute to reflect current work conditions and
the levels of change that will be necessary to trigger
changes in job choice. The relative weight of each of these
attributes in location choice has been quantitatively
determined through the follow-up DCE. Although the main aim
of this study was to feed into the DCE design, it
incidentally throws light on a wider variety of issues with
regard to health worker career choice, motivation, and performance. |
| format |
Publications & Research :: Working Paper |
| author |
Attah, Ramlatu Lievens, Tomas Vujicic, Marko Brown-Annan, Julie |
| author_facet |
Attah, Ramlatu Lievens, Tomas Vujicic, Marko Brown-Annan, Julie |
| author_sort |
Attah, Ramlatu |
| title |
Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research |
| title_short |
Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research |
| title_full |
Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research |
| title_fullStr |
Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research |
| title_full_unstemmed |
Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research |
| title_sort |
health worker attitudes toward rural service in liberia : results from qualitative research |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2010/11/13150421/health-worker-attitudes-toward-rural-service-liberia-results-qualitative-research http://hdl.handle.net/10986/13598 |
| _version_ |
1764423870263066624 |
| spelling |
okr-10986-135982021-04-23T14:03:08Z Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research Attah, Ramlatu Lievens, Tomas Vujicic, Marko Brown-Annan, Julie ACCESS TO HEALTH CARE ACCESSIBILITY BABIES BASIC NEEDS BEDS BIKES BUS BUSES CERTIFIED MIDWIFE CIVIL WAR CLINICS COMPLICATIONS COST OF TRAVEL DEVELOPING COUNTRIES DISEASES DOCTOR DOCTORS DRIVERS DRUGS EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EXTENDED FAMILY FAMILIES FEMALE FINANCIAL INCENTIVES FOCUS GROUP DISCUSSIONS GENDER GENDER VALUE GENDER VALUES GOVERNMENT CAPACITY GOVERNMENT SUPPORT HEALTH CARE HEALTH CENTERS HEALTH CENTRE HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIGH TRANSPORT HIV HIV INFECTION HIV/AIDS HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL EQUIPMENT HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION INCOME INHIBITION INTERNATIONAL MIGRATION INTERVENTION IRON JOB SECURITY LABOR MARKET LOW-INCOME COUNTRY MALARIA MATERIAL RESOURCES MEANS OF TRANSPORT MEDICAL DOCTORS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINE MIDWIFE MIDWIFERY MIDWIVES MIGRATION MINISTRY OF HEALTH MORTALITY MORTALITY RISK MOTOR CYCLES NUMBER OF CHILDREN NURSE NURSES NURSING NUTRITION OUTREACH ACTIVITIES PATIENT PATIENTS PHYSICIAN PHYSICIANS POLICY MAKERS POPULATION DENSITY PREGNANT WOMEN QUALITATIVE APPROACH QUALITY OF CARE QUALITY OF SERVICES REDUCING MATERNAL MORTALITY REFERRAL SYSTEM RESPECT ROAD ROAD CONDITIONS ROAD IMPROVEMENT ROADS ROUTE RURAL AREAS RURAL POPULATION SAFETY SERVICE DELIVERY SKILLED PERSONNEL SKILLED WORKERS SOCIAL SECURITY SOCIAL WELFARE SPOUSE SUBSISTENCE FARMING TRAINING OPPORTUNITIES TRANSPARENCY TRANSPORT TRANSPORT CONDITIONS TRANSPORT COSTS TRANSPORTATION TRAVEL DISTANCES URBAN AREAS URBAN CENTERS VACCINES VEHICLE VULNERABILITY WALKING WALKING DISTANCE WORK FORCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION In Liberia, the maldistribution of health workers is particularly pronounced as 14 years of civil war exacerbated the concentration of experienced health workers in urban areas. The government has identified this challenge as a priority area for policy intervention. The objective of this study was to explore the drivers of health workforce choice including job location. It presents the results from preparatory qualitative research that fed into the design of a discrete choice experiment (DCE). The qualitative study interviewed 26 registered nurses, midwives, and physician assistants about their current working conditions, their job location preference, and priority areas for change in working conditions. Content analysis was used to analyze the data. The study shed light on health worker job preferences and their working conditions, and identified six job attributes that health workers consider to be important when choosing a job. These were pay, transport, availability of medical materials and infrastructure, housing, workload, and further training opportunities. These attributes were chosen because they reflect the frequency to which they were cited during the interviews and the extent to which they were amenable to policy intervention. Associated attribute levels were chosen for each attribute to reflect current work conditions and the levels of change that will be necessary to trigger changes in job choice. The relative weight of each of these attributes in location choice has been quantitatively determined through the follow-up DCE. Although the main aim of this study was to feed into the DCE design, it incidentally throws light on a wider variety of issues with regard to health worker career choice, motivation, and performance. 2013-05-29T12:54:12Z 2013-05-29T12:54:12Z 2010-11 http://documents.worldbank.org/curated/en/2010/11/13150421/health-worker-attitudes-toward-rural-service-liberia-results-qualitative-research http://hdl.handle.net/10986/13598 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Africa Liberia |