Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment
There is major geographic variation in nurse staffing levels in Liberia with the largest shortages in rural areas. A discrete choice experiment (DCE) was used to test how nurses and certified midwives in Liberia would respond to alternative policie...
| Main Authors: | , , , , |
|---|---|
| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2013
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2010/11/13150395/policy-options-attract-nurses-rural-liberia-evidence-discrete-choice-experiment http://hdl.handle.net/10986/13601 |
| id |
okr-10986-13601 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-136012021-04-23T14:03:09Z Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment Vujicic, Marko Alfano, Marco Ryan, Mandy Wesseh, C. Sanford Brown-Annan, Julie AGED BABY BASIC HEALTH SERVICES BASIC INFRASTRUCTURE BULLETIN BUS CERTIFIED MIDWIFE CIVIL WAR CLINICS COST EFFECTIVENESS DENTIST DEVELOPING COUNTRIES DOCTORS DRUGS EMPLOYMENT EMPLOYMENT OPPORTUNITIES FEMALE FOCUS GROUP DISCUSSIONS FORCEPS FREE TRANSPORTATION FUEL FUEL COST FUEL SHORTAGES GENDER GOVERNMENT CAPACITY GPS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH TRAINING HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HR HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH INCOME INDEXES INTERVENTION IRON LABOR SUPPLY LIVING CONDITIONS MEDICAL EQUIPMENT MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH MODE OF TRANSPORT MOVEMENTS OF PEOPLE NATIONAL DRUG NATIONAL HEALTH POLICY NEWBORN NURSE NURSES NURSING NURSING CARE NUTRITION PATIENT PATIENTS PEACE PHARMACIST PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE PROBABILITY PROGRESS PUBLIC TRANSPORT PUBLIC TRANSPORTATION QUALITY CONTROL RESOURCE ALLOCATION ROAD ROAD CONDITIONS ROAD INFRASTRUCTURE ROADS RURAL AREAS SECONDARY EDUCATION SERVICE DELIVERY SERVICE PROVISION SOCIAL SERVICE SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SPECIALIST TRANSPORT TRANSPORTATION TRANSPORTATION INFRASTRUCTURE TRANSPORTATION NETWORKS TRANSPORTATION PROBLEMS TRAVEL TIME TRAVEL TIMES TRUE URBAN AREAS VACCINES VEHICLE VEHICLES VITAL STATISTICS WORK EXPERIENCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION There is major geographic variation in nurse staffing levels in Liberia with the largest shortages in rural areas. A discrete choice experiment (DCE) was used to test how nurses and certified midwives in Liberia would respond to alternative policies being considered by the ministry of health and social welfare (MOHSW). The DCE methodology provides a quantitative estimate of how individuals value different aspects of their job. In Liberia we focused on six key job attributes: location, total pay, conditions of equipment, availability of transportation, availability of housing, and workload. Results were used to predict the share of nurses and certified midwives who would accept a job in a rural area under different schemes. Based on the DCE analysis there are four main actionable recommendations that emerge for improving recruitment and retention of nurses and certified midwives in rural areas of Liberia. First, the MOHSW should consider actively recruiting students from rural areas and exposing them to rural work conditions during their training. Second, the MOHSW should strongly consider increasing pay levels in rural areas as this is likely to be cost effective. Third, if for some reason financial bonuses are not feasible, the MOHSW should consider providing transportation to nurses and certified midwives in rural areas. Fourth, the MOHSW should reconsider its housing strategy. Providing newly constructed housing is not a cost effective policy according to the DCE study. 2013-05-29T13:08:40Z 2013-05-29T13:08:40Z 2010-11 http://documents.worldbank.org/curated/en/2010/11/13150395/policy-options-attract-nurses-rural-liberia-evidence-discrete-choice-experiment http://hdl.handle.net/10986/13601 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 |
| 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 |
AGED BABY BASIC HEALTH SERVICES BASIC INFRASTRUCTURE BULLETIN BUS CERTIFIED MIDWIFE CIVIL WAR CLINICS COST EFFECTIVENESS DENTIST DEVELOPING COUNTRIES DOCTORS DRUGS EMPLOYMENT EMPLOYMENT OPPORTUNITIES FEMALE FOCUS GROUP DISCUSSIONS FORCEPS FREE TRANSPORTATION FUEL FUEL COST FUEL SHORTAGES GENDER GOVERNMENT CAPACITY GPS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH TRAINING HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HR HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH INCOME INDEXES INTERVENTION IRON LABOR SUPPLY LIVING CONDITIONS MEDICAL EQUIPMENT MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH MODE OF TRANSPORT MOVEMENTS OF PEOPLE NATIONAL DRUG NATIONAL HEALTH POLICY NEWBORN NURSE NURSES NURSING NURSING CARE NUTRITION PATIENT PATIENTS PEACE PHARMACIST PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE PROBABILITY PROGRESS PUBLIC TRANSPORT PUBLIC TRANSPORTATION QUALITY CONTROL RESOURCE ALLOCATION ROAD ROAD CONDITIONS ROAD INFRASTRUCTURE ROADS RURAL AREAS SECONDARY EDUCATION SERVICE DELIVERY SERVICE PROVISION SOCIAL SERVICE SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SPECIALIST TRANSPORT TRANSPORTATION TRANSPORTATION INFRASTRUCTURE TRANSPORTATION NETWORKS TRANSPORTATION PROBLEMS TRAVEL TIME TRAVEL TIMES TRUE URBAN AREAS VACCINES VEHICLE VEHICLES VITAL STATISTICS WORK EXPERIENCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION |
| spellingShingle |
AGED BABY BASIC HEALTH SERVICES BASIC INFRASTRUCTURE BULLETIN BUS CERTIFIED MIDWIFE CIVIL WAR CLINICS COST EFFECTIVENESS DENTIST DEVELOPING COUNTRIES DOCTORS DRUGS EMPLOYMENT EMPLOYMENT OPPORTUNITIES FEMALE FOCUS GROUP DISCUSSIONS FORCEPS FREE TRANSPORTATION FUEL FUEL COST FUEL SHORTAGES GENDER GOVERNMENT CAPACITY GPS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH TRAINING HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HR HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH INCOME INDEXES INTERVENTION IRON LABOR SUPPLY LIVING CONDITIONS MEDICAL EQUIPMENT MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH MODE OF TRANSPORT MOVEMENTS OF PEOPLE NATIONAL DRUG NATIONAL HEALTH POLICY NEWBORN NURSE NURSES NURSING NURSING CARE NUTRITION PATIENT PATIENTS PEACE PHARMACIST PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE PROBABILITY PROGRESS PUBLIC TRANSPORT PUBLIC TRANSPORTATION QUALITY CONTROL RESOURCE ALLOCATION ROAD ROAD CONDITIONS ROAD INFRASTRUCTURE ROADS RURAL AREAS SECONDARY EDUCATION SERVICE DELIVERY SERVICE PROVISION SOCIAL SERVICE SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SPECIALIST TRANSPORT TRANSPORTATION TRANSPORTATION INFRASTRUCTURE TRANSPORTATION NETWORKS TRANSPORTATION PROBLEMS TRAVEL TIME TRAVEL TIMES TRUE URBAN AREAS VACCINES VEHICLE VEHICLES VITAL STATISTICS WORK EXPERIENCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION Vujicic, Marko Alfano, Marco Ryan, Mandy Wesseh, C. Sanford Brown-Annan, Julie Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment |
| geographic_facet |
Africa Liberia |
| relation |
Health, Nutrition and Population (HNP)
discussion paper; |
| description |
There is major geographic variation in
nurse staffing levels in Liberia with the largest shortages
in rural areas. A discrete choice experiment (DCE) was used
to test how nurses and certified midwives in Liberia would
respond to alternative policies being considered by the
ministry of health and social welfare (MOHSW). The DCE
methodology provides a quantitative estimate of how
individuals value different aspects of their job. In Liberia
we focused on six key job attributes: location, total pay,
conditions of equipment, availability of transportation,
availability of housing, and workload. Results were used to
predict the share of nurses and certified midwives who would
accept a job in a rural area under different schemes. Based
on the DCE analysis there are four main actionable
recommendations that emerge for improving recruitment and
retention of nurses and certified midwives in rural areas of
Liberia. First, the MOHSW should consider actively
recruiting students from rural areas and exposing them to
rural work conditions during their training. Second, the
MOHSW should strongly consider increasing pay levels in
rural areas as this is likely to be cost effective. Third,
if for some reason financial bonuses are not feasible, the
MOHSW should consider providing transportation to nurses and
certified midwives in rural areas. Fourth, the MOHSW should
reconsider its housing strategy. Providing newly constructed
housing is not a cost effective policy according to the DCE study. |
| format |
Publications & Research :: Working Paper |
| author |
Vujicic, Marko Alfano, Marco Ryan, Mandy Wesseh, C. Sanford Brown-Annan, Julie |
| author_facet |
Vujicic, Marko Alfano, Marco Ryan, Mandy Wesseh, C. Sanford Brown-Annan, Julie |
| author_sort |
Vujicic, Marko |
| title |
Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment |
| title_short |
Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment |
| title_full |
Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment |
| title_fullStr |
Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment |
| title_full_unstemmed |
Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment |
| title_sort |
policy options to attract nurses to rural liberia : evidence from a discrete choice experiment |
| publisher |
World Bank, Washington, DC |
| publishDate |
2013 |
| url |
http://documents.worldbank.org/curated/en/2010/11/13150395/policy-options-attract-nurses-rural-liberia-evidence-discrete-choice-experiment http://hdl.handle.net/10986/13601 |
| _version_ |
1764423877318934528 |