Ghost Doctors : Absenteeism in Bangladeshi Health Facilities

The authors report on a study in which unannounced visits were made to health clinics in Bangladesh with the intention of discovering what fraction of medical professionals were present at their assigned post. This survey represents the first attem...

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Main Authors: Chaudhury, Nazmul, Hammer, Jeffrey S.
Format: Policy Research Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2003/05/2414872/ghost-doctors-absenteeism-bangladeshi-health-facilities
http://hdl.handle.net/10986/18211
id okr-10986-18211
recordtype oai_dc
spelling okr-10986-182112021-04-23T14:03:41Z Ghost Doctors : Absenteeism in Bangladeshi Health Facilities Chaudhury, Nazmul Hammer, Jeffrey S. CERTIFICATION COMMUNITIES DISPENSARIES DISTRICTS DOCTORS EDUCATION EMPLOYMENT EXPENDITURES EXTERNALITIES FAMILIES FAMILY PLANNING GENDER HEALTH CARE HEALTH CENTERS HEALTH CLINICS HEALTH FACILITIES HEALTH PROGRAMS HEALTH PROVIDERS HEALTH SERVICES HEALTH SYSTEM HOMES HOSPITALS HOUSEHOLDS INCOMES MARKETING MEDICAL CARE MEDICAL PERSONNEL MEDICAL SERVICES MIDDLE AGE MOTIVATION NGOS NURSES OLDER PEOPLE OUTPATIENT CARE PARAMEDICS PATIENTS PHARMACISTS PHARMACOLOGY PRIVATE SECTOR PROBABILITY PROFESSIONAL TRAINING PROFESSIONS PUBLIC HEALTH PUBLIC SECTOR PUBLIC SERVICES RETIREMENT RURAL AREAS RURAL WOMEN SCHOOLS SEX TOWNS URBAN AREAS URBAN POPULATION VILLAGES WORKERS HEALTH CARE FACILITIES ABSENTEEISM (LABOR) MEDICAL PRACTICE SURVEY DATA RURAL HEALTH ATTENDANTS ACCESSIBLE SERVICES RURAL ELECTRIFICATION WORKERS HEALTH CARE FACILITIES The authors report on a study in which unannounced visits were made to health clinics in Bangladesh with the intention of discovering what fraction of medical professionals were present at their assigned post. This survey represents the first attempt to quantify the extent of the problem on a nationally representative scale. Nationwide the average number of vacancies over all types of providers in rural health centers is 26 percent. Regionally, vacancy rates (unfilled posts) are generally higher in the poorer parts of the country. Absentee rates at over 40 percent are particularly high for doctors. When separated into level of facility, the absentee rate for doctors at the larger clinics is 40 percent, but at the smaller sub-centers with a single doctor, the rate is 74 percent. Even though the primary purpose of this survey is to document the extent of the problem among medical staff, the authors also explore the determinants of staff absenteeism. Whether the medical provider lives near the health facility, access to a road, and rural electrification are important determinants of the rate and pattern of staff absentee rates. 2014-05-09T18:32:57Z 2014-05-09T18:32:57Z 2003-05 http://documents.worldbank.org/curated/en/2003/05/2414872/ghost-doctors-absenteeism-bangladeshi-health-facilities http://hdl.handle.net/10986/18211 English en_US Policy Research Working Paper;No. 3065 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research South Asia Bangladesh
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 CERTIFICATION
COMMUNITIES
DISPENSARIES
DISTRICTS
DOCTORS
EDUCATION
EMPLOYMENT
EXPENDITURES
EXTERNALITIES
FAMILIES
FAMILY PLANNING
GENDER
HEALTH CARE
HEALTH CENTERS
HEALTH CLINICS
HEALTH FACILITIES
HEALTH PROGRAMS
HEALTH PROVIDERS
HEALTH SERVICES
HEALTH SYSTEM
HOMES
HOSPITALS
HOUSEHOLDS
INCOMES
MARKETING
MEDICAL CARE
MEDICAL PERSONNEL
MEDICAL SERVICES
MIDDLE AGE
MOTIVATION
NGOS
NURSES
OLDER PEOPLE
OUTPATIENT CARE
PARAMEDICS
PATIENTS
PHARMACISTS
PHARMACOLOGY
PRIVATE SECTOR
PROBABILITY
PROFESSIONAL TRAINING
PROFESSIONS
PUBLIC HEALTH
PUBLIC SECTOR
PUBLIC SERVICES
RETIREMENT
RURAL AREAS
RURAL WOMEN
SCHOOLS
SEX
TOWNS
URBAN AREAS
URBAN POPULATION
VILLAGES
WORKERS HEALTH CARE FACILITIES
ABSENTEEISM (LABOR)
MEDICAL PRACTICE
SURVEY DATA
RURAL HEALTH ATTENDANTS
ACCESSIBLE SERVICES
RURAL ELECTRIFICATION
WORKERS
HEALTH CARE FACILITIES
spellingShingle CERTIFICATION
COMMUNITIES
DISPENSARIES
DISTRICTS
DOCTORS
EDUCATION
EMPLOYMENT
EXPENDITURES
EXTERNALITIES
FAMILIES
FAMILY PLANNING
GENDER
HEALTH CARE
HEALTH CENTERS
HEALTH CLINICS
HEALTH FACILITIES
HEALTH PROGRAMS
HEALTH PROVIDERS
HEALTH SERVICES
HEALTH SYSTEM
HOMES
HOSPITALS
HOUSEHOLDS
INCOMES
MARKETING
MEDICAL CARE
MEDICAL PERSONNEL
MEDICAL SERVICES
MIDDLE AGE
MOTIVATION
NGOS
NURSES
OLDER PEOPLE
OUTPATIENT CARE
PARAMEDICS
PATIENTS
PHARMACISTS
PHARMACOLOGY
PRIVATE SECTOR
PROBABILITY
PROFESSIONAL TRAINING
PROFESSIONS
PUBLIC HEALTH
PUBLIC SECTOR
PUBLIC SERVICES
RETIREMENT
RURAL AREAS
RURAL WOMEN
SCHOOLS
SEX
TOWNS
URBAN AREAS
URBAN POPULATION
VILLAGES
WORKERS HEALTH CARE FACILITIES
ABSENTEEISM (LABOR)
MEDICAL PRACTICE
SURVEY DATA
RURAL HEALTH ATTENDANTS
ACCESSIBLE SERVICES
RURAL ELECTRIFICATION
WORKERS
HEALTH CARE FACILITIES
Chaudhury, Nazmul
Hammer, Jeffrey S.
Ghost Doctors : Absenteeism in Bangladeshi Health Facilities
geographic_facet South Asia
Bangladesh
relation Policy Research Working Paper;No. 3065
description The authors report on a study in which unannounced visits were made to health clinics in Bangladesh with the intention of discovering what fraction of medical professionals were present at their assigned post. This survey represents the first attempt to quantify the extent of the problem on a nationally representative scale. Nationwide the average number of vacancies over all types of providers in rural health centers is 26 percent. Regionally, vacancy rates (unfilled posts) are generally higher in the poorer parts of the country. Absentee rates at over 40 percent are particularly high for doctors. When separated into level of facility, the absentee rate for doctors at the larger clinics is 40 percent, but at the smaller sub-centers with a single doctor, the rate is 74 percent. Even though the primary purpose of this survey is to document the extent of the problem among medical staff, the authors also explore the determinants of staff absenteeism. Whether the medical provider lives near the health facility, access to a road, and rural electrification are important determinants of the rate and pattern of staff absentee rates.
format Publications & Research :: Policy Research Working Paper
author Chaudhury, Nazmul
Hammer, Jeffrey S.
author_facet Chaudhury, Nazmul
Hammer, Jeffrey S.
author_sort Chaudhury, Nazmul
title Ghost Doctors : Absenteeism in Bangladeshi Health Facilities
title_short Ghost Doctors : Absenteeism in Bangladeshi Health Facilities
title_full Ghost Doctors : Absenteeism in Bangladeshi Health Facilities
title_fullStr Ghost Doctors : Absenteeism in Bangladeshi Health Facilities
title_full_unstemmed Ghost Doctors : Absenteeism in Bangladeshi Health Facilities
title_sort ghost doctors : absenteeism in bangladeshi health facilities
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2003/05/2414872/ghost-doctors-absenteeism-bangladeshi-health-facilities
http://hdl.handle.net/10986/18211
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