Analysis of Health Workforce Retention and Attraction Policies in Lao PDR
Worldwide, Lao PDR has been identified among 57 countries with a critical shortage and skewed distribution of its health workforce, especially in remote and rural areas (Guilbert 2006, World Bank 2015). Healthcare education is provided by the publi...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2015
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| Online Access: | http://documents.worldbank.org/curated/en/2015/05/24482410/lao-peoples-democratic-republic-health-human-resource-study-analyses-health-workforce-retention-attraction-policies http://hdl.handle.net/10986/22109 |
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okr-10986-22109 |
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| 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 |
HEALTH CARE PROVIDERS ACCESS TO HEALTH CARE EQUAL OPPORTUNITY EMPLOYMENT QUANTITATIVE RESEARCH COLLEGE NURSING SCHOOLS WORKFORCE BASIC EDUCATION LOCAL AUTHORITIES IMPACT OF POLICIES TEACHERS STUDENT INTAKE BIG CITIES MIDWIFERY CAREER DEVELOPMENT TUITION TRAINING INSTITUTIONS HEALTH EDUCATION DISCRIMINATION HEALTH RESEARCH HEALTH CARE CAREER HIGHER EDUCATION BASIC KNOWLEDGE FOCUS GROUP DISCUSSIONS PAPERS HEALTH CAPACITY BUILDING LABOR MARKET DEMAND SELF-CONFIDENCE ETHNIC GROUP HEALTH WORKERS PROFESSIONAL WORKING COLLEGES DENTISTRY LABOR MARKET DYNAMICS NATIONAL LEVEL HEALTH FACILITIES FACULTY COMMUNITY PARTICIPATION HOSPITAL PUBLIC HEALTH HEALTH SECTOR KNOWLEDGE PUBLIC UNIVERSITIES LABOR MARKET MINISTRY OF HEALTH QUALITY OF EDUCATION TRAINING PATIENT GRADUATE INTERVENTION HEALTH SYSTEMS CIVIL SOCIETY HEALTH CENTERS NURSES HEALTH CARE SERVICES MINISTRIES HEALTH MANAGEMENT OBSERVATION VIOLENCE DISSEMINATION GRADUATES RESEARCH PROFESSIONAL ASSOCIATIONS WORK ENVIRONMENT TEACHING GLOBAL HEALTH PROFESSIONAL DEGREE INTERVIEW SOCIAL SUPPORT GRADUATE STUDIES MEDICAL STUDENTS PROFESSIONAL DEVELOPMENT TRAINING MIDWIFE TRAINING FACILITIES SCIENTIFIC KNOWLEDGE TRANSPORTATION POLICY DEVELOPMENT WORKERS PROFESSIONAL TRAINING SURGERY POLICIES SCIENCE EQUAL ACCESS PATIENT SATISFACTION STUDENT SCHOOLS NURSE ECONOMIC STATUS POLICY MAKERS HEALTH POLICY MINISTRY OF EDUCATION SCIENTIFIC EVIDENCE FACULTIES BASIC INFRASTRUCTURE WORKSHOP JOB SATISFACTION SOCIOECONOMIC DEVELOPMENT PEER REVIEW URBAN AREAS NURSING STUDENTS HOME AFFAIRS RESEARCHERS LITERATURE MANDATES DISADVANTAGED GROUPS MEASUREMENT POLICY CURRICULUM WORLD HEALTH ORGANIZATION PROVINCIAL HOSPITALS TERTIARY LEVEL HEALTH SYSTEM SEX GOVERNMENT POLICIES PHYSICIANS MINORITY CHILDREN LACK OF AWARENESS TRAINING OPPORTUNITIES INSTITUTES HUMAN RESOURCES MIDWIVES RURAL AREAS INSTRUCTION RESOURCE REQUIREMENTS PROFESSIONAL DEVELOPMENT POLICY IMPLICATIONS RESEARCH FINDINGS FACULTY OF MEDICINE POPULATION NATIONAL POLICY EQUALITY OF OPPORTUNITY UNIVERSITY STUDENTS RURAL STUDENTS LIVING CONDITIONS STRATEGY POLICY FORMULATION FOREIGN LANGUAGES FAMILIES DEGREES SEXUAL VIOLENCE HOSPITALS POLICY ANALYSIS CONTINUING EDUCATION SCHOOL CIVIL SERVICE SECONDARY EDUCATION HEALTH SERVICES IMPLEMENTATION MALE HEALTH NURSING UNIVERSITIES |
| spellingShingle |
HEALTH CARE PROVIDERS ACCESS TO HEALTH CARE EQUAL OPPORTUNITY EMPLOYMENT QUANTITATIVE RESEARCH COLLEGE NURSING SCHOOLS WORKFORCE BASIC EDUCATION LOCAL AUTHORITIES IMPACT OF POLICIES TEACHERS STUDENT INTAKE BIG CITIES MIDWIFERY CAREER DEVELOPMENT TUITION TRAINING INSTITUTIONS HEALTH EDUCATION DISCRIMINATION HEALTH RESEARCH HEALTH CARE CAREER HIGHER EDUCATION BASIC KNOWLEDGE FOCUS GROUP DISCUSSIONS PAPERS HEALTH CAPACITY BUILDING LABOR MARKET DEMAND SELF-CONFIDENCE ETHNIC GROUP HEALTH WORKERS PROFESSIONAL WORKING COLLEGES DENTISTRY LABOR MARKET DYNAMICS NATIONAL LEVEL HEALTH FACILITIES FACULTY COMMUNITY PARTICIPATION HOSPITAL PUBLIC HEALTH HEALTH SECTOR KNOWLEDGE PUBLIC UNIVERSITIES LABOR MARKET MINISTRY OF HEALTH QUALITY OF EDUCATION TRAINING PATIENT GRADUATE INTERVENTION HEALTH SYSTEMS CIVIL SOCIETY HEALTH CENTERS NURSES HEALTH CARE SERVICES MINISTRIES HEALTH MANAGEMENT OBSERVATION VIOLENCE DISSEMINATION GRADUATES RESEARCH PROFESSIONAL ASSOCIATIONS WORK ENVIRONMENT TEACHING GLOBAL HEALTH PROFESSIONAL DEGREE INTERVIEW SOCIAL SUPPORT GRADUATE STUDIES MEDICAL STUDENTS PROFESSIONAL DEVELOPMENT TRAINING MIDWIFE TRAINING FACILITIES SCIENTIFIC KNOWLEDGE TRANSPORTATION POLICY DEVELOPMENT WORKERS PROFESSIONAL TRAINING SURGERY POLICIES SCIENCE EQUAL ACCESS PATIENT SATISFACTION STUDENT SCHOOLS NURSE ECONOMIC STATUS POLICY MAKERS HEALTH POLICY MINISTRY OF EDUCATION SCIENTIFIC EVIDENCE FACULTIES BASIC INFRASTRUCTURE WORKSHOP JOB SATISFACTION SOCIOECONOMIC DEVELOPMENT PEER REVIEW URBAN AREAS NURSING STUDENTS HOME AFFAIRS RESEARCHERS LITERATURE MANDATES DISADVANTAGED GROUPS MEASUREMENT POLICY CURRICULUM WORLD HEALTH ORGANIZATION PROVINCIAL HOSPITALS TERTIARY LEVEL HEALTH SYSTEM SEX GOVERNMENT POLICIES PHYSICIANS MINORITY CHILDREN LACK OF AWARENESS TRAINING OPPORTUNITIES INSTITUTES HUMAN RESOURCES MIDWIVES RURAL AREAS INSTRUCTION RESOURCE REQUIREMENTS PROFESSIONAL DEVELOPMENT POLICY IMPLICATIONS RESEARCH FINDINGS FACULTY OF MEDICINE POPULATION NATIONAL POLICY EQUALITY OF OPPORTUNITY UNIVERSITY STUDENTS RURAL STUDENTS LIVING CONDITIONS STRATEGY POLICY FORMULATION FOREIGN LANGUAGES FAMILIES DEGREES SEXUAL VIOLENCE HOSPITALS POLICY ANALYSIS CONTINUING EDUCATION SCHOOL CIVIL SERVICE SECONDARY EDUCATION HEALTH SERVICES IMPLEMENTATION MALE HEALTH NURSING UNIVERSITIES Vangkonevilay, Phouthone Paphassarang, Chanthakhath Theppanya, Khampasong Phathammavong, Outavong Rotem, Arie Analysis of Health Workforce Retention and Attraction Policies in Lao PDR |
| geographic_facet |
East Asia and Pacific Lao People's Democratic Republic |
| description |
Worldwide, Lao PDR has been identified
among 57 countries with a critical shortage and skewed
distribution of its health workforce, especially in remote
and rural areas (Guilbert 2006, World Bank 2015). Healthcare
education is provided by the public sector through nine
public health training institutes in the country: The
University of Health Sciences (UHS) in Vientiane Capital
provides medical related programs including medicine,
dentistry, pharmacy, medical technology, nursing basic
sciences and post graduate studies, with the other
institutions located at provincial levels: three Regional
Public Health Colleges, four Provincial Public Health
Schools and one Nursing School. The annual output from these
institutions is approximately 2,000 (Department of
Organization and Personnel (DOP), 2013). This study focuses
on supply-side policies to determine the key challenges and
policy implications regarding improved availability and
retention of staff in remote areas. This possibly stems
from, among other reasons, the following: (a) limited
government quotas to recruit and place health workers in
rural areas (i.e. in 2013 1,045 recruitment quotas were
allocated to MOH, of which 882 (84.4 percent) were given to
provinces, districts and health centers nationwide); (b)
health workers’preference to work in urban areas with better
income and professional career development opportunities;
and (c) low self-confidence of new graduates to work
independently in rural areas which is attributable to
insufficient clinical practice during training, due in part
to the excessive number of student intakes to training
institutes. The shortage of middle and high level health
workers at primary and secondary health care facility levels
leads to a major gap in access to quality health care
services between urban and rural areas. |
| format |
Working Paper |
| author |
Vangkonevilay, Phouthone Paphassarang, Chanthakhath Theppanya, Khampasong Phathammavong, Outavong Rotem, Arie |
| author_facet |
Vangkonevilay, Phouthone Paphassarang, Chanthakhath Theppanya, Khampasong Phathammavong, Outavong Rotem, Arie |
| author_sort |
Vangkonevilay, Phouthone |
| title |
Analysis of Health Workforce Retention and Attraction Policies in Lao PDR |
| title_short |
Analysis of Health Workforce Retention and Attraction Policies in Lao PDR |
| title_full |
Analysis of Health Workforce Retention and Attraction Policies in Lao PDR |
| title_fullStr |
Analysis of Health Workforce Retention and Attraction Policies in Lao PDR |
| title_full_unstemmed |
Analysis of Health Workforce Retention and Attraction Policies in Lao PDR |
| title_sort |
analysis of health workforce retention and attraction policies in lao pdr |
| publisher |
World Bank, Washington, DC |
| publishDate |
2015 |
| url |
http://documents.worldbank.org/curated/en/2015/05/24482410/lao-peoples-democratic-republic-health-human-resource-study-analyses-health-workforce-retention-attraction-policies http://hdl.handle.net/10986/22109 |
| _version_ |
1764450041744850944 |
| spelling |
okr-10986-221092021-04-23T14:04:06Z Analysis of Health Workforce Retention and Attraction Policies in Lao PDR Vangkonevilay, Phouthone Paphassarang, Chanthakhath Theppanya, Khampasong Phathammavong, Outavong Rotem, Arie HEALTH CARE PROVIDERS ACCESS TO HEALTH CARE EQUAL OPPORTUNITY EMPLOYMENT QUANTITATIVE RESEARCH COLLEGE NURSING SCHOOLS WORKFORCE BASIC EDUCATION LOCAL AUTHORITIES IMPACT OF POLICIES TEACHERS STUDENT INTAKE BIG CITIES MIDWIFERY CAREER DEVELOPMENT TUITION TRAINING INSTITUTIONS HEALTH EDUCATION DISCRIMINATION HEALTH RESEARCH HEALTH CARE CAREER HIGHER EDUCATION BASIC KNOWLEDGE FOCUS GROUP DISCUSSIONS PAPERS HEALTH CAPACITY BUILDING LABOR MARKET DEMAND SELF-CONFIDENCE ETHNIC GROUP HEALTH WORKERS PROFESSIONAL WORKING COLLEGES DENTISTRY LABOR MARKET DYNAMICS NATIONAL LEVEL HEALTH FACILITIES FACULTY COMMUNITY PARTICIPATION HOSPITAL PUBLIC HEALTH HEALTH SECTOR KNOWLEDGE PUBLIC UNIVERSITIES LABOR MARKET MINISTRY OF HEALTH QUALITY OF EDUCATION TRAINING PATIENT GRADUATE INTERVENTION HEALTH SYSTEMS CIVIL SOCIETY HEALTH CENTERS NURSES HEALTH CARE SERVICES MINISTRIES HEALTH MANAGEMENT OBSERVATION VIOLENCE DISSEMINATION GRADUATES RESEARCH PROFESSIONAL ASSOCIATIONS WORK ENVIRONMENT TEACHING GLOBAL HEALTH PROFESSIONAL DEGREE INTERVIEW SOCIAL SUPPORT GRADUATE STUDIES MEDICAL STUDENTS PROFESSIONAL DEVELOPMENT TRAINING MIDWIFE TRAINING FACILITIES SCIENTIFIC KNOWLEDGE TRANSPORTATION POLICY DEVELOPMENT WORKERS PROFESSIONAL TRAINING SURGERY POLICIES SCIENCE EQUAL ACCESS PATIENT SATISFACTION STUDENT SCHOOLS NURSE ECONOMIC STATUS POLICY MAKERS HEALTH POLICY MINISTRY OF EDUCATION SCIENTIFIC EVIDENCE FACULTIES BASIC INFRASTRUCTURE WORKSHOP JOB SATISFACTION SOCIOECONOMIC DEVELOPMENT PEER REVIEW URBAN AREAS NURSING STUDENTS HOME AFFAIRS RESEARCHERS LITERATURE MANDATES DISADVANTAGED GROUPS MEASUREMENT POLICY CURRICULUM WORLD HEALTH ORGANIZATION PROVINCIAL HOSPITALS TERTIARY LEVEL HEALTH SYSTEM SEX GOVERNMENT POLICIES PHYSICIANS MINORITY CHILDREN LACK OF AWARENESS TRAINING OPPORTUNITIES INSTITUTES HUMAN RESOURCES MIDWIVES RURAL AREAS INSTRUCTION RESOURCE REQUIREMENTS PROFESSIONAL DEVELOPMENT POLICY IMPLICATIONS RESEARCH FINDINGS FACULTY OF MEDICINE POPULATION NATIONAL POLICY EQUALITY OF OPPORTUNITY UNIVERSITY STUDENTS RURAL STUDENTS LIVING CONDITIONS STRATEGY POLICY FORMULATION FOREIGN LANGUAGES FAMILIES DEGREES SEXUAL VIOLENCE HOSPITALS POLICY ANALYSIS CONTINUING EDUCATION SCHOOL CIVIL SERVICE SECONDARY EDUCATION HEALTH SERVICES IMPLEMENTATION MALE HEALTH NURSING UNIVERSITIES Worldwide, Lao PDR has been identified among 57 countries with a critical shortage and skewed distribution of its health workforce, especially in remote and rural areas (Guilbert 2006, World Bank 2015). Healthcare education is provided by the public sector through nine public health training institutes in the country: The University of Health Sciences (UHS) in Vientiane Capital provides medical related programs including medicine, dentistry, pharmacy, medical technology, nursing basic sciences and post graduate studies, with the other institutions located at provincial levels: three Regional Public Health Colleges, four Provincial Public Health Schools and one Nursing School. The annual output from these institutions is approximately 2,000 (Department of Organization and Personnel (DOP), 2013). This study focuses on supply-side policies to determine the key challenges and policy implications regarding improved availability and retention of staff in remote areas. This possibly stems from, among other reasons, the following: (a) limited government quotas to recruit and place health workers in rural areas (i.e. in 2013 1,045 recruitment quotas were allocated to MOH, of which 882 (84.4 percent) were given to provinces, districts and health centers nationwide); (b) health workers’preference to work in urban areas with better income and professional career development opportunities; and (c) low self-confidence of new graduates to work independently in rural areas which is attributable to insufficient clinical practice during training, due in part to the excessive number of student intakes to training institutes. The shortage of middle and high level health workers at primary and secondary health care facility levels leads to a major gap in access to quality health care services between urban and rural areas. 2015-07-07T17:01:53Z 2015-07-07T17:01:53Z 2014-03 Working Paper http://documents.worldbank.org/curated/en/2015/05/24482410/lao-peoples-democratic-republic-health-human-resource-study-analyses-health-workforce-retention-attraction-policies http://hdl.handle.net/10986/22109 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper East Asia and Pacific Lao People's Democratic Republic |