Diversity in Career Preferences of Future Health Workers in Rwanda : Where, Why, and for How Much?
The Government of Rwanda has identified human resources for health as one of its Policy priorities. This study aims to contribute to building a better understanding of health worker choice and behavior, and to improve evidence based policies. The w...
Main Authors: | , , , |
---|---|
Format: | Publication |
Language: | English |
Published: |
World Bank
2012
|
Subjects: | |
Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20100511015328 http://hdl.handle.net/10986/2445 |
id |
okr-10986-2445 |
---|---|
recordtype |
oai_dc |
spelling |
okr-10986-24452021-04-23T14:02:02Z Diversity in Career Preferences of Future Health Workers in Rwanda : Where, Why, and for How Much? Lievens, Tomas Serneels, Pieter Butera, Jean Damascene Soucat, Agnes ABSENTEEISM ACCESS TO SCHOOLING ACCREDITATION AGE GROUPS CAREER CAREER CHOICE CAREER CHOICES CAREER PROSPECTS CURRICULA DEGREES DISEASE EMPLOYMENT EXPENDITURES FEMALE STUDENTS HEALTH CARE HEALTH EDUCATION HEALTH OUTCOMES HEALTH SERVICES HEALTH WORKERS HEALTH WORKFORCE HIV HIV INFECTION HIV POSITIVE HIV/AIDS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTION INFECTION RATE INTERVENTIONS JOB SATISFACTION LIFE EXPECTANCY LITERATURE MALARIA MEDICAL CARE MEDICAL DOCTORS MEDICAL FACULTY MEDICAL SCHOOL MEDICAL STUDENTS MEDICINE MENTAL HEALTH MENTAL HEALTH NURSING MIDWIFERY MIGRATION MORTALITY NURSES NURSING NURSING SCHOOLS NURSING STUDENTS PAPERS PATIENT PATIENTS POST SECONDARY EDUCATION PREVALENCE PRINTING PUBLIC HEALTH ROOMS SCHOOLS SKILLED LABOR SUBJECTS SYNDROME TEACHERS TEST SCORES TUITION TUITION FEES VIRUS VISION WORK ENVIRONMENT WORK EXPERIENCE WORK FORCE WORKERS The Government of Rwanda has identified human resources for health as one of its Policy priorities. This study aims to contribute to building a better understanding of health worker choice and behavior, and to improve evidence based policies. The work was undertaken by The Ministry of Health in a collaborative effort with the World Bank, building on the results of qualitative pre research, and is the first wave of a cohort survey with medical and nursing students. In comparison with other African countries, migration of health workers abroad may be less of a problem for Rwanda. The study finds that 80 percent of nursing and medical students report to have no intention to migrate abroad in the coming five years. Using a contingent valuation method to measure the reservation wage to migrate, we find that at the current public sector starting salary more than half the students will choose a job in Kigali instead of going abroad. But there is considerable heterogeneity in the willingness to work abroad. For example, students who are married or engaged are less likely to move abroad. Younger medical students require a higher average salary to stay in Rwanda compared to older students. Although Rwanda has a relatively low HIV prevalence compared to other African countries, there are problems with attitudes to HIV/AIDS, although the attitudes differ greatly between students, with medical students consistently more positive than nurses. Medical students score higher than nurses on medical knowledge related to HIV/AIDS, have higher levels of self reported knowledge on AIDS, and are also more familiar with HIV. Health students are generally averse to taking up work in high HIV prevalence areas but preferences vary widely, as is reflected in the wide span of reservation wages to accept a job in a high HIV prevalence area. Students are less willing to work in high HIV prevalence areas than to take up rural service. 2012-03-19T09:33:47Z 2012-03-19T09:33:47Z 2010-03-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20100511015328 978-0-8213-8339-1 http://hdl.handle.net/10986/2445 English World Bank working paper ; no. 189. Africa human development series CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank Publications & Research :: Publication Publications & Research :: Publication Africa Sub-Saharan Africa Central Africa Rwanda |
repository_type |
Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
building |
World Bank Open Knowledge Repository |
collection |
World Bank |
language |
English |
topic |
ABSENTEEISM ACCESS TO SCHOOLING ACCREDITATION AGE GROUPS CAREER CAREER CHOICE CAREER CHOICES CAREER PROSPECTS CURRICULA DEGREES DISEASE EMPLOYMENT EXPENDITURES FEMALE STUDENTS HEALTH CARE HEALTH EDUCATION HEALTH OUTCOMES HEALTH SERVICES HEALTH WORKERS HEALTH WORKFORCE HIV HIV INFECTION HIV POSITIVE HIV/AIDS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTION INFECTION RATE INTERVENTIONS JOB SATISFACTION LIFE EXPECTANCY LITERATURE MALARIA MEDICAL CARE MEDICAL DOCTORS MEDICAL FACULTY MEDICAL SCHOOL MEDICAL STUDENTS MEDICINE MENTAL HEALTH MENTAL HEALTH NURSING MIDWIFERY MIGRATION MORTALITY NURSES NURSING NURSING SCHOOLS NURSING STUDENTS PAPERS PATIENT PATIENTS POST SECONDARY EDUCATION PREVALENCE PRINTING PUBLIC HEALTH ROOMS SCHOOLS SKILLED LABOR SUBJECTS SYNDROME TEACHERS TEST SCORES TUITION TUITION FEES VIRUS VISION WORK ENVIRONMENT WORK EXPERIENCE WORK FORCE WORKERS |
spellingShingle |
ABSENTEEISM ACCESS TO SCHOOLING ACCREDITATION AGE GROUPS CAREER CAREER CHOICE CAREER CHOICES CAREER PROSPECTS CURRICULA DEGREES DISEASE EMPLOYMENT EXPENDITURES FEMALE STUDENTS HEALTH CARE HEALTH EDUCATION HEALTH OUTCOMES HEALTH SERVICES HEALTH WORKERS HEALTH WORKFORCE HIV HIV INFECTION HIV POSITIVE HIV/AIDS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNE DEFICIENCY IMMUNODEFICIENCY INFECTION INFECTION RATE INTERVENTIONS JOB SATISFACTION LIFE EXPECTANCY LITERATURE MALARIA MEDICAL CARE MEDICAL DOCTORS MEDICAL FACULTY MEDICAL SCHOOL MEDICAL STUDENTS MEDICINE MENTAL HEALTH MENTAL HEALTH NURSING MIDWIFERY MIGRATION MORTALITY NURSES NURSING NURSING SCHOOLS NURSING STUDENTS PAPERS PATIENT PATIENTS POST SECONDARY EDUCATION PREVALENCE PRINTING PUBLIC HEALTH ROOMS SCHOOLS SKILLED LABOR SUBJECTS SYNDROME TEACHERS TEST SCORES TUITION TUITION FEES VIRUS VISION WORK ENVIRONMENT WORK EXPERIENCE WORK FORCE WORKERS Lievens, Tomas Serneels, Pieter Butera, Jean Damascene Soucat, Agnes Diversity in Career Preferences of Future Health Workers in Rwanda : Where, Why, and for How Much? |
geographic_facet |
Africa Sub-Saharan Africa Central Africa Rwanda |
relation |
World Bank working paper ; no. 189. Africa
human development series |
description |
The Government of Rwanda has identified
human resources for health as one of its Policy priorities.
This study aims to contribute to building a better
understanding of health worker choice and behavior, and to
improve evidence based policies. The work was undertaken by
The Ministry of Health in a collaborative effort with the
World Bank, building on the results of qualitative pre
research, and is the first wave of a cohort survey with
medical and nursing students. In comparison with other
African countries, migration of health workers abroad may be
less of a problem for Rwanda. The study finds that 80
percent of nursing and medical students report to have no
intention to migrate abroad in the coming five years. Using
a contingent valuation method to measure the reservation
wage to migrate, we find that at the current public sector
starting salary more than half the students will choose a
job in Kigali instead of going abroad. But there is
considerable heterogeneity in the willingness to work
abroad. For example, students who are married or engaged are
less likely to move abroad. Younger medical students require
a higher average salary to stay in Rwanda compared to older
students. Although Rwanda has a relatively low HIV
prevalence compared to other African countries, there are
problems with attitudes to HIV/AIDS, although the attitudes
differ greatly between students, with medical students
consistently more positive than nurses. Medical students
score higher than nurses on medical knowledge related to
HIV/AIDS, have higher levels of self reported knowledge on
AIDS, and are also more familiar with HIV. Health students
are generally averse to taking up work in high HIV
prevalence areas but preferences vary widely, as is
reflected in the wide span of reservation wages to accept a
job in a high HIV prevalence area. Students are less willing
to work in high HIV prevalence areas than to take up rural service. |
format |
Publications & Research :: Publication |
author |
Lievens, Tomas Serneels, Pieter Butera, Jean Damascene Soucat, Agnes |
author_facet |
Lievens, Tomas Serneels, Pieter Butera, Jean Damascene Soucat, Agnes |
author_sort |
Lievens, Tomas |
title |
Diversity in Career Preferences of
Future Health Workers in Rwanda : Where, Why, and for How Much? |
title_short |
Diversity in Career Preferences of
Future Health Workers in Rwanda : Where, Why, and for How Much? |
title_full |
Diversity in Career Preferences of
Future Health Workers in Rwanda : Where, Why, and for How Much? |
title_fullStr |
Diversity in Career Preferences of
Future Health Workers in Rwanda : Where, Why, and for How Much? |
title_full_unstemmed |
Diversity in Career Preferences of
Future Health Workers in Rwanda : Where, Why, and for How Much? |
title_sort |
diversity in career preferences of
future health workers in rwanda : where, why, and for how much? |
publisher |
World Bank |
publishDate |
2012 |
url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20100511015328 http://hdl.handle.net/10986/2445 |
_version_ |
1764385473831108608 |