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...

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Main Authors: Lievens, Tomas, Serneels, Pieter, Butera, Jean Damascene, Soucat, Agnes
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