Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making
Decision makers face serious challenges in attracting health workers to rural areas, in both the developed and developing world, but while they have access to a wide range of policy options, the effectiveness of interventions is highly contingent o...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2017
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| Online Access: | http://documents.worldbank.org/curated/en/665861468163479749/Getting-health-workers-to-rural-areas-innovative-analytic-work-to-inform-policy-making http://hdl.handle.net/10986/27845 |
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okr-10986-278452021-04-23T14:04:44Z Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making Vujicic, Marko Alfano, Marco Shengelia, Bukhuti BASIC HEALTH SERVICES BEDS BULLETIN CLINICS DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DISTRICTS DOCTORS DRUGS EMPLOYMENT GENDER GOVERNMENT AGENCIES HEALTH CARE HEALTH CENTERS HEALTH ECONOMICS HEALTH OFFICIALS HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HOSPITALS HOUSING HOUSING COSTS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS INCENTIVE SCHEMES INCOME INTERVENTIONS LABOR MARKET LOW INCOME MARKETING MEDICAL DOCTOR MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL SCHOOL MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH NATIONAL DRUG NONGOVERNMENTAL ORGANIZATIONS NURSE NURSES NURSING NUTRITION PATIENTS PHYSICIAN PHYSICIANS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE POPULATION DISCUSSION PRETESTING PROBABILITY PROGRAMS FOR HEALTH PURCHASING POWER RESOURCE CONSTRAINTS RURAL AREA RURAL AREAS SERVICE DELIVERY SHORT-TERM TRAINING SKILLS DEVELOPMENT SOCIAL WELFARE TRANSPORTATION URBAN AREA URBAN AREAS URBAN CENTER VITAL STATISTICS WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION Decision makers face serious challenges in attracting health workers to rural areas, in both the developed and developing world, but while they have access to a wide range of policy options, the effectiveness of interventions is highly contingent on context. To make them more effective, decision makers need to have an in-depth understanding of, especially, the factors that influence individual workers decisions on choice of practice, particularly regarding relocation to rural areas. The current paper presents results of an empirical study conducted in Liberia and Vietnam using a discrete choice experiment (DCE). The study's aim was to predict the likelihood of health workers taking up a rural area job under alternative incentive schemes. This study is the first DCE analysis to then go the extra step of costing out the alternative packages. The analysis revealed quite different results for the two countries. The most powerful single incentive in motivating workers to practice in rural areas was increased pay in Liberia, and long-term education in Vietnam. The cost-effectiveness of incentives also varies by country. In Liberia, monetary incentives were by the most cost effective while in Vietnam it was opportunities for skills development. While the study methodology needs further enhancement, especially costing of incentive packages, the work shows that a DCE analysis can be a powerful tool in informing the design of rural area incentive schemes in developing countries. 2017-08-15T18:51:43Z 2017-08-15T18:51:43Z 2010-12 Working Paper http://documents.worldbank.org/curated/en/665861468163479749/Getting-health-workers-to-rural-areas-innovative-analytic-work-to-inform-policy-making http://hdl.handle.net/10986/27845 English en_US Health, Nutrition and Population 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 Liberia Vietnam |
| 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 |
BASIC HEALTH SERVICES BEDS BULLETIN CLINICS DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DISTRICTS DOCTORS DRUGS EMPLOYMENT GENDER GOVERNMENT AGENCIES HEALTH CARE HEALTH CENTERS HEALTH ECONOMICS HEALTH OFFICIALS HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HOSPITALS HOUSING HOUSING COSTS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS INCENTIVE SCHEMES INCOME INTERVENTIONS LABOR MARKET LOW INCOME MARKETING MEDICAL DOCTOR MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL SCHOOL MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH NATIONAL DRUG NONGOVERNMENTAL ORGANIZATIONS NURSE NURSES NURSING NUTRITION PATIENTS PHYSICIAN PHYSICIANS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE POPULATION DISCUSSION PRETESTING PROBABILITY PROGRAMS FOR HEALTH PURCHASING POWER RESOURCE CONSTRAINTS RURAL AREA RURAL AREAS SERVICE DELIVERY SHORT-TERM TRAINING SKILLS DEVELOPMENT SOCIAL WELFARE TRANSPORTATION URBAN AREA URBAN AREAS URBAN CENTER VITAL STATISTICS WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION |
| spellingShingle |
BASIC HEALTH SERVICES BEDS BULLETIN CLINICS DECISION MAKING DESCRIPTION DEVELOPING COUNTRIES DISTRICTS DOCTORS DRUGS EMPLOYMENT GENDER GOVERNMENT AGENCIES HEALTH CARE HEALTH CENTERS HEALTH ECONOMICS HEALTH OFFICIALS HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HOSPITALS HOUSING HOUSING COSTS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS INCENTIVE SCHEMES INCOME INTERVENTIONS LABOR MARKET LOW INCOME MARKETING MEDICAL DOCTOR MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL SCHOOL MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH NATIONAL DRUG NONGOVERNMENTAL ORGANIZATIONS NURSE NURSES NURSING NUTRITION PATIENTS PHYSICIAN PHYSICIANS POLICY CHANGE POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE POPULATION DISCUSSION PRETESTING PROBABILITY PROGRAMS FOR HEALTH PURCHASING POWER RESOURCE CONSTRAINTS RURAL AREA RURAL AREAS SERVICE DELIVERY SHORT-TERM TRAINING SKILLS DEVELOPMENT SOCIAL WELFARE TRANSPORTATION URBAN AREA URBAN AREAS URBAN CENTER VITAL STATISTICS WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION Vujicic, Marko Alfano, Marco Shengelia, Bukhuti Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making |
| geographic_facet |
Liberia Vietnam |
| relation |
Health, Nutrition and Population Discussion Paper; |
| description |
Decision makers face serious challenges
in attracting health workers to rural areas, in both the
developed and developing world, but while they have access
to a wide range of policy options, the effectiveness of
interventions is highly contingent on context. To make them
more effective, decision makers need to have an in-depth
understanding of, especially, the factors that influence
individual workers decisions on choice of practice,
particularly regarding relocation to rural areas. The
current paper presents results of an empirical study
conducted in Liberia and Vietnam using a discrete choice
experiment (DCE). The study's aim was to predict the
likelihood of health workers taking up a rural area job
under alternative incentive schemes. This study is the first
DCE analysis to then go the extra step of costing out the
alternative packages. The analysis revealed quite different
results for the two countries. The most powerful single
incentive in motivating workers to practice in rural areas
was increased pay in Liberia, and long-term education in
Vietnam. The cost-effectiveness of incentives also varies by
country. In Liberia, monetary incentives were by the most
cost effective while in Vietnam it was opportunities for
skills development. While the study methodology needs
further enhancement, especially costing of incentive
packages, the work shows that a DCE analysis can be a
powerful tool in informing the design of rural area
incentive schemes in developing countries. |
| format |
Working Paper |
| author |
Vujicic, Marko Alfano, Marco Shengelia, Bukhuti |
| author_facet |
Vujicic, Marko Alfano, Marco Shengelia, Bukhuti |
| author_sort |
Vujicic, Marko |
| title |
Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making |
| title_short |
Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making |
| title_full |
Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making |
| title_fullStr |
Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making |
| title_full_unstemmed |
Getting Health Workers to Rural Areas : Innovative Analytic Work to Inform Policy Making |
| title_sort |
getting health workers to rural areas : innovative analytic work to inform policy making |
| publisher |
World Bank, Washington, DC |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/665861468163479749/Getting-health-workers-to-rural-areas-innovative-analytic-work-to-inform-policy-making http://hdl.handle.net/10986/27845 |
| _version_ |
1764465214249500672 |