The Performance of Health Workers in Ethiopia : Results from Qualitative Research

Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of the po...

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Main Authors:	Lindelow, Magnus, Serneels, Pieter, Lemma, Teigist
Format:	Policy Research Working Paper
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	BRAIN CERTIFICATION CHILD MORTALITY CLINICS DIAGNOSIS DIARRHEA DISEASE DOCTORS EMPLOYMENT ETHICS FAMILY PLANNING GOVERNMENT POLICIES GROUP DISCUSSION GROUP DYNAMICS HAZARDS HEALTH CARE HEALTH CARE PROVIDER HEALTH CARE PROVISION HEALTH CARE SECTOR HEALTH CENTERS HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POSTS HEALTH PROBLEMS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEMS HEALTH WORKFORCE HIV/AIDS HOSPITALS HUMAN RESOURCES IMMUNE SYSTEM INCOME INFECTION MALARIA MALNUTRITION MANAGERS MANAGERS/OWNERS MATERNAL MORTALITY MATERNITY CARE MEDIA MEDICAL SUPPLIES MEDICINE MEDICINES MIDWIFES MIGRATION MOTIVATION NEGATIVE EFFECTS NURSES NURSING PARENTS PATIENTS PHARMACIES PHARMACY PHYSICIAN/HEALTH PHYSICIANS PREVALENCE PRIVATE PHARMACIES PRIVATE SECTOR PROPHYLAXIS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC SECTOR QUALITATIVE RESEARCH RURAL HEALTH RURAL HEALTH CARE SAFETY SCHOOLS SOCIAL RELATIONSHIPS SOCIAL STATUS SURGERY SYRINGES TOUCH TREATMENT WORKERS WORKPLACE
Online Access:	http://documents.worldbank.org/curated/en/2005/04/5729130/performance-health-workers-ethiopia-results-qualitative-research http://hdl.handle.net/10986/8970

id	okr-10986-8970
recordtype	oai_dc
spelling	okr-10986-89702021-04-23T14:02:42Z The Performance of Health Workers in Ethiopia : Results from Qualitative Research Lindelow, Magnus Serneels, Pieter Lemma, Teigist BRAIN CERTIFICATION CHILD MORTALITY CLINICS DIAGNOSIS DIARRHEA DISEASE DOCTORS EMPLOYMENT ETHICS FAMILY PLANNING GOVERNMENT POLICIES GROUP DISCUSSION GROUP DYNAMICS HAZARDS HEALTH CARE HEALTH CARE PROVIDER HEALTH CARE PROVISION HEALTH CARE SECTOR HEALTH CENTERS HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POSTS HEALTH PROBLEMS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEMS HEALTH WORKFORCE HIV/AIDS HOSPITALS HUMAN RESOURCES IMMUNE SYSTEM INCOME INFECTION MALARIA MALNUTRITION MANAGERS MANAGERS/OWNERS MATERNAL MORTALITY MATERNITY CARE MEDIA MEDICAL SUPPLIES MEDICINE MEDICINES MIDWIFES MIGRATION MOTIVATION NEGATIVE EFFECTS NURSES NURSING PARENTS PATIENTS PHARMACIES PHARMACY PHYSICIAN/HEALTH PHYSICIANS PREVALENCE PRIVATE PHARMACIES PRIVATE SECTOR PROPHYLAXIS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC SECTOR QUALITATIVE RESEARCH RURAL HEALTH RURAL HEALTH CARE SAFETY SCHOOLS SOCIAL RELATIONSHIPS SOCIAL STATUS SURGERY SYRINGES TOUCH TREATMENT WORKERS WORKPLACE Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of the poorest health outcomes in the world. It describes performance problems identified by both health, users and health workers participating in the focus group discussions, including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illicit charging, and corruption. The second part of the paper presents four structural reasons why these problems arise: (1) the ongoing transition from a health sector dominated by the public sector, toward a more mixed model; (2) the failure of government policies to keep pace with the transition toward a mixed model of service delivery; (3) weak accountability mechanisms and the erosion of professional norms in the health sector; and (4) the impact of HIV/AIDS. The discussions underline the need to base policies on a micro-analysis of how health workers make constrained choices, both in their career and in their day to day professional activities. 2012-06-25T20:51:26Z 2012-06-25T20:51:26Z 2005-04 http://documents.worldbank.org/curated/en/2005/04/5729130/performance-health-workers-ethiopia-results-qualitative-research http://hdl.handle.net/10986/8970 English Policy Research Working Paper; No. 3558 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Ethiopia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	BRAIN CERTIFICATION CHILD MORTALITY CLINICS DIAGNOSIS DIARRHEA DISEASE DOCTORS EMPLOYMENT ETHICS FAMILY PLANNING GOVERNMENT POLICIES GROUP DISCUSSION GROUP DYNAMICS HAZARDS HEALTH CARE HEALTH CARE PROVIDER HEALTH CARE PROVISION HEALTH CARE SECTOR HEALTH CENTERS HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POSTS HEALTH PROBLEMS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEMS HEALTH WORKFORCE HIV/AIDS HOSPITALS HUMAN RESOURCES IMMUNE SYSTEM INCOME INFECTION MALARIA MALNUTRITION MANAGERS MANAGERS/OWNERS MATERNAL MORTALITY MATERNITY CARE MEDIA MEDICAL SUPPLIES MEDICINE MEDICINES MIDWIFES MIGRATION MOTIVATION NEGATIVE EFFECTS NURSES NURSING PARENTS PATIENTS PHARMACIES PHARMACY PHYSICIAN/HEALTH PHYSICIANS PREVALENCE PRIVATE PHARMACIES PRIVATE SECTOR PROPHYLAXIS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC SECTOR QUALITATIVE RESEARCH RURAL HEALTH RURAL HEALTH CARE SAFETY SCHOOLS SOCIAL RELATIONSHIPS SOCIAL STATUS SURGERY SYRINGES TOUCH TREATMENT WORKERS WORKPLACE
spellingShingle	BRAIN CERTIFICATION CHILD MORTALITY CLINICS DIAGNOSIS DIARRHEA DISEASE DOCTORS EMPLOYMENT ETHICS FAMILY PLANNING GOVERNMENT POLICIES GROUP DISCUSSION GROUP DYNAMICS HAZARDS HEALTH CARE HEALTH CARE PROVIDER HEALTH CARE PROVISION HEALTH CARE SECTOR HEALTH CENTERS HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POSTS HEALTH PROBLEMS HEALTH PROFESSIONALS HEALTH SECTOR HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SYSTEMS HEALTH WORKFORCE HIV/AIDS HOSPITALS HUMAN RESOURCES IMMUNE SYSTEM INCOME INFECTION MALARIA MALNUTRITION MANAGERS MANAGERS/OWNERS MATERNAL MORTALITY MATERNITY CARE MEDIA MEDICAL SUPPLIES MEDICINE MEDICINES MIDWIFES MIGRATION MOTIVATION NEGATIVE EFFECTS NURSES NURSING PARENTS PATIENTS PHARMACIES PHARMACY PHYSICIAN/HEALTH PHYSICIANS PREVALENCE PRIVATE PHARMACIES PRIVATE SECTOR PROPHYLAXIS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH SYSTEM PUBLIC HOSPITALS PUBLIC SECTOR QUALITATIVE RESEARCH RURAL HEALTH RURAL HEALTH CARE SAFETY SCHOOLS SOCIAL RELATIONSHIPS SOCIAL STATUS SURGERY SYRINGES TOUCH TREATMENT WORKERS WORKPLACE Lindelow, Magnus Serneels, Pieter Lemma, Teigist The Performance of Health Workers in Ethiopia : Results from Qualitative Research
geographic_facet	Africa Ethiopia
relation	Policy Research Working Paper; No. 3558
description	Insufficient attention has been paid to understanding what determines the performance of health workers and how they make labor market choices. This paper reports on findings from focus group discussions with both health workers and users of health services in Ethiopia, a country with some of the poorest health outcomes in the world. It describes performance problems identified by both health, users and health workers participating in the focus group discussions, including absenteeism and shirking, pilfering drugs and materials, informal health care provision and illicit charging, and corruption. The second part of the paper presents four structural reasons why these problems arise: (1) the ongoing transition from a health sector dominated by the public sector, toward a more mixed model; (2) the failure of government policies to keep pace with the transition toward a mixed model of service delivery; (3) weak accountability mechanisms and the erosion of professional norms in the health sector; and (4) the impact of HIV/AIDS. The discussions underline the need to base policies on a micro-analysis of how health workers make constrained choices, both in their career and in their day to day professional activities.
format	Publications & Research :: Policy Research Working Paper
author	Lindelow, Magnus Serneels, Pieter Lemma, Teigist
author_facet	Lindelow, Magnus Serneels, Pieter Lemma, Teigist
author_sort	Lindelow, Magnus
title	The Performance of Health Workers in Ethiopia : Results from Qualitative Research
title_short	The Performance of Health Workers in Ethiopia : Results from Qualitative Research
title_full	The Performance of Health Workers in Ethiopia : Results from Qualitative Research
title_fullStr	The Performance of Health Workers in Ethiopia : Results from Qualitative Research
title_full_unstemmed	The Performance of Health Workers in Ethiopia : Results from Qualitative Research
title_sort	performance of health workers in ethiopia : results from qualitative research
publisher	World Bank, Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2005/04/5729130/performance-health-workers-ethiopia-results-qualitative-research http://hdl.handle.net/10986/8970
_version_	1764407172058316800

The Performance of Health Workers in Ethiopia : Results from Qualitative Research

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