Retention

The purposes of this study were to describe the prevalence of health promotion volunteers (HPVs) with differing levels of activity satisfaction and burden; examine the association between satisfaction and burden with activity involvement and persistence, and life satisfaction; and explore associated factors by satisfaction/burden levels among Japanese HPVs. [from abstract]

The authors reviewed provider payment methods used in community-based insurance (CBI) in developing countries and their impact on CBI performance. [from abstract]

This study assessed health worker motivation as part of the baseline assessment for a health system strengthening intervention in three rural districts in Zambia by examining underlying issues grouped around relevant outcome constructs such as job satisfaction, general motivation, burnout, organization commitment, conscientiousness and timeliness that collectively measure overall levels of motivation. [adapted from abstract]

is study aims to broaden the understanding of factors associated with recruitment and retention of occupational therapists and physiotherapists in rural regions, through a synthesis of evidence from qualitative studies found in the literature. [from abstract]

This guide aims to provide easy-to-read information and step-by-step advice on a quantitative research method that can help identify appropriate policy responses to health workforce shortages in remote and rural areas. It uses two case studies to illustrate the challenges and the ways to overcome them in conducting the work. [from author]

This paper creates awareness of the current human resource crisis that Zambia is facing, taking into account the few doctors serving rural communities in the country; and argues that the main driver of doctors’ exodus out of the country is the search for better conditions of service. The paper presents the advantages and disadvantages of various policy options geared toward stemming the tide of doctors leaving the country, primarily through creating greater incentives for doctors to stay. [from author]

Recent policy recommendations have called for increased research efforts to inform the design of cost-effective interventions to address the shortage of health workers in rural areas. This paper takes forward the recent use of discrete choice experiments to assess the effects of potential incentives to attract nurses to rural areas. [from abstract]

A discrete choice experiment was conducted to evaluate the job preferences of nurses and midwives currently working on a short-term contract in the public sector in Ayacucho, Peru to assess factors that would attract short-term contract nurses and midwives to work in a rural area of Peru. [adapted from abstract]

This study measured job satisfaction and determined associated factors among health workers in 38 commune health stations in an urban district and a rural district of Hanoi, Vietnam. [from abstract]

The objective of this study was to measure resilience, burnout, compassion satisfaction, personal meaning in patient care and intolerance of uncertainty in Australian general practice registrars. [from abstract]

The objective of the study was to determine the level of and factors influencing job satisfaction among public health professionals in the public sector. [from abstract]

This article elaborates what South African medical specialists find satisfying about working in the public and private sectors, at present, and how to better incentivize retention in the public sector. [from abstract]

This study describes health worker perceptions and explores the factors that influence job satisfaction and dissatisfaction of health personnel working on the HIV response in Vietnam and confirms the relationship between stigmatization of people living with HIV (PLHIV) and stigma experienced by staff because of association with PLHIV from families, colleagues, and society. [adapted from abstract]

This study aimed at investigating the relationships, direct and/or indirect, between emotional intelligence, the surface acting component of emotional labor, and job satisfaction in medical staff working in tertiary healthcare. [from abstract]

This toolkit is intended to allow human resources managers to determine health professionals’ motivational preferences for accepting and remaining in posts. The toolkit builds on the WHO global policy recommendations for rural retention and is based on the discrete choice experiment, a powerful research method that identifies the trade-offs health professionals (or other types of workers) are willing to make between specific job characteristics and determines their preferences for various incentive packages, including the probability of accepting a post in a rural health facility.

This free online course, developed by the HRH Global Resource Center and CapacityPlus, is based on the Rapid Retention Survey Toolkit. This course will orient participants on how to use a rapid discrete choice experiment methodology to design evidence-based incentives to attract and retain health workers in rural and remote areas. [from publisher]

This report is a nationally representative study in Malawi that employed both qualitative and quantitative data collection methods to assess statistically significant drivers of intrinsic motivation for health workers of every cadre accross the entire health system including public, private for-profit, and faith-based health workers. [adapted from author]

In response to the shortage of doctors in remote communities, the Philippines began a progrom to attract physicians to work in such areas for a prescribed 2-year period, but ongoing monitoring shows that very few chose to remain there for longer. This assessment was carried out to explore the reasons for the low retention rates and to propose possible strategies to reverse the trend. [adapted from abstract]

This study aims at investigating primary healthcare health providers’ work characteristics, level of burnout and likelihood to quit and identify the factors that are significantly associated with staff retention at primary healthcare centers in Lebanon. [adapted from author]

This research set out to explore with frontline health workers and their managers how working conditions affect attitudes, behaviour and practices. It also sought the positive side of the health worker experience. The report documents the experiences and views of 122 nursing health workers in all regions of Uganda covering government, not-for-profit and private ownership organisations. [adapted from author]

Community-based health insurance (CBI) is a common mechanism to generate financial resources for health care in developing countries. This article reviews provider payment methods used in CBI in developing countries and their impact on CBI performance. [from abstract]

Health user fees were introduced in Zambia at the beginning of the 1990s with the objective of improving staff motivation. In 2006, they were removed in view of the poverty levels in the country, the high cost for accessing health services, and the desire to provide universal access. This article examines the perspectives of health workers on the change in policy. [adapted from author]

The objective of this study was to develop a common instrument to monitor any changes in maternal and neonatal health care provider motivation resulting from the introduction of pilot interventions in rural, primary level facilities in Ghana, Burkina Faso, and Tanzania. [from abstract]

While pay-for-performance incentives are frequently used in human resource management programs, there is less knowledge of alternative incentives for recognizing provider achievements in improving quality—especially in the private health sector. This report identifies which types of recognition mechanisms private providers prefer and provides recommendations for Peru and other countries on implementing a quality improvement program with a recognition component. [from abstract]

This study examined the performance motivation of community health workers and its determinants on India’s Accredited Social Health Activist program. [from abstract]

This report examines working conditions of health workers in Nepal in relation to income and incentives, work supplies and equipment, issues on safety and security and the role of local authorities and the community. [from summary]

A discrete choice experiment was used to test how nurses and certified midwives in Liberia would respond to alternative policies being considered by the ministry of health and social welfare to predict the share of nurses and certified midwives who would accept a job in a rural area under different schemes. [from abstract]

This article addresses health workers’ experiences with the open performance review and appraisal system (OPRAS) in Tanzania, expectations towards pay for performance, and how lessons learned from OPRAS can assist in the implementation of pay for performance. The broader aim is to generate knowledge on health workers’ motivation in low-income contexts. [adapted from abstract]

In this study the authors examine the relationship between health worker incomes and their satisfaction and motivation. [from abstract]

This article describes an exploratory study that asked: what is understood by the term motivation; what encourages and discourages providers of maternal and newborn care in rural areas; and which factors influence their performance and job satisfaction. [adapted from author]