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Health Worker Attitudes toward Rural Service in Liberia : Results from Qualitative Research

ACCESS TO HEALTH CARE ACCESSIBILITY BABIES BASIC NEEDS BEDS BIKES BUS BUSES CERTIFIED MIDWIFE CIVIL WAR CLINICS COMPLICATIONS COST OF TRAVEL DEVELOPING COUNTRIES DISEASES DOCTOR DOCTORS DRIVERS DRUGS EMERGENCIES EMPLOYMENT EMPLOYMENT OPPORTUNITIES EXTENDED FAMILY FAMILIES FEMALE FINANCIAL INCENTIVES FOCUS GROUP DISCUSSIONS GENDER GENDER VALUE GENDER VALUES GOVERNMENT CAPACITY GOVERNMENT SUPPORT HEALTH CARE HEALTH CENTERS HEALTH CENTRE HEALTH FACILITIES HEALTH INDICATORS HEALTH INSURANCE HEALTH OUTCOMES HEALTH PLAN HEALTH POLICY HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SERVICES RESEARCH HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIGH TRANSPORT HIV HIV INFECTION HIV/AIDS HOSPITAL HOSPITAL ADMINISTRATORS HOSPITAL EQUIPMENT HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION INCOME INHIBITION INTERNATIONAL MIGRATION INTERVENTION IRON JOB SECURITY LABOR MARKET LOW-INCOME COUNTRY MALARIA MATERIAL RESOURCES MEANS OF TRANSPORT MEDICAL DOCTORS MEDICAL SERVICES MEDICAL SUPPLIES MEDICINE MIDWIFE MIDWIFERY MIDWIVES MIGRATION MINISTRY OF HEALTH MORTALITY MORTALITY RISK MOTOR CYCLES NUMBER OF CHILDREN NURSE NURSES NURSING NUTRITION OUTREACH ACTIVITIES PATIENT PATIENTS PHYSICIAN PHYSICIANS POLICY MAKERS POPULATION DENSITY PREGNANT WOMEN QUALITATIVE APPROACH QUALITY OF CARE QUALITY OF SERVICES REDUCING MATERNAL MORTALITY REFERRAL SYSTEM RESPECT ROAD ROAD CONDITIONS ROAD IMPROVEMENT ROADS ROUTE RURAL AREAS RURAL POPULATION SAFETY SERVICE DELIVERY SKILLED PERSONNEL SKILLED WORKERS SOCIAL SECURITY SOCIAL WELFARE SPOUSE SUBSISTENCE FARMING TRAINING OPPORTUNITIES TRANSPARENCY TRANSPORT TRANSPORT CONDITIONS TRANSPORT COSTS TRANSPORTATION TRAVEL DISTANCES URBAN AREAS URBAN CENTERS VACCINES VEHICLE VULNERABILITY WALKING WALKING DISTANCE WORK FORCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION
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World Bank, Washington, DC
Africa | Liberia
2013-05-29T12:54:12Z | 2013-05-29T12:54:12Z | 2010-11

In Liberia, the maldistribution of health workers is particularly pronounced as 14 years of civil war exacerbated the concentration of experienced health workers in urban areas. The government has identified this challenge as a priority area for policy intervention. The objective of this study was to explore the drivers of health workforce choice including job location. It presents the results from preparatory qualitative research that fed into the design of a discrete choice experiment (DCE). The qualitative study interviewed 26 registered nurses, midwives, and physician assistants about their current working conditions, their job location preference, and priority areas for change in working conditions. Content analysis was used to analyze the data. The study shed light on health worker job preferences and their working conditions, and identified six job attributes that health workers consider to be important when choosing a job. These were pay, transport, availability of medical materials and infrastructure, housing, workload, and further training opportunities. These attributes were chosen because they reflect the frequency to which they were cited during the interviews and the extent to which they were amenable to policy intervention. Associated attribute levels were chosen for each attribute to reflect current work conditions and the levels of change that will be necessary to trigger changes in job choice. The relative weight of each of these attributes in location choice has been quantitatively determined through the follow-up DCE. Although the main aim of this study was to feed into the DCE design, it incidentally throws light on a wider variety of issues with regard to health worker career choice, motivation, and performance.

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