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Policy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment

AGED BABY BASIC HEALTH SERVICES BASIC INFRASTRUCTURE BULLETIN BUS CERTIFIED MIDWIFE CIVIL WAR CLINICS COST EFFECTIVENESS DENTIST DEVELOPING COUNTRIES DOCTORS DRUGS EMPLOYMENT EMPLOYMENT OPPORTUNITIES FEMALE FOCUS GROUP DISCUSSIONS FORCEPS FREE TRANSPORTATION FUEL FUEL COST FUEL SHORTAGES GENDER GOVERNMENT CAPACITY GPS HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE WORKERS HEALTH CENTERS HEALTH ECONOMICS HEALTH FACILITIES HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH TRAINING HEALTH WORKERS HEALTH WORKFORCE HOSPITAL HR HUMAN DEVELOPMENT HUMAN RESOURCES IMMUNIZATION IMMUNIZATIONS IMPACT ON HEALTH INCOME INDEXES INTERVENTION IRON LABOR SUPPLY LIVING CONDITIONS MEDICAL EQUIPMENT MEDICAL SUPPLIES MIDWIVES MINISTRY OF EDUCATION MINISTRY OF HEALTH MODE OF TRANSPORT MOVEMENTS OF PEOPLE NATIONAL DRUG NATIONAL HEALTH POLICY NEWBORN NURSE NURSES NURSING NURSING CARE NUTRITION PATIENT PATIENTS PEACE PHARMACIST PHYSICIAN PHYSICIANS POLICY MAKERS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY RESPONSE PROBABILITY PROGRESS PUBLIC TRANSPORT PUBLIC TRANSPORTATION QUALITY CONTROL RESOURCE ALLOCATION ROAD ROAD CONDITIONS ROAD INFRASTRUCTURE ROADS RURAL AREAS SECONDARY EDUCATION SERVICE DELIVERY SERVICE PROVISION SOCIAL SERVICE SOCIAL WELFARE SOCIOECONOMIC DEVELOPMENT SPECIALIST TRANSPORT TRANSPORTATION TRANSPORTATION INFRASTRUCTURE TRANSPORTATION NETWORKS TRANSPORTATION PROBLEMS TRAVEL TIME TRAVEL TIMES TRUE URBAN AREAS VACCINES VEHICLE VEHICLES VITAL STATISTICS WORK EXPERIENCE WORKERS WORKFORCE WORKING CONDITIONS WORLD HEALTH ORGANIZATION
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World Bank, Washington, DC
Africa | Liberia
2013-05-29T13:08:40Z | 2013-05-29T13:08:40Z | 2010-11

There is major geographic variation in nurse staffing levels in Liberia with the largest shortages in rural areas. A discrete choice experiment (DCE) 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 (MOHSW). The DCE methodology provides a quantitative estimate of how individuals value different aspects of their job. In Liberia we focused on six key job attributes: location, total pay, conditions of equipment, availability of transportation, availability of housing, and workload. Results were used to predict the share of nurses and certified midwives who would accept a job in a rural area under different schemes. Based on the DCE analysis there are four main actionable recommendations that emerge for improving recruitment and retention of nurses and certified midwives in rural areas of Liberia. First, the MOHSW should consider actively recruiting students from rural areas and exposing them to rural work conditions during their training. Second, the MOHSW should strongly consider increasing pay levels in rural areas as this is likely to be cost effective. Third, if for some reason financial bonuses are not feasible, the MOHSW should consider providing transportation to nurses and certified midwives in rural areas. Fourth, the MOHSW should reconsider its housing strategy. Providing newly constructed housing is not a cost effective policy according to the DCE study.

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