Creating Incentives to Work in Ghana : Results from a Qualitative Health Worker Study
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World Bank, Washington, DC
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The Ministry of Health, Ghana, is
engaged in developing new Human Resources for Health (HRH)
Strategy (2001-15); one that tries to draw on some of the
evidence pertaining to the dynamics of the health labor
market. This study is one of several efforts by the World
Bank to support the Ministry of Health in its endeavor to
develop a new evidence based HRH strategy. Using qualitative
research (focus group discussions), this study carries out a
microeconomic labor analysis of health worker career choice
and of job behavior. The study shows how common problems
related to distribution or performance of HRH are driven by
the behavior of health workers themselves and are determined
largely by select monetary and nonmonetary compensation.
Such findings generate insights that provide a starting
point for further analysis and a basis for the development
of effective human resources for health policies.
Palabras clave
ABUSE, ACCESS TO DRUGS, ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ADEQUATE EDUCATION, AIDS PATIENT, AUXILIARY NURSES, CASE OF EMERGENCY, CHILDBEARING, CITIES, CLINICAL EXPERIENCE, CLINICAL STAFF, CLINICS, COUNSELING, DISCRIMINATION, DOCTORS, EMERGENCIES, EXPOSURE, FERTILITY, FERTILITY RATES, FOCUS GROUP DISCUSSIONS, FREE CHOICE, FREEDOM OF CHOICE, GENERAL PRACTICE, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE PROVIDERS, HEALTH EDUCATION, HEALTH INSURANCE, HEALTH INSURANCE SCHEME, HEALTH OUTCOMES, HEALTH POLICIES, HEALTH PROFESSIONALS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH STRATEGY, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH SYSTEMS STRENGTHENING, HEALTH WORKERS, HEALTH WORKFORCE, HIV, HIV INFECTION, HIV/AIDS, HOSPITALS, HUMAN BEINGS, HUMAN DEVELOPMENT, HUMAN RESOURCE MANAGEMENT, HUMAN RESOURCES, HUSBANDS, IMMUNIZATION, IMPROVEMENT OF HEALTH, INCENTIVE SCHEMES, INCOME, INDIVIDUAL CHOICES, INDIVIDUAL HEALTH, INFANT, INFANT MORTALITY, INFORMED CHOICES, INHIBITION, INTERNATIONAL MIGRATION, INTERVENTION, ISOLATION, JOB SECURITY, JOB TRAINING, KIDS, LABOR MARKET, LABOUR MARKET, LACK OF INFORMATION, LIVE BIRTHS, LIVING CONDITIONS, MATERNAL HEALTH, MATERNAL HEALTH OUTCOMES, MATERNAL MORTALITY, MEDICAL ATTENTION, MEDICAL EQUIPMENT, MEDICAL STAFF, MEDICAL SUPPORT, MIGRATION, MILITARY HOSPITALS, MINISTRY OF HEALTH, MISSION HOSPITAL, MODERN HEALTH CARE, MORTALITY, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL STRATEGIES, NEONATAL MORTALITY, NUMBER OF CHILDREN, NURSE, NURSES, NURSING, NUTRITION, OUTREACH ACTIVITIES, PATIENT, PATIENTS, PEACE, PERSONAL DEVELOPMENT, PHARMACISTS, PHARMACY, POLICY LEVEL, POOR QUALITY CARE, POPULATION GROWTH, PRIMARY HEALTH CARE, PRIVATE CLINICS, PRIVATE HOSPITALS, PRIVATE SECTOR, PRIVATE SECTORS, PROGNOSIS, PROGRESS, PUBLIC HEALTH, PUBLIC HOSPITAL, PUBLIC SECTOR, QUALITATIVE APPROACH, QUALITY OF CARE, QUANTITATIVE RESEARCH, REFERRAL SYSTEM, REMITTANCES, RESPECT, RISK OF INFECTION, RURAL AREAS, SICK LEAVE, SOCIAL STATUS, SPONSORS, TEACHING HOSPITALS, TRADITIONAL HEALERS, TRAINING OPPORTUNITIES, UNEMPLOYMENT, URBAN AREAS, URBAN CENTERS, VACCINATION, VISITS, WORKERS, WORKING CONDITIONS, WORKPLACE