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

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dc.creatorVujicic, Marko
dc.creatorAlfano, Marco
dc.creatorRyan, Mandy
dc.creatorWesseh, C. Sanford
dc.creatorBrown-Annan, Julie
dc.date2013-05-29T13:08:40Z
dc.date2013-05-29T13:08:40Z
dc.date2010-11
dc.date.accessioned2026-07-01T01:08:52Z
dc.descriptionThere 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2010/11/13150395/policy-options-attract-nurses-rural-liberia-evidence-discrete-choice-experiment
dc.identifierhttps://hdl.handle.net/10986/13601
dc.identifierhttps://doi.org/10.1596/13601
dc.identifier.urihttp://hdl.handle.net/123456789/415598
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.rightsWorld Bank
dc.subjectAGED
dc.subjectBABY
dc.subjectBASIC HEALTH SERVICES
dc.subjectBASIC INFRASTRUCTURE
dc.subjectBULLETIN
dc.subjectBUS
dc.subjectCERTIFIED MIDWIFE
dc.subjectCIVIL WAR
dc.subjectCLINICS
dc.subjectCOST EFFECTIVENESS
dc.subjectDENTIST
dc.subjectDEVELOPING COUNTRIES
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectEMPLOYMENT
dc.subjectEMPLOYMENT OPPORTUNITIES
dc.subjectFEMALE
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectFORCEPS
dc.subjectFREE TRANSPORTATION
dc.subjectFUEL
dc.subjectFUEL COST
dc.subjectFUEL SHORTAGES
dc.subjectGENDER
dc.subjectGOVERNMENT CAPACITY
dc.subjectGPS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE WORKERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH TRAINING
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHOSPITAL
dc.subjectHR
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectIMMUNIZATION
dc.subjectIMMUNIZATIONS
dc.subjectIMPACT ON HEALTH
dc.subjectINCOME
dc.subjectINDEXES
dc.subjectINTERVENTION
dc.subjectIRON
dc.subjectLABOR SUPPLY
dc.subjectLIVING CONDITIONS
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL SUPPLIES
dc.subjectMIDWIVES
dc.subjectMINISTRY OF EDUCATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMODE OF TRANSPORT
dc.subjectMOVEMENTS OF PEOPLE
dc.subjectNATIONAL DRUG
dc.subjectNATIONAL HEALTH POLICY
dc.subjectNEWBORN
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNURSING CARE
dc.subjectNUTRITION
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPEACE
dc.subjectPHARMACIST
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPOLICY MAKERS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOLICY RESPONSE
dc.subjectPROBABILITY
dc.subjectPROGRESS
dc.subjectPUBLIC TRANSPORT
dc.subjectPUBLIC TRANSPORTATION
dc.subjectQUALITY CONTROL
dc.subjectRESOURCE ALLOCATION
dc.subjectROAD
dc.subjectROAD CONDITIONS
dc.subjectROAD INFRASTRUCTURE
dc.subjectROADS
dc.subjectRURAL AREAS
dc.subjectSECONDARY EDUCATION
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVISION
dc.subjectSOCIAL SERVICE
dc.subjectSOCIAL WELFARE
dc.subjectSOCIOECONOMIC DEVELOPMENT
dc.subjectSPECIALIST
dc.subjectTRANSPORT
dc.subjectTRANSPORTATION
dc.subjectTRANSPORTATION INFRASTRUCTURE
dc.subjectTRANSPORTATION NETWORKS
dc.subjectTRANSPORTATION PROBLEMS
dc.subjectTRAVEL TIME
dc.subjectTRAVEL TIMES
dc.subjectTRUE
dc.subjectURBAN AREAS
dc.subjectVACCINES
dc.subjectVEHICLE
dc.subjectVEHICLES
dc.subjectVITAL STATISTICS
dc.subjectWORK EXPERIENCE
dc.subjectWORKERS
dc.subjectWORKFORCE
dc.subjectWORKING CONDITIONS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titlePolicy Options to Attract Nurses to Rural Liberia : Evidence from a Discrete Choice Experiment

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