Getting Health Workers to Rural Areas

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dc.creatorVujicic, Marko
dc.creatorAlfano, Marco
dc.creatorShengelia, Bukhuti
dc.date2017-08-15T18:51:43Z
dc.date2017-08-15T18:51:43Z
dc.date2010-12
dc.date.accessioned2026-07-01T01:08:08Z
dc.descriptionDecision makers face serious challenges in attracting health workers to rural areas, in both the developed and developing world, but while they have access to a wide range of policy options, the effectiveness of interventions is highly contingent on context. To make them more effective, decision makers need to have an in-depth understanding of, especially, the factors that influence individual workers decisions on choice of practice, particularly regarding relocation to rural areas. The current paper presents results of an empirical study conducted in Liberia and Vietnam using a discrete choice experiment (DCE). The study's aim was to predict the likelihood of health workers taking up a rural area job under alternative incentive schemes. This study is the first DCE analysis to then go the extra step of costing out the alternative packages. The analysis revealed quite different results for the two countries. The most powerful single incentive in motivating workers to practice in rural areas was increased pay in Liberia, and long-term education in Vietnam. The cost-effectiveness of incentives also varies by country. In Liberia, monetary incentives were by the most cost effective while in Vietnam it was opportunities for skills development. While the study methodology needs further enhancement, especially costing of incentive packages, the work shows that a DCE analysis can be a powerful tool in informing the design of rural area incentive schemes in developing countries.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/665861468163479749/Getting-health-workers-to-rural-areas-innovative-analytic-work-to-inform-policy-making
dc.identifierhttps://hdl.handle.net/10986/27845
dc.identifierhttps://doi.org/10.1596/27845
dc.identifier.urihttp://hdl.handle.net/123456789/415496
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectBASIC HEALTH SERVICES
dc.subjectBEDS
dc.subjectBULLETIN
dc.subjectCLINICS
dc.subjectDECISION MAKING
dc.subjectDESCRIPTION
dc.subjectDEVELOPING COUNTRIES
dc.subjectDISTRICTS
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectEMPLOYMENT
dc.subjectGENDER
dc.subjectGOVERNMENT AGENCIES
dc.subjectHEALTH CARE
dc.subjectHEALTH CENTERS
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH OFFICIALS
dc.subjectHEALTH POLICY
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHOUSING
dc.subjectHOUSING COSTS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectIMMUNIZATION
dc.subjectIMMUNIZATIONS
dc.subjectINCENTIVE SCHEMES
dc.subjectINCOME
dc.subjectINTERVENTIONS
dc.subjectLABOR MARKET
dc.subjectLOW INCOME
dc.subjectMARKETING
dc.subjectMEDICAL DOCTOR
dc.subjectMEDICAL EDUCATION
dc.subjectMEDICAL EQUIPMENT
dc.subjectMEDICAL SCHOOL
dc.subjectMEDICAL SUPPLIES
dc.subjectMIDWIVES
dc.subjectMINISTRY OF EDUCATION
dc.subjectMINISTRY OF HEALTH
dc.subjectNATIONAL DRUG
dc.subjectNONGOVERNMENTAL ORGANIZATIONS
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNUTRITION
dc.subjectPATIENTS
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPOLICY CHANGE
dc.subjectPOLICY MAKERS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESEARCH WORKING PAPER
dc.subjectPOLICY RESPONSE
dc.subjectPOPULATION DISCUSSION
dc.subjectPRETESTING
dc.subjectPROBABILITY
dc.subjectPROGRAMS FOR HEALTH
dc.subjectPURCHASING POWER
dc.subjectRESOURCE CONSTRAINTS
dc.subjectRURAL AREA
dc.subjectRURAL AREAS
dc.subjectSERVICE DELIVERY
dc.subjectSHORT-TERM TRAINING
dc.subjectSKILLS DEVELOPMENT
dc.subjectSOCIAL WELFARE
dc.subjectTRANSPORTATION
dc.subjectURBAN AREA
dc.subjectURBAN AREAS
dc.subjectURBAN CENTER
dc.subjectVITAL STATISTICS
dc.subjectWORKERS
dc.subjectWORKFORCE
dc.subjectWORKING CONDITIONS
dc.subjectWORLD HEALTH ORGANIZATION
dc.titleGetting Health Workers to Rural Areas
dc.titleInnovative Analytic Work to Inform Policy Making
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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