Wages and Health Worker Retention in Ghana : Evidence from Public Sector Wage Reforms

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dc.creatorAntwi, James
dc.creatorPhillips, David
dc.date2013-05-28T20:08:49Z
dc.date2013-05-28T20:08:49Z
dc.date2012-02
dc.date.accessioned2026-07-01T00:55:26Z
dc.descriptionCan governments in developing countries retain skilled health workers by raising public sector wages? The author investigates this question using sudden, policy-induced wage variation, in which the Government of Ghana restructured the pay scale for government health workers. The author find that a ten percent increase in wages decreases annual attrition from the public payroll by 1.5 percentage points (from a mean of eight percentage points) among 20-35 year-old workers from professions that tend to migrate. As a result, the ten-year survival probability for these health workers increases from 0.43 to 0.52. The effects are concentrated among these young workers, and we do not detect effects among older workers or among categories of workers that do not tend to migrate. Given Ghana's context as a major source of skilled health professional migrants and high correlation of our attrition measure with aggregate migration, the author interpret these results as evidence that wage increases in Ghana improve retention mainly through reducing international migration.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2012/02/16280503/wages-health-worker-retention-ghana-evidence-public-sector-wage-reforms
dc.identifierhttps://hdl.handle.net/10986/13581
dc.identifierhttps://doi.org/10.1596/13581
dc.identifier.urihttp://hdl.handle.net/123456789/413003
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.subjectATTRITION
dc.subjectBARGAINING
dc.subjectBARGAINING POWER
dc.subjectBRAIN
dc.subjectBRAIN DRAIN
dc.subjectCOMMUNITY HEALTH
dc.subjectDENTISTS
dc.subjectDEVELOPING COUNTRIES
dc.subjectDEVELOPMENT ECONOMICS
dc.subjectDIETICIANS
dc.subjectDRIVERS
dc.subjectEARLY RETIREMENT
dc.subjectECONOMICS
dc.subjectEMPLOYEE
dc.subjectEXPECTED WAGES
dc.subjectFAMILIES
dc.subjectGLOBAL DEVELOPMENT
dc.subjectGOVERNMENT HEALTH WORKERS
dc.subjectHAZARD
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE PROFESSIONALS
dc.subjectHEALTH EFFECTS
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH WORKFORCE
dc.subjectHIV
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCE
dc.subjectHUMAN RESOURCE STRATEGIES
dc.subjectHUMAN RESOURCES
dc.subjectHUMAN RIGHTS
dc.subjectHUMAN RIGHTS OF MIGRANTS
dc.subjectIMMIGRANTS
dc.subjectIMMIGRATION
dc.subjectINCOME
dc.subjectINDIVIDUAL CHARACTERISTICS
dc.subjectINSURANCE
dc.subjectINTERNATIONAL MIGRATION
dc.subjectJOB PLACEMENT
dc.subjectJOB SEARCH
dc.subjectJOBS
dc.subjectJOURNAL OF MEDICINE
dc.subjectLABOR MARKET
dc.subjectLABOR MARKET CONDITIONS
dc.subjectLABOR MIGRATION
dc.subjectLABOR SUPPLY
dc.subjectLABOR UNION
dc.subjectLABOUR
dc.subjectLABOUR FORCE
dc.subjectMARGINAL VALUE
dc.subjectMEDICAL OFFICER
dc.subjectMEDICAL OFFICERS
dc.subjectMEDICAL SCHOOL
dc.subjectMIDWIVES
dc.subjectMIGRANT
dc.subjectMIGRANTS
dc.subjectMIGRATION
dc.subjectMIGRATION DATA
dc.subjectMIGRATION FLOWS
dc.subjectMILITARY MEDICINE
dc.subjectMINISTRY OF HEALTH
dc.subjectMINORITY
dc.subjectNATIONAL STRATEGIES
dc.subjectNEGATIVE EFFECTS
dc.subjectNEWSLETTER
dc.subjectNOMINAL WAGES
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNUTRITION
dc.subjectOCCUPATION
dc.subjectOCCUPATIONAL CLASSIFICATION
dc.subjectOCCUPATIONS
dc.subjectOLDER WORKERS
dc.subjectPENSIONS
dc.subjectPHYSICIANS
dc.subjectPHYSIOTHERAPISTS
dc.subjectPOLICY CHANGE
dc.subjectPOLICY MAKERS
dc.subjectPOLICY RESEARCH
dc.subjectPOLICY RESPONSE
dc.subjectPOTENTIAL MIGRANTS
dc.subjectPRACTITIONERS
dc.subjectPREVALENCE
dc.subjectPRIVATE SECTOR
dc.subjectPROGRESS
dc.subjectPUBLIC EMPLOYMENT
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC POLICY
dc.subjectPUBLIC SERVICE
dc.subjectPURCHASING POWER
dc.subjectREAL WAGE
dc.subjectREAL WAGES
dc.subjectREMITTANCES
dc.subjectRETURN MIGRATION
dc.subjectRURAL AREAS
dc.subjectSCREENING
dc.subjectSERVICE DELIVERY
dc.subjectSKILLED EMPLOYEES
dc.subjectSKILLED WORKERS
dc.subjectSUBSTITUTION EFFECT
dc.subjectSURGEONS
dc.subjectSURVIVAL PROBABILITY
dc.subjectSURVIVAL RATE
dc.subjectTOTAL WAGES
dc.subjectTRADE LIBERALIZATION
dc.subjectTRAINING INSTITUTIONS
dc.subjectTREATMENT
dc.subjectUNEMPLOYMENT
dc.subjectURBAN AREAS
dc.subjectWAGE DATA
dc.subjectWAGE DIFFERENTIALS
dc.subjectWAGE GAP
dc.subjectWAGE INCREASE
dc.subjectWAGE INCREASES
dc.subjectWAGE LEVELS
dc.subjectWAGE STRUCTURE
dc.subjectWORKER
dc.subjectWORKERS
dc.subjectWORKFORCE
dc.subjectWORKFORCE PLANNING
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG WORKERS
dc.subjectYOUNGER WORKERS
dc.titleWages and Health Worker Retention in Ghana : Evidence from Public Sector Wage Reforms

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