Health Worker Attitudes toward Rural Service in India : Results from Qualitative Research

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dc.creatorRao, Krishna D.
dc.creatorRamani, Sudha
dc.creatorMurthy, Seema
dc.creatorHazarika, Indrajit
dc.creatorKhandpur, Neha
dc.creatorChokshi, Maulik
dc.creatorKhanna, Saujanya
dc.creatorVujicic, Marko
dc.creatorBerman, Peter
dc.creatorRyan, Mandy
dc.date2013-05-29T13:29:28Z
dc.date2013-05-29T13:29:28Z
dc.date2010-11
dc.date.accessioned2026-07-01T01:07:20Z
dc.descriptionThe paucity of qualified health workers in rural areas is a critical challenge for India's health sector. Although state governments have instituted several mechanisms, salary and non-salary, to attract health workers to rural areas, individually these mechanisms typically focus on single issues (e.g. salary). This qualitative study explores the career preferences of under-training and in-service doctors and nurses and identifies factors important to them to take up rural service. It then develops a framework for clustering these complex attributes into potential ?incentive packages for better rural recruitment and retention. The study was carried out in two geographically diverse Indian states, Uttarakhand and Andhra Pradesh. A total of 80 in-depth interviews were conducted with a variety of participants: medical students (undergraduate, postgraduate, and Indian system of medicine), nursing students, and doctors and nurses in primary health centers. The information collected was clustered by constructing several hierarchical displays, and collated into job-attribute matrixes. The findings indicate that, while financial and educational incentives attract doctors and nurses to rural postings, they do not make effective retention strategies. Frustration among rural health workers often stems from the lack of infrastructure, support staff, and drugs, a feeling exasperated by local political interference and lack of security.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2010/11/13151191/health-worker-attitudes-toward-rural-service-india-results-qualitative-research
dc.identifierhttps://hdl.handle.net/10986/13605
dc.identifierhttps://doi.org/10.1596/13605
dc.identifier.urihttp://hdl.handle.net/123456789/415384
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.subjectACCREDITATION
dc.subjectBUS SERVICE
dc.subjectBUSES
dc.subjectCAR
dc.subjectCAREER
dc.subjectCAREER PROSPECTS
dc.subjectCAREERS
dc.subjectCLEANLINESS
dc.subjectCOLLEGES
dc.subjectCOMMUNITIES
dc.subjectDECISION MAKING
dc.subjectDESCRIPTION
dc.subjectDISEASES
dc.subjectDRAINAGE
dc.subjectDRUGS
dc.subjectELDERLY
dc.subjectEMERGENCIES
dc.subjectEMPLOYMENT
dc.subjectEQUAL OPPORTUNITIES
dc.subjectFAMILIES
dc.subjectFAMILY WELFARE
dc.subjectFEMALE
dc.subjectFEMALE STUDENTS
dc.subjectFURTHER EDUCATION
dc.subjectGENDER
dc.subjectGEOGRAPHIC DISTRIBUTION
dc.subjectGYNECOLOGY
dc.subjectHEALTH CENTERS
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROVIDERS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKERS
dc.subjectHIGHER EDUCATION
dc.subjectHIGHER EDUCATION OPPORTUNITIES
dc.subjectHOMEOPATHY
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHOUSEHOLDS
dc.subjectHOUSING
dc.subjectHOUSING CONDITIONS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectHUSBANDS
dc.subjectHYGIENE
dc.subjectILLITERACY
dc.subjectIMMUNIZATION
dc.subjectISOLATION
dc.subjectJOB MARKET
dc.subjectJOB SATISFACTION
dc.subjectJOB SECURITY
dc.subjectLANGUAGE BARRIERS
dc.subjectLEARNING
dc.subjectLEARNING OPPORTUNITIES
dc.subjectLEGAL PROTECTION
dc.subjectLEVEL OF EDUCATION
dc.subjectLIVING CONDITIONS
dc.subjectLOCAL TRANSPORT
dc.subjectMARITAL STATUS
dc.subjectMEDICAL COLLEGE
dc.subjectMEDICAL COLLEGES
dc.subjectMEDICAL DOCTORS
dc.subjectMEDICAL FACILITIES
dc.subjectMEDICAL PERSONNEL
dc.subjectMEDICAL PROFESSIONALS
dc.subjectMEDICAL SCHOOLS
dc.subjectMEDICAL SPECIALISTS
dc.subjectMEDICAL STUDENTS
dc.subjectMEDICINES
dc.subjectMIDWIFE
dc.subjectMIDWIFERY
dc.subjectMINISTRY OF HEALTH
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNURSING SCHOOLS
dc.subjectNURSING STUDENTS
dc.subjectNUTRITION
dc.subjectON THE JOB TRAINING
dc.subjectON THE JOB · TRAINING
dc.subjectPAPERS
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPENSIONS
dc.subjectPERSONAL SAFETY
dc.subjectPHYSICAL WORK
dc.subjectPOLICY PROCESSES
dc.subjectPOLICY RESPONSE
dc.subjectPOOR HEALTH
dc.subjectPOOR HOUSING
dc.subjectPOSTGRADUATE STUDENTS
dc.subjectPOSTGRADUATE STUDIES
dc.subjectPRACTITIONERS
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRIVATE SCHOOLS
dc.subjectPROFESSIONAL DEVELOPMENT
dc.subjectPROVIDER ATTITUDES
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC SERVICE
dc.subjectPUBLIC TRANSPORT
dc.subjectRECREATION
dc.subjectRESEARCH OPPORTUNITIES
dc.subjectRESPECT
dc.subjectROAD
dc.subjectROAD CONDITIONS
dc.subjectROADS
dc.subjectRURAL AREA
dc.subjectRURAL AREAS
dc.subjectRURAL DEVELOPMENT
dc.subjectSAFETY OF WOMEN
dc.subjectSANITATION
dc.subjectSCHOOL BUS
dc.subjectSCHOOLS
dc.subjectSERVICE PROVIDER
dc.subjectSERVICE PROVIDERS
dc.subjectSICK LEAVE
dc.subjectSKILL DEVELOPMENT
dc.subjectSMALLER NUMBER
dc.subjectSPOUSE
dc.subjectSTATE GOVERNMENTS
dc.subjectSUPERMARKETS
dc.subjectSUPPORT TO PARENTS
dc.subjectSURGERY
dc.subjectTEACHERS
dc.subjectTEACHING
dc.subjectTELEVISION
dc.subjectTOWNS
dc.subjectTRAINING HEALTH WORKERS
dc.subjectTRAINING OPPORTUNITIES
dc.subjectTRANSPORT
dc.subjectTRANSPORT FACILITIES
dc.subjectTV
dc.subjectUNDERGRADUATE STUDENTS
dc.subjectUNDERGRADUATES
dc.subjectURBAN AREA
dc.subjectURBAN AREAS
dc.subjectURBAN CENTER
dc.subjectVACCINES
dc.subjectVEHICLE
dc.subjectVIOLENCE
dc.subjectVULNERABILITY
dc.subjectWALKING
dc.subjectWASTE
dc.subjectWORK ENVIRONMENT
dc.subjectWORKERS
dc.subjectWORKFORCE
dc.subjectWORKING CONDITIONS
dc.subjectYOUNG CHILDREN
dc.titleHealth Worker Attitudes toward Rural Service in India : Results from Qualitative Research

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