Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences

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dc.contributor.authorHonda, Ayako
dc.contributor.authorVio, Ferruccio
dc.date.accessioned2015-06-02T15:52:05Z
dc.date.available2015-06-02T15:52:05Z
dc.date.issued2015-04-26
dc.date.updated2015-04-30T18:01:14Z
dc.description.abstractBackground: Successfully motivating and retaining health workers is critical for the effective performance of health systems. In Mozambique, a shortage of health care professionals and low levels of staff motivation in rural and remote areas pose challenges to the provision of equitable health care delivery. This study provides quantitative information on the job preferences of non-physician health professionals in Mozambique, examining how different aspects of jobs are valued and how health professionals might respond to policy options that would post them to district hospitals in rural areas. Methods: The study used a discrete choice experiment (DCE) to elicit the job preferences of non-physician health professionals. Data collection took place in four Mozambique provinces: Maputo City, Maputo Province, Sofala and Nampula. DCE questionnaires were administered to 334 non-physician health professionals with specialized or university training (‘mid-level specialists’ and N1 and N2 categories). In addition, questionnaires were administered to 123 N1 and N2 students to enable comparison of the results for those with work experience with those without and determine how new N1 and N2 graduates can be attracted to rural posts. Results: The results indicate that the provision of basic government housing has the greatest impact on the probability of choosing a job at a public health facility, followed by the provision of formal education opportunities and the availability of equipment and medicine at a health facility. The sub-group analysis suggests that job preferences vary according to stage of life and that incentive packages should vary accordingly. Recruitment strategies to encourage non-clinical professionals to work in rural/remote areas should also consider birthplace, as those born in rural/remote areas are more willing to work remotely. Conclusion: The study was undertaken within an overarching project that aimed to develop incentive packages for non-physician health professionals assigned to work in remote/rural areas. Based on the DCE results, the project team, together with the Mozambique Ministry of Health, has developed a range of health workforce retention strategies focusing on the provision of housing benefits and professional development opportunities to be utilized when assigning non-physician health professionals to rural/remote areas.en_ZA
dc.identifier.apacitationHonda, A., & Vio, F. (2015). Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences. <i>Human Resources for Health</i>, http://hdl.handle.net/11427/13055en_ZA
dc.identifier.chicagocitationHonda, Ayako, and Ferruccio Vio "Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences." <i>Human Resources for Health</i> (2015) http://hdl.handle.net/11427/13055en_ZA
dc.identifier.citationHonda, A., & Vio, F. (2015). Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences. Human resources for health, 13(1), 23.en_ZA
dc.identifier.issn1478-4491en_ZA
dc.identifier.ris TY - Journal Article AU - Honda, Ayako AU - Vio, Ferruccio AB - Background: Successfully motivating and retaining health workers is critical for the effective performance of health systems. In Mozambique, a shortage of health care professionals and low levels of staff motivation in rural and remote areas pose challenges to the provision of equitable health care delivery. This study provides quantitative information on the job preferences of non-physician health professionals in Mozambique, examining how different aspects of jobs are valued and how health professionals might respond to policy options that would post them to district hospitals in rural areas. Methods: The study used a discrete choice experiment (DCE) to elicit the job preferences of non-physician health professionals. Data collection took place in four Mozambique provinces: Maputo City, Maputo Province, Sofala and Nampula. DCE questionnaires were administered to 334 non-physician health professionals with specialized or university training (‘mid-level specialists’ and N1 and N2 categories). In addition, questionnaires were administered to 123 N1 and N2 students to enable comparison of the results for those with work experience with those without and determine how new N1 and N2 graduates can be attracted to rural posts. Results: The results indicate that the provision of basic government housing has the greatest impact on the probability of choosing a job at a public health facility, followed by the provision of formal education opportunities and the availability of equipment and medicine at a health facility. The sub-group analysis suggests that job preferences vary according to stage of life and that incentive packages should vary accordingly. Recruitment strategies to encourage non-clinical professionals to work in rural/remote areas should also consider birthplace, as those born in rural/remote areas are more willing to work remotely. Conclusion: The study was undertaken within an overarching project that aimed to develop incentive packages for non-physician health professionals assigned to work in remote/rural areas. Based on the DCE results, the project team, together with the Mozambique Ministry of Health, has developed a range of health workforce retention strategies focusing on the provision of housing benefits and professional development opportunities to be utilized when assigning non-physician health professionals to rural/remote areas. DA - 2015-04-26 DB - OpenUCT DO - 10.1186/s12960-015-0015-5 DP - University of Cape Town J1 - Human Resources for Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 SM - 1478-4491 T1 - Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences TI - Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences UR - http://hdl.handle.net/11427/13055 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/13055
dc.identifier.urihttp://dx.doi.org/10.1186/s12960-015-0015-5
dc.identifier.vancouvercitationHonda A, Vio F. Incentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferences. Human Resources for Health. 2015; http://hdl.handle.net/11427/13055.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderHonda and Vio; licensee BioMed Central.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceHuman Resources for Healthen_ZA
dc.source.urihttp://www.human-resources-health.com/
dc.subject.otherDiscrete choice experimenten_ZA
dc.subject.otherJob preferencesen_ZA
dc.subject.otherHealth worker motivationen_ZA
dc.subject.otherNon-physician health professionalsen_ZA
dc.subject.otherMozambiqueen_ZA
dc.titleIncentives for non-physician health professionals to work in the rural and remote areas of Mozambique - a discrete choice experiment for eliciting job preferencesen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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