Deployment

This publication presents measures composed by the Dutch Alliance for Human Resources for Health, a group concerned about the global maldistribution of human resources for health, to be taken by Dutch actors to improve the distribution of health staff across countries. [from preface]

This report discusses and analyzes labor market dynamics and outcomes (including unemployment, worker shortages, and urban-rural imbalances of categories of health workers) from a labor economics perspective to address undesirable outcomes (including urban-rural HRH imbalances) more effectively. [adapted from summary]

This article discusses Thailand’s mandatory health service system. Under this system, all early-career health workers from public professional schools serve in rural areas as a governmental worker to maintain the rural health workforce. The system has ameliorated the shortage of physicians in rural areas by substantially decreasing the emigration of Thai physicians to foreign countries.

This paper reviews the evidence on costing interventions to improve health workforce recruitment and retention in remote and rural areas, provides guidance to undertake a costing evaluation of such interventions and investigates the role and importance of costing to inform the broader assessment of how to improve health workforce planning and management. [from abstract]

This study aimed to evaluate the influence of educational factors on the choice of rural or urban sites of practice of health professionals in South Africa. [from abstract]

This study aimed to determine factors that will attract and retain rural and urban health workers to rural Nigerian communities, and to examine differences between the two groups. [from abstract]

This article considers the shortage and maldistribution of health personnel in countries in southeast Asia in the context of international trade in health services. It analyzes the situation and identifies factors contributing to shortages and maldistribution in many countries in the region. The effect of trade in health services on the health workforce is discussed. [from introduction]

The objective of this study was to assess the influence of loan repayment and other factors on the recruitment and retention of healthcare providers in rural Colorado, USA, and to compare the motivations and attitudes of these rural providers with their urban counterparts. [from introduction]

This article describes the National Rural Health Mission of India and the initiatives undertaken to address the lack of skilled service providers in rural areas including an increase in sanctioned posts for public health facilities, incentives, workforce management policies, locality-specific recruitment and the creation of a new service cadre specifically for public sector employment. [adapted from abstract]

This article describes a program directed at the re-supply of rural physicians in rural areas and its success in addressing the critical shortages caused by maldistribution of health care workers. [adapated from abstract]

Kenya has bold plans for scaling up priority interventions nationwide, but faces major human resource challenges, with a lack of skilled workers especially in the most disadvantaged rural areas. This study investigated reasons for poor recruitment and retention in rural areas and potential policy interventions through quantitative and qualitative data collection with nursing trainees. [adapted from abstract]

Several training institutions have engaged in programs to expose pre-service health workers to rural health work to demystify it and to enable the professionals make an informed choice on practice location after qualification. In this study, the intentions of Ugandan medical students to work in rural health facilities after qualification were sounded out, together with the factors that affect them and their perception of rural areas. [from abstract]

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. [from abstract]

Retention of GPs in the more remote parts of Australia remains an important issue in workforce planning. The Northern Territory of Australia experiences very high rates of staff turnover. This research examined how the process of forming place attachment between GP and practice location might influence prospects for retention. [from abstract]

Positive learning experiences for students on clinical placement in rural settings have the potential for supporting the recruitment of qualified nurses to these areas. Recruitment of such nurses is a global concern because current shortages have resulted in decreased healthcare quality for rural residents. By understanding the challenges faced by nursing students unfamiliar with rural settings, educational and organizational strategies can be developed to promote positive learning experiences and so enhance recruitment.

This study proposes methods for measuring inequalities in the distribution of health workers in a country by adapting techniques from the economics literature on income inequality to the measurement of health workforce distribution across geographical units. [from summary]

With the aim of arriving at a better understanding of specific dimensions of health workforce inequalities in their national contexts, three case studies are presented from Ethiopia, Brazil and Mexico. [from introduction]

Recruitment and retention of qualified health professionals, especially physicians, is a major challenge in health service delivery in the high north, similar to other remote areas of the world. This article describes a strategy to address this problem and evaluates the effect of the strategy for Finnmark, the northernmost county of Norway. [from abstract]

This study evaluates the health impacts of a volunteer intervention addressing health worker shortage in remote mountainous communities of Vietnam. [from abstract]

After a year-long consultative effort, this document proposes sixteen evidence-based recommendations on how to improve the recruitment and retention of health workers in underserved areas. It also offers a guide for policy makers to choose the most appropriate interventions, and to implement, monitor and evaluate their impact over time. [from publisher]

This paper presents a structural map of a health system based on a synthesis of a needs-based analytic framework and a supply side framework, showing the interactive connections between its major components, which could be expanded at a later date to show the linkages between the tasks performed by a health workforce and the cadres of personnel that could supply those tasks. [adapted from author]

There is not only a lack of human resources for health in Hungary, but significant inequalities are widespread, including in geographical distribution. This report, based on research carried out in 2008, deals with the willingness of young doctors to work outside Budapest. [adapted from abstract]

This paper looks at the potential for decentralization to lead to better health workforce recruitment, performance and retention in rural areas through the creation of additional revenue for the health sector; better use of existing financial resources; and creation of financial incentives for health workers. [from introduction]

Developing a sufficient and sustainable rural physician workforce requires commitment and cooperation from communities, governments and medical schools. The author argues that medical education can play an important role in the recruitment and retention of rural physicians. [adapted from author]

This article outlines the introduction of a special contracting system to recruit health workers to improve the posting, recruitment and retention of health workers in rural and remote areas. [adapted from abstract]

This paper builds on earlier work assessing the evidence on effectiveness of interventions to increase access to health workers in rural and remote areas - focusing mainly on studies that evaluated interventions and their impact on the health workforce and health systems performance. [adapted from introduction]

This paper explores a long-standing strategy to attract and retain doctors in rural areas in Chile: the Rural Practitioner Programme. The objectives of the study are to describe this programme for rural doctors (médicos generales de zona), to characterize its multidimensional set of incentives and to carry out a preliminary evaluation of programme outcomes. [from introduction]

This study compiled information on the numbers and types of health worker compulsory service programs in WHO countries.

The objective of this study was to model the relative effectiveness of different policy interventions on the recruitment of nurses to rural areas in three different countries. [from introduction]

This paper examines the extent to which health workers differ in their willingness to work in rural areas and the reasons for these differences, based on the data collected in Rwanda analysed individually and in combination with data from Ethiopia. [from introduction]