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Motivation and incentive preferences of community health officers in Ghana: an economic behavioral experiment approach

http://hdl.handle.net/10685/00000927
http://hdl.handle.net/10685/00000927
1ec54c45-da92-4021-a8e7-5cb1eec1800d
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12960_2016_Article_148.pdf 12960_2016_Article_148 (486.2 kB)
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Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-06-14
タイトル
タイトル Motivation and incentive preferences of community health officers in Ghana: an economic behavioral experiment approach
タイトル
タイトル Motivation and incentive preferences of community health officers in Ghana: an economic behavioral experiment approach
言語 en
言語
言語 eng
キーワード
主題Scheme Other
主題 Community health
キーワード
主題Scheme Other
主題 Discrete choice experiment
キーワード
主題Scheme Other
主題 Ghana
キーワード
主題Scheme Other
主題 Health worker
キーワード
主題Scheme Other
主題 Incentive
キーワード
主題Scheme Other
主題 Job preference
キーワード
主題Scheme Other
主題 Mixed logit
キーワード
主題Scheme Other
主題 Motivation
キーワード
言語 en
主題Scheme Other
主題 Community health
キーワード
言語 en
主題Scheme Other
主題 Discrete choice experiment
キーワード
言語 en
主題Scheme Other
主題 Ghana
キーワード
言語 en
主題Scheme Other
主題 Health worker
キーワード
言語 en
主題Scheme Other
主題 Incentive
キーワード
言語 en
主題Scheme Other
主題 Job preference
キーワード
言語 en
主題Scheme Other
主題 Mixed logit
キーワード
言語 en
主題Scheme Other
主題 Motivation
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Shiratori, Sakiko

× Shiratori, Sakiko

WEKO 1303

en Shiratori, Sakiko

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内容記述タイプ Abstract
内容記述 Background: Health worker shortage in rural areas is one of the biggest problems of the health sector in Ghana
and many developing countries. This may be due to fewer incentives and support systems available to attract and
retain health workers at the rural level. This study explored the willingness of community health officers (CHOs) to
accept and hold rural and community job postings in Ghana.
Methods: A discrete choice experiment was used to estimate the motivation and incentive preferences of CHOs in
Ghana. All CHOs working in three Health and Demographic Surveillance System sites in Ghana, 200 in total, were
interviewed between December 2012 and January 2013. Respondents were asked to choose from choice sets of
job preferences. Four mixed logit models were used for the estimation. The first model considered (a) only the
main effect. The other models included interaction terms for (b) gender, (c) number of children under 5 in the
household, and (d) years worked at the same community. Moreover, a choice probability simulation was performed.
Results: Mixed logit analyses of the data project a shorter time frame before study leave as the most important
motivation for most CHOs (β 2.03; 95 % CI 1.69 to 2.36). This is also confirmed by the largest simulated choice
probability (29.1 %). The interaction effect of the number of children was significant for education allowance for
children (β 0.58; 95 % CI 0.24 to 0.93), salary increase (β 0.35; 95 % CI 0.03 to 0.67), and housing provision (β 0.16;
95 % CI −0.02 to 0.60). Male CHOs had a high affinity for early opportunity to go on study leave (β 0.78; 95 % CI −0.
06 to 1.62). CHOs who had worked at the same place for a long time greatly valued salary increase (β 0.28; 95 % CI
0.09 to 0.47).
Conclusions: To reduce health worker shortage in rural settings, policymakers could provide “needs-specific”
motivational packages. They should include career development opportunities such as shorter period of work
before study leave and financial policy in the form of salary increase to recruit and retain them.
書誌情報 Human Resources for Health
en : Human Resources for Health

発行日 2016-01-01
出版者
出版者 Bio Med Central
DOI
識別子タイプ DOI
関連識別子 10.1186/s12960-016-0148-1
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