2015
DOI: 10.15171/ijhpm.2015.27
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Addressing health workforce distribution concerns: a discrete choice experiment to develop rural retention strategies in Cameroon

Abstract: Background: Nearly every nation in the world faces shortages of health workers in remote areas. Cameroon is no exception to this. The Ministry of Public Health (MoPH) is currently considering several rural retention strategies to motivate qualified health personnel to practice in remote rural areas. Methods: To better calibrate these mechanisms and to develop evidence-based retention strategies that are attractive and motivating to health workers, a Discrete Choice Experiment (DCE) was conducted to examine wha… Show more

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Cited by 46 publications
(57 citation statements)
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“…It is recommended to carry out context focused analytical work, such as Discrete Choice Experiment so that the incentive packages are better calibrated and customized. It is evident from other studies that preferences of health workforce varies significantly through countries and within countries, depending on the characteristics of individuals of that cadre [20][21][22]. The results of this study provided an important insight into the priority job attributes that can be utilized for rural recruitment and retention policies for doctors in Islamabad Capital Territory, as well as for the design of future Discrete Choice Experiments in Pakistan.…”
Section: Discussionmentioning
confidence: 76%
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“…It is recommended to carry out context focused analytical work, such as Discrete Choice Experiment so that the incentive packages are better calibrated and customized. It is evident from other studies that preferences of health workforce varies significantly through countries and within countries, depending on the characteristics of individuals of that cadre [20][21][22]. The results of this study provided an important insight into the priority job attributes that can be utilized for rural recruitment and retention policies for doctors in Islamabad Capital Territory, as well as for the design of future Discrete Choice Experiments in Pakistan.…”
Section: Discussionmentioning
confidence: 76%
“…Studies also suggests that monetary incentives should be of substantial value so that doctors can be attracted to work in remote areas [26][27][28].…”
Section: Weighted Ranking Of Attributes and Proposed Retention Packagesmentioning
confidence: 99%
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“…Thus, proposals for new ways of providing, for example, medical education or alternative medical career paths can be evaluated in the first instance without 'real' (revealed preference) data that may not be feasible to collect or can only be collected through costly pilots. For example, Robyn et al 24 conducted a DCE amongst students and health workers in Cameroon to explore the impact of incentives on preferences for rural posts. Analysis of the preference data included estimating the impact on preferences of 10 separate 'packages', each of which offered different incentives.…”
Section: A Testing Groundmentioning
confidence: 99%
“…This is unique in this study considering that financial incentives are one of the popular strategies in many countries 19,27,28 . Almost all interviewees who mentioned financial incentives insisted that they should not be used in isolation, but rather as part of a comprehensive retention policy, with transparency being a prerequisite.…”
mentioning
confidence: 99%